Would filler fix my uneven top lip & indentation? (Photos)

Question

My top lip has an indent on the right side and is generally uneven in shape would filler be enough to fix it?

Nelson Lee Novick, MD · Answer

At least from the photos provided, it would be a rather easy treatment for an experienced injector of HA fillers to fill the indentation and establish symmetry between the two sides. You would be wise, however, to make sure that you consult with a board certified cosmetic dermatologist injector. Too many people who have not done their "due diligence" can end up in the hands of cut-rate, novice injectors and risk coming away with "duck lips" or "sausage lips."  Hope this helps.

Jason Emer, MD · Answer

Most doctors will start with one-syringe to avoid overfilling. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip. PDO NovaThreads can also be used to improve shape and also provide lift. Fat or implants are a permanent alternative. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear Phlox,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

Absolutely a little filler in the right hand would definitely help.   Make sure you see an expert injector.

Best of luck!

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