How can I change a smile line to look more symmetric? (photo)
Doctor Answers 13
Minor facial asymmetry, such as yours, is very common, if not universal. A resting picture would also be useful in evaluating your mouth and smile lines. Muscles on either side of your face are not always symmetrically placed and cause asymmetry of your smile. Other factors such as sleeping on one side more than the other, or more sun damage on one side, can also contribute to facial asymmetry. Attempting correction with Botox injection in any of the smile muscles has to approached cautiously as there is a risk of making it worse, albeit temporarily. Keep in mind that not all asymmetries can be corrected. Sometimes, it's best to leave well enough alone. If you decide to proceed with Botox make sure you select a very experienced injector who is specifically interested and trained in aesthetics.
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Some of the asymmetry can be corrected with careful placement of fillers. It also appears that the asymmetry is caused by your dentition and braces would help as well. Best, Dr. Green
Certainly, anything that is done should look natural even when you are not smiling. A bit of Botox to the left side of the face, just along the lip elevators should decrease the excessive length of your smile.Using fillers such as juvederm to the right side of the mouth can adjust the contour differences of the upper lip. This combination treatment usually can improve an asymmetrical smile better then surgery, with no down time.Best regards,Prashant Soni. M.D.
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