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.
Thank you for your photograph and question. Carefully placed Botox and/or filler injections are good options for improving facial asymmetry. Best to consult with an experienced, certified injector. Best of luck.
Thank you for your question smile56789. Botox
is a purified protein used to address wrinkles associated with facial
expressions. Fillers such as Voluma will help restore volume loss in the upper cheeks, which is often the cause of the smile lines or nasolabial folds. Fillers such as Juvederm can be placed in the lips to improve symmetry. Please consult with a doctor for specific
recommendations. Good luck!
Achieving a more balanced smile
It sounds like you need to have a consultation with an experienced board certified injector. Uneven smile lines are often the result of volume loss elsewhere in the face. Often using fillers such as Radiesse or Voluma to lift the fold results in a more balanced appearance. I always review photographs of the patients face with each patient looking at the whole face, rather than just folds or lines and explain where it's best to treat and with which product or device. We get excellent results recontouring and the face with injectable fillers in combination with Botox, Dysport or Xeomin.
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
Hello, and thanks for your question and photo. I do think your subtle facial asymmetry could be improved with carefully placed filler. I always remind me patients that everyone's face is asymmetric, and in chasing "perfect" symmetry one runs the risk of adding more product than is really needed. In order to determine the best treatment plan for you, I recommend an in-person consultation with a board-certified dermatologist or plastic surgeon. Best of luck, Dr. Frucht.
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.
Uneven smile lines
No one is actually symmetrical so your problem is not that unusual and can be helped with a combination of filling material and Botox. See a board certified dermatologist or plastic surgeon
Fillers for aysmmetry
Putting more filler in the deeper line will improve the symmetry. Using Botox to lower the lip can help but is tricky as it can drop the lip too much. RegardsDr. J
I would need to examine you at rest to determine if filler were an option. Otherwise, a very small amount of Botox on the left side to limit the smile could help. I'd recommend seeing someone with extensive experience as this type of treatment can be a bit tricky.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers