Can lip filler be put only in top lip to correct asymmetry (lip thinner on one side)? (Photo)

Dear One Girl,
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

The answer is a resounding yes. Two days ago, in fact, I treated a patient with the exact problem, except that her asymmetry was on the left side of her bottom lip. It takes an experienced injector to be able to thread the filler along the vermilion border of the lip to achieve the desired result. As to how much is needed, it depends upon the particular filler chosen to get the job done. Just be sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.