What are my options to fix asymmetry of mouth? (photos)

Question

Looks like one side of my mouth is semi-paralyzed, and droops (doesn't move much) when I talk, although the lips look straighter and more symmetrical when I smile. Currently undergoing invisiline to correct bite, but I don't think that is the problem. I want to correct the droopy look of left side to it looks like my lips are level. Suggestions? Options?

Jason Emer, MD · Answer

Fillers and botox can be used to improve this area. I suggest seeing a facial sculpting expert.  Best, Dr. Emer.

Stephen Prendiville, MD · Answer

A very common issue brought up by patients is concern over facial asymmetries.  It is important to understand that it is much more normal than not to have one brow higher than the other, and/or slight difference in height of the corner of the mouth.  Usually this is congenital, but sometimes is caused by conditions such as Bell's Palsy or trauma. That having been said, use of toxins such as Botox and fillers such as Juvederm, Restylane, or Radiesse can help minimize such asymmetries. In the photos shown, there is no evidence of paralysis, but instead a lower right oral commissure.  The minimally invasive treatments mentioned work very effectively for this in experienced hands.

Carlos L. Wolf, MD · Answer

Your smile appears crooked because of two reasons. First, your lips are different sizes and second, your muscles are pulling slightly different. You can manage both these problems with the combination of Botox to your DOA (depressor Oral angularis) a muscle. You can balance the difference in your lip size with a number of HA fillers. Obviously this should be done by an experienced doctor.

Jonathan Berman, MD · Answer

I would recommend Botox to correct this slight asymmetry. Injecting a small amount into the lip area should remedy this issue. Seek out a board-certified plastic surgeon who offers Botox in your area for optimal results.

Michele S. Green, MD · Answer

A combination of fillers and Botox will correct this facial asymmetry.  Be certain to consult an experienced injector for the best cosmetic results.  Best, Dr. Green

What are my options to fix asymmetry of mouth? (photos)

Answers (6)

Answer: Fix asymmetry of the mouth

Answer: Fix asymmetry of the mouth

Answer: Asymmetry with Face

Answer: Asymmetry with Face

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Everything you need to know about Lip Fillers

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What are my options to fix asymmetry of mouth? (photos)

Answers (6)

Answer: Fix asymmetry of the mouth

Answer: Fix asymmetry of the mouth

Answer: Asymmetry with Face

Answer: Asymmetry with Face

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.