Would I benefit from Botox or Dermal filler? I Would like to even out my lips. 42 y/o female (photos)

Question

42 year old woman, wondering which treatment i should get. ?Would filler or Botox be best? it gets very activated when i speak and when i pout my lips. its not there when i relax my face. i also want to even out my lips. one side is smaller than the other. what is best? I had a lip flip already. and i have botox in the DAO (to stop downturning mouth) Thank you for your advice

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Dermal fillers are an excellent option for adding volume to the lips and creating a more symmetrical appearance. These hyaluronic acid formulas can enhance the shape of the lips and provide a youthful, volumized result that can last for up to a year or more, depending on the formula used. 
I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to review your history of injectable treatments and suggest the best option to help you achieve your aesthetic goals.

Julia Spears, MD · Answer

Hello! If you are concerned about how uneven your lips are, I would recommend filler. I would also continue with the lip flip as it gives you a nice lifted pout, the filler will help fill in the areas where you feel are uneven. 
Best of Luck!Dr. Julia Spears MD

Camille Cash, MD · Answer

Lip fillers are a great option to improve lip asymmetry.  You can go slowly and build up to the desired result. There are many great products on the market to help you achieve improvement.  See an expert injector for treatment.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! If you haven't tried fillers, that would be a great option. Fillers can be used to change the volume of the lips very easily. There are a number of good products like Juvederm and Restalyne which create natural improvements. The results can last 6-8 months, or longer, depending on the product used. Although fillers aren't perfect, they can help improve symmetry. Hope this is useful to you!

Would I benefit from Botox or Dermal filler? I Would like to even out my lips. 42 y/o female (photos)

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Would I benefit from Botox or Dermal filler? I Would like to even out my lips. 42 y/o female (photos)

Answers (5)

Answer: Lip filler

Answer: Lip filler

Answer: Lip Asymmetry

Answer: Lip Asymmetry

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Recommended reading

Everything you need to know about Dermal Fillers

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