Weird upper lip - what are my options besides Lip Fillers? (photos)

Question

half of my top lip looks kinda norma i guess but the other half disapears. and the middle part is really weird with the lines. i dont even know how to explain what I have cause I have never seen someone else having something like this.its not even the shape that is the problem but the inside. are lip fillers THE ONLY option? cause i wanted something permanent and i don't want to get injections for the rest of my life.

Jason Emer, MD · Answer

I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. Technique is the key to a successful lip augmentation with fillers, so you'll want to see someone meticulous. An experienced physician will be able to determine which filler, how much filler, and which technique will give you the subtle result you're looking for. See an expert. Best, Dr. Emer

Paul Flashner, MD · Answer

Thank you for your pictures! I would recommend doing a consultation in person to get a better look at your concern. However, it does appear that lip filler would be the best option to give you the results your are looking for as far as evening out the upper lip. Any other surgeries would be invasive. Good luck!

Daniel Barrett, MD · Answer

Dear Independent262652,
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

Glenn Vallecillos, MD, FACS · Answer

Injections such as fillers and neurotoxins (botox/dysport) will be temporary and would need to get re-done throughout your life to fully maintain your results.

You should do research on a "lip lift" (surgical) because it would give you the permanent results that you're looking for while giving you more upper-lip.

Filler is not the only option; if you're still interested in non-surgical look into "lip-flips" which are the "non-surgical version" of a lip-lift (completed through neurotoxin injections) but results are temporary.

Camille Cash, MD · Answer

From your photos filler would be the best option to address your lip shape concerns.  You can consider more permanent treatments, but at least trying the filler first will let you know if you can achieve the look you are wanting.

Christine Eros, MD · Answer

The shape of the lip comes from the muscles, fat and dentition. Genetics also have a lot to do with this. Check with your dentist to make sure you have a normal natural bite. If that is ok, then a permanent solutions can be lip implants, although those with symmetrical lips do best. PDO threads can lift the mouth area. Try a lip flip with Botox, this is a simple procedure and lasts 3 months. It can help to see what your lip can look like a little lifted. Try a filler like Kysse by Restyalne for a smooth and natural appearance. I suggest trying something less invasive before going to a more invasive and permanent solution. In reality your lips look great just the way they are.

Weird upper lip - what are my options besides Lip Fillers? (photos)

Answers (6)

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