Do I have hyperactivity of the orbicularis oris? Will botox/dysport fix my hidden top dry lip? (Photo)
When I press down above my lip, more of my 'dry' lip is visible & i would love this to be permanent. Ive had juviderm b4 but this gave me a trout pout, the thinness stuck out more, it didnt roll up more of my dry lip. Recently an injections nurse put a small amount of Dysport (15units) into the area but the effect was minimal & didnt last long. Want to know if botox/dysport is the best way to correct my hidden top dry lip or if theres another procedure thats better? Id love this fixed ASAP. Thnx
Doctor Answers 3
Fillers can work to lift/evert the lip if done properly. You must go to an experienced injector. however, what I have also found to be very effective for this beyond a lip-lift surgical procedure which I perform, is Ultherapy or Thermage. These are dermal heating procedures used to stimulate collage growth and have both been found to be effective in lifting and tightening the skin. Find a cosmetic dermatologist or plastic surgeon with experience in all these procedures so they can give you the best opinion. I do not feel neuromodulation will help this problem. I wish you the best of luck, Dr. Emer.
I think that fillers can help with this if they are done properly. You might want to go for a consultation with someone that does a lot of lip fillers. My preference would not be an injection nurse but an experienced dermatologist or plastic surgeon.
- See a Board Certified Plastic Surgeon to assess the proportions of your lips.
- The photo suggests a lip lift might be helpful.
- Botox or Dysport will not help - the nurse clearly did not understand lip dynamics.
- Fillers along the white roll of the lip with roll it up. That plus a little filler in the red lip - and you should have the look you want. Definitely not an injection nurse.
- If not fillers, a Permalip implant (they are so small you want the large size)
- Or you can try fat injections which can look natural but cause severe swelling for about 1 week. Best wishes.
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