How to Improve Symmetry of Crooked Lips?

Question

I've been to my state hospital and spoken to a plastic surgeon and a maxillofacial surgeon and basically they told me my jaw is the cause of my asymmetry but as I do not have any bite or physical problems jaw surgery should not be performed.The plastic surgeon told me I could either reduce the lower lip or add a filler substance to the right side but other than that he wasn't too much help to me.

Jason Emer, MD · Answer

Thank you for your question. You would get a nice improvement with lip fillers. Volbella, Restylane, and Juvederm are good to create a symmetrical lip. NovaThreads can be used to improve lift and shape. Implants or fat are alternatives. Technique will be important here, so you'll want to see someone meticulous. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Douglas Wu, MD · Answer

If you are bothered by the asymmetry in your lips, then lip augmentation on the right side of your bottom lip with Juvederm, Volbella or Restylane would be my first recommendation. These hyaluronic-acid-based fillers look quite natural and can last anywhere from a few months to up to 18 months. The fillers are, in my opinion, the best solution as lip surgery can look unnatural. Try them out and see if they help you feel better about your appearance. Please consult a board-certified dermatologist with expertise in lip augmentation to help you with this issue.

Steven J. Pearlman, MD, FACS · Answer

In order to create more symmetry for the lips, a larger side or lip can be reduced by a surgical reduction or the smaller side augmented with a filler. What is important to recognize is that if your bite and jaw is crooked, that can make the lips look crooked when they really are symmetric yet tilted. Fillers can help but on inspection they will still look crooked. You need to decide with your physician which is best.

Otto Joseph Placik, MD · Answer

I think the plastic surgeon summed it up well. What it comes down to is which side you prefer more. If you like your right lower lip, I would reduce the left. If you prefer the left lower lip I would enlarge the right. Improvement is possible but perfect symmetry is not.

Samir Shureih, MD · Answer

I agree with you if there is no bite problems then you  do not need to have bone surgery.
The problem is that there is asymmetry with your lips, but to analyze your lis
the normal anatomy is normal but exaggerated
the upper lip is too full in the center, the white roll line is very exagerated and prominent, the philtral columns are very prominent, the philtrum is very deep.
In the lower lip there is asymmerty , ther is deep central cleft.
Work with a reputable good plastic surgeon to achieve more HARMONY.
to correct all the above might be impossible

How to Improve Symmetry of Crooked Lips?

Answers (7)