Can Invisalign Fix Teeth That Are Horizontally Not Aligned?

Orthodontics does a fantastic job of making thing MUCH better than before, but often fail to satisfy if scrutinized with a magnifying glass or microscope.  If absolute perfection is a goal, then the fee that must be charged to do so would be VERY high.  It takes a lot of time, and often complicated surgeries.

Invisalign is not very effective in cases like this, and even traditional orthodontics may be challenged.  While things CAN get better, the result still might not satisfy you.

You may need several face to face consultations with experienced orthodontists to find a satisfactory plan.

Based on your description it appears that the difference in upper and lower dental midlines is not due to malposition of the teeth but rather asymmetry in jaw development. Orthodontic tooth movment, with either braces or Invisalign, can compensate for minor degrees of underlying skeletal asymmetry but beyond a certain point will not be effective. If the asymmetry is causing problems with bite or jaw-joint function then correction should be considered - but may involve both orthodontics and jaw surgery. It is important to sort out in advance exactly what the goals of treatment are and to be realistic about what can be accomplished with the treatment method chosen. Because of the level of your concern, I recommend that you consult with an orthodontist with whom you are comfortable and get the best possible answers to your questions.

Most of the time regular braces and Invisalign can correct these discrepancies as long as they arent too severe. The way your upper arch and lower arch were formed during childhood has led to this,not so much the teeth issue.

I always tell patients to think of it this way.."Tom Cruise" makes 20 million dollars a movie and has the worst midline. Look at his pix and you can see he's nearly an entire tooth off. He tried braces for a while and didnt get great results so he ended his treatment. Midlines are nice to have but dont worry about it too much. You can always apply your lip liner and lip stick to counter the look of your uneven lip line...