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Weird indentation in upper lip/lips when I smile. How can I fix this?

bpkts97Jun 2, 2015
As you can see, my lips are very unattractive. I have a small narrow upper lip which droops down and has a clear outline around it. When I smile, my top lip essentially inverts and forms these weird indentations opposite of my philtrum in my upper lip (as you can see). I guess my phitlrum is very wide. I want to know why my upper lip/lip are formed this way when I smile, why they droop down and have an outline, and what I can do to fix them.

Answers (3)

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Robert M. Tornambe, MD profile photo
Dr. Robert M. Tornambe, MD
Board Certified Plastic Surgeon
4.9 | 81 Reviews
Answered on Jun 8, 2015
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James Chan, MD profile photo
Dr. James Chan, MD
Board Certified Facial Plastic Surgeon
4.8 | 82 Reviews
Answered on Jun 5, 2015
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Kevin G. Rose, MD profile photo
Dr. Kevin G. Rose, MD
Board Certified Plastic Surgeon
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Answered on Jun 4, 2015
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Tom D. Wang, MD, FACS

It's hard to tell the true relationship of your philtrum to your overall facial proportions from the photo alone.  One thing to think about may be to plump the upper lip a bit and see if that improves your overall lip and facial balance.  Hope this is helpful.

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Monika Soni, MD

Thank you for your question. Yes, you are correct that swelling is common after lip augmentation with hyaluronic acid fillers which can take up to 2 weeks to resolve. You can help reduce swelling by applying cold compresses to the treated area(s). It is also advisable to avoid any NSAID’s such a...

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Justin Harper, MD - Account Suspended

Hi expensive1,First, the good news. The amount of swelling has no relation whatsoever to the final results. In short, you can be this swollen and still have beautiful results. There are many reasons why some people swell more than others. The filler used, injection technique, your body ...

+7 answers
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