What are my options to correct this horizontal line above my lip when I smile? (photo)

There are a number of reasons why an individual has a horizontal fold or wrinkle just above the upper lip. The photograph with you smiling does not provide any valuable information. You need to be examined with a relaxed face as well as when you’re smiling, in person preferably. In many patients, it’s the lack of philtral columns that leads to the formation of this horizontal line. Once philtral columns are built or created, the line is gone. In some cases, adding a small amount of Botox will do the trick, when it’s a different cause of the line. I hope this helps and good luck from New York City Plastic Surgery.