Lip Higher on One Side when Smiling? (photo)

Question

Hi there When I smile, one side of my top lip is higher than the other. I want to be able to fix this. Im getting married in April next year. Is it as easy as botox in the lower side of the lip? Cheers

Jed H. Horowitz, MD, FACS · Answer

Good day! Thank you for providing photo with your query. You are correct, Botox, Dysport or similar muscle relaxers can be used to soften the smoker’s lines and allow the corners of the mouth to turn up from the downward “look of despair”. But it is best to have an in person examination with a board-certified surgeon in your area that has extensive experience with your case. Best of luck! #RealSelf100

James M. Pearson, MD, FACS · Answer

Thank you for your question. If your concern is apparent during smiling and not when at rest, then you may be a candidate for neuromodulator treatment in this area. Neuromodulators, such as Botox, Xeomin or Dysport, may be used to weaken the muscles responsible for smiling. If the muscles on the right side (the side with more teeth show) are treated, then your smile may appear more symmetric.  Perfect symmetry is unlikely, but you may experience a satisfactory improvement.

Barry L. Eppley, MD, DMD · Answer

You are correct in that the injection of Botox into the depressor anguli muscle on the lower side should help. It may not make your smile line perfect but some improvement should occur. Start with just a few units initially as you can always inject more later.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question, your slight asymmetry may be addressed with Botox, however, this must be done very diligently and by an experienced injector as small doses of Botox need to be injected in the side that is higher to lower it. Best of luck and congratulations on the upcoming wedding.

Samir Shureih, MD · Answer

No one is symmetrical on both sides of the face 100%.

	If you try to operate to achieve 100% symmetry, it will not happen. You need to accept this amount of asymmetry

Lip Higher on One Side when Smiling? (photo)

Answers (5)

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