Lopsided smile causing facial asymmetries - is it fixable with Botox? (Photos)

I recommend injecting approximately 2 units of Botox into LLSAN muscle on the right side. This will help with flaring and asymmetry when smiling.

Hello and thank you for your question. Based on your photos, it appears that your right LLSAN muscle is hyperactive compared to the left. This muscle is an elevator muscle of the upper lip and nose. If one side is more dynamic than the other, this can result in a smile asymmetry where the upper lip appears higher and there is widening of the nostril on that side. One injection of Botox in the right LLSAN muscle can help balance this asymmetry by relaxing the upward pull and lowering the upper lip more comparable to the left. Hope this helps! Esther Litenatsky AGACNP-BC on behalf of Dr. Ran Y. Rubinstein facial plastic surgeon in Newburgh, NY and Montvale, NJ.

Botulinum is often the first and least invasive method to correct a smile line that's higher on one side. Look up Botox for gummy smile to learn more about your specific concern, and don't hesitate to try it and get your facial balance corrected.

Yes, Botox can be used to help improve your asymmetry. Visit with an expert injector near you to discuss your concerns and learn more about what you can expect from treatment. Keep in mind that final results from Botox are not seen for up to two weeks after the date of injection.

When considering the use of Botox for addressing facial asymmetry, it is important to understand its capabilities and limitations. Botox is commonly used to relax overactive muscles and can help balance facial muscle activity, potentially improving asymmetries such as a lopsided smile. Here are a few points to consider:

Muscle Relaxation: Botox can be injected into the stronger side of your face to relax the muscles that are causing the asymmetry. This might help even out your smile and reduce nostril flaring on the stronger side.

Consultation with a Specialist: It's crucial to consult with a board-certified dermatologist or plastic surgeon who has experience with facial aesthetics. They can assess your specific situation and determine the most appropriate treatment plan.

Temporary Solution: Keep in mind that Botox is a temporary solution, typically lasting 3 to 6 months. Regular follow-up treatments would be necessary to maintain results.

Combination Treatments: Depending on the underlying causes of your asymmetry, your physician might suggest combining Botox with other treatments, such as fillers, to address deeper nasolabial folds or other concerns.

Customized Approach: Each face is unique, and a tailored approach is essential. Your provider will assess factors such as muscle strength, skin elasticity, and overall facial structure to create a personalized treatment plan.

Before proceeding, ensure you have a thorough discussion with your provider about your goals and any potential risks or side effects. This will help you make an informed decision about whether Botox is the right option for you.