Can Botox fix my weird oral commissure?

Question

In the picture I'm smiling and my right (picture left) commissure clearly pulls much farther than the left side. It has been like this since I was born; it's definitely genetic. If this was only when I was smiling I could tolerate it, but when I'm talking I notice my mouth moves oddly on the side and even when I'm resting I kind of always look like I'm smirking on that side because of how much it pulls. Can botox fix that asymmetry? How could I find a master injector in Los Angeles?

Jason Emer, MD · Answer

botox cannot help the commisures, it can help the lip corner and gummy smile. I suggest seeing an expert, sometimes vineers can help.  Best, Dr. Emer.

Chien C. Kat, MD · Answer

Hi, I would recommend superficially placed filler in the fold to soften this assymmetry. Please consult and experienced practitioner for a face to face assessment. All the best, Dr Ana

Camille Cash, MD · Answer

We all are asymmetrical to some degree. Your smile asymmetry falls within normal limits.  Botox around the mouth can alter your smile entirely with the only recourse being to let the product gradually wear off.  It makes sense to treat when there is an obvious discrepancy, I wouldn't recommend Botox to correct this.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Botox would not help you with your concern. I recommend you to schedule an email or Skype consultation with a board certified plastic surgeon.

Johnson C. Lee, MD · Answer

It is natural to have some degree of asymmetry in all faces. That being said it is possible to weaken one side with a tiny amount of botox carefully injected into the stronger muscle. It may be difficult to control the degree of weakening and therefore it is always better to start off with the tiniest dose. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD 
Board-Certified Plastic Surgeon​

Can Botox fix my weird oral commissure?

Answers (5)