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.

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​

Matt Tahsini, MD · Answer

Hello and thank you for your question. First off, you have a beautiful smile. All of us have some asymmetry and your falls within the “normal” range. If you are really bothered by it you can come in for  a consultation and we can discuss your options. Best wishes.
Dr. T

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.

Bethany J. King, MD · Answer

Hello, and thank you for your question. The only photo I have is of you smiling. When I look at the right oral commissary with you smiling, my instinct is to perform the surgery to make the top and the bottom match to get it more closely mimicking your left side. There is a bit of a gap between the top and the bottom on the right. But, you say that your mouth moves differently on the right than the left when you move. Therefore, I would really need to see you in person and see what the motion is while you speak. The utility of Botox is to weaken the muscle. If you weaken the muscle, in that spot, it could impair your ability to smile or for your mouth to be able to create a good seal.. It would truly require an in person evaluation. If I were you, I would go to the best facial plastic surgeon in your area. Because Botox may not be the answer. You want somebody who can think outside the box and knows that anatomy extremely well. Best of luck to you! Have a great day

Leonard Grossman, MD · Answer

Absolutely every face on this planet has some form of asymmetry. The amount of asymmetry in your smile is extremely small and I would definitely not consider using Botox as it may ruin your smile. I hope this helps and good luck from New York City plastic surgery

Martie Gidon, MD, FRCPC, FAAD · Answer

An experienced Botox injector may be able to even out your smile. Dr. Jason Emer is an excellent cosmetic dermatologist in LA.

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. First off, you have a beautiful smile. All of us have some asymmetry and your falls within the “normal” range. If you are really bothered by it you can come in for a consultation and we can discuss your options. Best wishes.
Dr. T

Can Botox fix my weird oral commissure?

Answers (10)

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