My lips are offcentered - Botox or Juvederm?

You would get a nice improvement with lip fillers.  These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip. PDO Nova threads can also be used to improve shape and also provide lift. Fat or implants are a permanent alternative. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hi and thank you for your question! No face is 100% symmetrical and this is a very normal and natural feature of our look, but it can often be adjusted when bothering the patient. While some Botox injection might help with the corner of mouths, the main treatment for lip asymmetry is hyaluronic acid filler (such as Juvederm) injection. I hope it helps and goo luck!

Asymmetry of the lips can be corrected with any number of fillers. You have a pretty smile and show just the right amount of tooth and gum in my opinion (based on the photo). A true gummy smile that shows 3-5mm of gum tissue is best treated with botox to the elevator of the lip along the side of the nose.

You have an asymmetry on your face and it is maybe more noticeable on your lips. The Botox will not correct the asymmetry, a hyaluronic acid filler will be better to give you more volume on the upper lips, so the gummy smile is corrected and in the lower lip, more in the right side to balance the lips, but your left side will still be a little longer and lower than the right side.

Botox injections are not precisely enough to control the shape of the lip.  But it is more than capable of causing unwanted mouth weakness that will look like and make you feel like you had a stroke.  Juvederm is absolutely the wrong filler for this location in my opinion.  The so-called smooth fillers like Juvederm are runny and tend to drift after placement.  That prevents bumps but it also prevents the product from holding in place.  This is why people end up with a lip shelf.  You need an artful injector. I recommend Restylane for this location.

Dear NDancer,in my opinion, you can get great results with Juvederm filler. I typically use Juvederm ultra plus for lips and get great results and longevity. I would suggest you to consult a board-certified plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Hello- thank you for your question and for providing photos. Your lips do appear to be asymmetrical; it is more noticeable in the photo where you are not smiling. Since one side appears to be larger than the other is, I do not believe Botox will be of much help in your case since Botox would only inhibit muscle movement and not add volume. Fillers, such as Juvederm, Vollure, and Volbella can help in adding volume and symmetry to your lips. I think fillers from a highly skilled expert you could greatly improve your lips since you are bothered by the asymmetry and careful use of Botox may reduce the "gumminess" of your smile. I recommend scheduling an in person consultation with a board certified plastic surgeon with significant facial sculpting experience. Good luck!

You have a slight case of asymmetry. It is more apparent when you smile. No one's face is perfectly even, but since this bothers you, the best fix would probably be a filler. Schedule a consultation with a board certified plastic surgeon to be examined in person and discuss. Best of luck.  

Thanks for sharing your question and photos. I think a combination of Botox/Dysport and filler (Juvederm Ultra, Restylane or Volbella) would give you the best result. The neuromodulator (Botox or Dysport) will help with the gummy smile while the filler will correct the lip asymmetry and add volume to the lips. 

You would benefit from both Botox and a filler such as Juvederm or Restylane for your lips.  An experienced cosmetic dermatologist or plastic surgeon will be able to help you.