Can my upper damaged smile muscles be restored?

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an...

The only way one can remove the piercing deformity is to excise (cut off) the area of the deformity. Fortunately it is on the border of lips skin and red portion of lip and resulting scar is practically invisible. This is done in local anesthesia. Good luck.

It is very challenging. Beside fillers which give temporary solution, reconstruction can be based on your own tissue, dermal or cartilage grafts. In any case it requires quite an expertise. You should seek a consultation with a board certified plastic surgeon with excellent reputation for this ...