Crooked nose and smile? (Photo)

As you can see from the picture, when I smile, my nose pulls to one side, as well as my mouth lifts up more on that same side. The bottom lip on the opposite side seems to lift up and my lips are almost touching in the cornery on that side. It is really embarrassing, and I've gotten to where I don't like taking pictures. I've read about botox to drop the one raised side, but our there any permanent solutions to fixing this? My main concern is my uneven smile.