What could be done to make the top lip turn more upwards & the bottom to not be crooked? (Photos)

Thank you for your question, and I completely understand your desire to achieve a more balanced, symmetrical smile—it’s a common concern, and thankfully, there are several treatment options depending on the underlying cause.

A crooked smile or uneven lips can result from a number of factors, including muscle asymmetry, volume loss, prior trauma, dental or skeletal structure, or previous filler placement. Here are some potential solutions:

Botox (Neuromodulators):
Small, targeted Botox injections can help relax overactive muscles that are pulling one side of the mouth more than the other. This is often effective for lifting the upper lip slightly and balancing a crooked lower lip due to muscle asymmetry.

Dermal Fillers:
Hyaluronic acid-based fillers like Juvederm or Restylane can be strategically placed to lift the upper lip (particularly the central portion) and provide volume or structure where needed. They can also correct uneven volume or definition in the bottom lip.

Lip Flip:
A subtle Botox treatment into the orbicularis oris muscle around the upper lip can help evert (flip) the lip slightly upward, giving it more visible height without adding volume.

Lip Lift Surgery:
For a more permanent solution, especially if the philtrum is long or the upper lip doesn’t expose enough pink tissue, a surgical lip lift can reposition and reshape the upper lip. This option requires a more in-depth consultation.

Assessment of Dental or Structural Factors:
Sometimes asymmetry comes from the teeth or jaw alignment. In such cases, working with a multidisciplinary team including dental professionals may be helpful.

My recommendation:
Start with a consultation to evaluate your smile at rest and while moving. A combination of subtle neuromodulator treatment and filler may be all that’s needed for a natural, harmonious result. I’d be happy to evaluate you further via virtual consult and customize a plan for your goals.

A combination of Botox and fillers will likely give you the best results. A Botox lip flip can be used to "flip" the upper lip to give a fuller appearance. Filler can be used to add volume and correct asymmetry. See an expert injector near you for treatment.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. To address a crooked smile and achieve a more symmetrical appearance, several options can be considered. One effective approach is to use Botox strategically to relax certain muscles around the mouth, which can help lift the corners of your upper lip. This can create a more even smile by allowing the lip to turn upwards more naturally. Additionally, dermal fillers may be used to enhance the shape of your lips, providing volume where needed. For instance, a small amount of filler can be injected into the upper lip to create more definition and lift, helping to balance the overall appearance. I hope this helps and best of luck!