How do I fix mouth asymmetry? (photos)

Question

The left side of my mouth curves down when I smile, likely do to uneven strength in a muscle that pulls the corner out and down, unlike the right side of my mouth, which turns up naturally. I strongly prefer the upturned right side of my smile. How do I go about changing the left side of my smile to turn up like the right side??

Kenneth D. Steinsapir, MD · Answer

You see asymmetry but your lips have wonderful youthful beauty.  The key is less is more if you decide to do lip fillers.  You are asking for your lips to be sculpted.  They do not teach that in medical school.  Just because someone is holding a syringe, that does not make them and expert.  I strongly advise you to avoid the so called smooth fillers like Juvederm, Belotero, and Restylane Silk.  These products tend to drift after they are placed.  Inexperienced injectors like them because they fix their own bumps but the products to not hold where placed.  I prefer Restylane for this application.  Look carefully for an injector for this service.

Jason Emer, MD · Answer

Smile asymmetries can be improved with a combination of fillers, botox and/or lasers.Technique will be important here, so I recommend getting a formal consultation with a facial contouring expert. Best, Dr. Emer

Aldo Guerra, MD · Answer

Smile asymmetry is very common. I suggest a dermal filler. Please see an injector with experience who uses gentle techniques. Best wishes, Dr. Aldo

Robert M. Tornambe, MD · Answer

Julia.   It appears from your photos that correction of your very mild asymmetry may be accomplished with a small amount of filler like Juvederm Ultra plus placed near the corner of your mouth to lift it. If you desire, conservative Augmentation of the upper lip can also be accomplished with the same material. Check out the link below for more information about lip augmentation and fillers for asymmetry. Be sure to consult with a board certified plastic surgeon or dermatologist. Good luck!

Monika Soni, MD · Answer

Thank you for your question. From your photos, you appear to be a great candidate for lip augmentation with hyaluronic acid fillers, such as Restylane or Juvederm. Fillers are a great non-permanent way to help improve volume and symmetry of the lips and typically results last between 6-9 months. I do not advise having more than 1 syringe injected at a time as to avoid overcorrecting. You can always add more filler later if needed. If unhappy with your results the filler can be dissolved with hyaluronidase. I recommend having a consultation with an expert injector to determine the best treatment plan for you. Best of Luck!

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your excellent photographs.  Sorry that you are having some concerns about the appearance of your mouth.  Based on your photos, I would suggest a small amount of carefully placed Botox to address your concerns.  A dermal filler can be added later, if necessary.  Please be sure to see an expert injector for an in-person consultation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Grant Stevens, MD · Answer

Injectable fillers like Restylane, or Juvederm are great options for correcting lip asymmetries.  Please consider doing your research and going to an injector that has a lot of experience with lip injections.  Sometimes Botox or Dysport will and can be used to help turn up the corners of the mouth as well.

Steven F. Weiner, MD · Answer

This can be done with either fillers or Botox or both. A simple injection in the DAO muscle will turn the left corner of the mouth up. If you can't get it to the improvement you are looking for, add filler to lift the left side of the mouth. I think Restylane is a good idea for this area.

Barry L. Eppley, MD, DMD · Answer

The only way to provide a permanent fix to your mouth corner asymmetry is a corner lift with a small lateral vermilion advancement. As you horizontal line drawing shows you have different levels of the mouth corners as as the side of the upper lip.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. From the photos, your upper lip is small compared to your lower and both lips are thin overall. Following the beauty principles outlined in my book on face and body beauty, the upper lip should be approximately 75 % the size of the lower lip for the lips to appear balanced. The lips can be augmented using a dermal filler or a Permalip implant.

Dermal filers and lip implants offer far more reliable volume to augment the lips than permanent fillers or fat injections that are also associated with increased, unwanted, side effects.

Hope this helps.

Dermal filers and lip implants offer far more reliable volume to augment the lips than permanent fillers or fat injections that are also associated with increased, unwanted, side effects.

Hope this helps.

How do I fix mouth asymmetry? (photos)

Answers (10)

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