When the orbicularis oris muscle becomes hypertrophied, it can sometimes be due to repetitive or excessive use, and in some cases, certain medications or substances can contribute to this change. Here are a few potential approaches to address this issue: Cessation of Aggravating Factors: If the hypertrophy is related to drug use, stopping the use of these substances may allow the muscle to gradually return to its normal size over time. Consultation with a Specialist: It would be beneficial to consult with a dermatologist or a plastic surgeon who can evaluate your specific situation and suggest appropriate treatments. They may recommend non-invasive options initially. Botulinum Toxin Injections: In some cases, botulinum toxin (Botox) injections can be used to temporarily reduce muscle activity and size. This can help in relaxing the muscle and potentially reducing its bulk. Physical Therapy and Exercises: Sometimes, specific facial exercises or physical therapy can help in balancing muscle size and function. A specialist can guide you on exercises that might help in your case. Surgical Options: If non-surgical methods are not effective, surgical intervention might be considered, although this is generally a last resort. It's important to have a thorough evaluation by a healthcare professional to determine the underlying cause and most appropriate treatment for your condition.