Would you recommend lip filler to even out top lip & downward curve? (Photos)

Thank you for your question and for providing photos. Dermal fillers can volumize the top lip and create a more symmetrical appearance to make them appear more hydrated and improve your side profile. Fillers can also be placed to subtly lift the corners of the mouth to diminish the downturned corners you’re referring to. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can review your concerns and aesthetic goals to determine the best course of action for you.

Dear Sunflower1323,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You can absolutely design your lips to meet your expectations using a product like Restylane Kysse and the Julie Horne technique. Consultation in-person recommended

I would suggest you get a lip flip done correctly to avoid any drooling or speech impediments and also consider PDO’s in the lip borders to frame the lips and give them a magnificent subtle contour.