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Based on your photos, you may be a good candidate for a Medialized Corner Lip Lift.This surgery not only elevates the corners of the mouth, but increases the red lip visible on either end of the upper lip. It also decreases any displeasing downward slope the upper lip takes as measured from its center. In other words, it is quite powerful in its ability to change the shape of the upper lip, giving unprecedented control to the surgeon. Best of luck !