Frenectomy, lip injections, or both? Worried that getting them done will make the crease worse. (photo)

Thank you for your photos. Your upper lip crease that forms when smiling is a normal anatomic variant when some people smile. If you have your lips volumized with injectable filler, the natural crease should not interfere. If it bothers you a great deal when looking at yourself in the mirror, you can have that area injected with a very small amount of thin filler to blunt the creasing. Keep in mind that too much filler in that are will give you a longer upper lip which does not appear natural. Hope this helps!Johnson C. Lee, MD Plastic Surgery

you have that crease because your lip rises when you smile and the crease is where it bends to accomodate the rise. It's normal.  The person who sees it the most is you. If you filled it it might keep the lip from rising when you smile and look odd.  I think you have beautiful lips.