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

Question

Hello I want to get my lips done but have a crease above my upper lip when I smile. What would you recommend? Thank you in advance :)

Aldo Guerra, MD · Answer

Thanks for your question on lip augmentation. It sounds like your upper lip fold is a concern and this can be addressed with a small amount of filler. To assess whether this will perform well with lip augmentation I think you should consult with an expert injector. Warmest regards, Dr. ALDO

Nelson Castillo, MD · Answer

Thank you for sharing your question.  This crease is a part of your normal anatomy and goes largely unnoticed by most people.  If you had a particularly gummy smile Botox can help improve this appearance, while lip augmentations should be kept subtle to not deepen the crease.  See an ASPS board certified plastic surgeon in consultation for the best recommendations.

Jason Emer, MD · Answer

My go to lip fillers are softer for patients like you. I suggest you see an expert to give improvement but not much size as not to alter your anatomy.  Best, Dr. Emer.

Johnson C. Lee, MD · Answer

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

Val Lambros, MD, FACS (retired) · Answer

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.

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

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