Can Botox relax muscle between mid upper lip and area where philtrum meets the nose? (Photo)

Botox can definitely improve this area, but it will limit the lift of your upper lip when you smile, and some patients don't like that. It can also effect your pronunciation / speech, and sometimes make it difficult to drink from a bottle or a straw. I'd recommend you see a very experienced injector for something like this.Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

This can be improved with a combination of well-placed Botox and filler (to replace volume) along with lasers, radiofrequency and microneedling/prp. I recommend a consultation with a cosmetic dermatologist. Best, Dr. Emer

This is an excellent question that seems very simple but has a lot of subtleties surrounding it. This horizontal wrinkle or fold often occurs after people get Botox around their mouth for vertical lip lines. Immobilizing the circular muscle around the mouth to eliminate those vertical lines can make their horizontal neighbors worse.

This horizontal line can be made better with Botox, but this is NOT just treating the area around the mouth as most people normally do. You want to be very careful who you visit about this because you can lose function around your mouth if it is overdone or improperly done. Everybody likes to smile, talk and eat normally, so beware.

To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.

Cameron Chesnut#realself500 Physician

Thank you for sharing your question and photograph.  This appearance of upper lip horizontal creases is best managed with a combination of Botox and thin dermal filler placement.  I would recommend Volbella.  Be sure to see an ASPS board certified plastic surgeon in consultation to maximize your results.  

Thank you for your question.Botox is a neurotoxin used to remove wrinkles by temporarily paralyzing muscles. I recommend using Botox and a dermal filler for the horizontal creases above your upper lip. Please have a consultation with an expert injector to discuss your concerns and desires.