What would help make my smile look wider and not as droopy? (Photos)

Question

When my face is relaxed as normal, i feel it looks in even and pushed forward. From the side it also looks like it's dropping down, it's almost like I'm frowning. My main question is what I could do to make my lips look wider and more symmetrical to the rest of face. I would definitely prefer something like Botox, if that is possible, rather than a surgical fix. Thank you for your time and help!

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Botox can target certain muscles around the mouth to help achieve the desired effect. This injectable treatment is often combined with dermal fillers, which can volumize certain areas of the face to provide the optimal result. 
I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to take your cosmetic goals into account when suggesting the best treatment, or combination of treatments, to help you reach them.

Anshul Gambhir, MD · Answer

What a good question, for starters I highly recommend consulting with a board certified physician with experience to determine if you are a good candidate for treatment in the area of concern. Botox can be used to weaken the Depressor Anguli Oris muscle which also lift the corners of the mouth. To create a lifted corner of the mouth appearance. I hope this information helps you! Have a great day!

What would help make my smile look wider and not as droopy? (Photos)

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What would help make my smile look wider and not as droopy? (Photos)

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