How can you correct an asymmetrical mouth? (photos)

Question

I have an asymmetrical mouth at rest and especially when speaking. When I speak it looks as though I am a stroke victim. Is there any way to correct this problem? I have included several pics showing my lips at rest, speaking, and smiling. I would appreciate any feedback regarding this.

Robert M. Tornambe, MD · Answer

995cmg.  I think you’re being a bit hard on yourself.  Your asymmetry is only apparent when you smile, so correction must be done with great care because your lips are quite attractive when in repose. I recommend correction with a filler like Juvederm Ultra plus by an experienced injector very conservatively because over correction will cause another asymmetry. If you like the result, then you can consider fat transfer for a longer lasting result. Seek out a board certified plastic surgeon or dermatologist with lots of experience treating lips. Good luck!

Elliot M. Heller, MD · Answer

You should start out with 1cc of juvederm filler or restylane filler and go from there. You do not want to overdo too much filler in the lips. It also depends on the look you are going for too. You can always add more filler to the lips if needed. Just remember if you are going to do your lips and you do not want to bruise you should not take any aspirins or anything that will thin the blood since brusing can occur. One syringe is typically $550

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for lip injectables and fillers. It can create a more even lip line.
Best wishes,

Philip K. Robb Jr., MD, FACS · Answer

Thanks for your question, I don't love the idea of chasing asymmetry with filler. Most times, the asymmetry is with movement and not at rest. This is usually because some people have different strengths of facial contraction and movement which can be nerve related or muscle related. You would be a good candidate for lip filler, but asymmetrical filling (to help dynamic asymmetry) can look silly at rest. We're our own worst critic so keep that in mind and find an experienced specialist who performs lip augmentation regularly. Hope this helps and God Bless!Dr. Robb

Jonathan Kulbersh, MD · Answer

You appear to be a candidate for lip fillers. Lip augmentations with fillers is a great option to improve the fullness, suppleness and symmetry of the lips. Results can be very natural-looking and will feel very natural. The amount needed will depend on your desired results, but 0.5 will give improvement. I prefer to use a micro cannula to inject the lips to prevent bruising. Look for a cosmetic dermatologist or plastic surgeon who is an expert in fillers. 
I hope this helps.

Monika Soni, MD · Answer

Thank you for your question. I believe you will benefit nicely with hyaluronic acid fillers like Juvederm and Restylane to help improve the symmetry of your lips. Results typically last 6-12 months and the filler can be dissolved with hyaluronidase if you are unhappy with the results. I recommend having a consultation with an expert injector to determine the best treatment plan for you. Best of Luck!

Arvind Patel, MD · Answer

Hello,
This is an easy fix.  You have a difference in strength between your lip levator muscle on your left and right side.  Because of this you are compensating with the surrounding musculature.  An experienced injector should be able to assess and fix this problem for you in 1-2 visits.

Shaun Patel, MD · Answer

You have a lip asymmetry which could be improved using a filler like Restylane Silk or Restylane.

Justin Harper, MD - Account Suspended · Answer

Hi 995cmg. If we can rule-out any nerve problem, fillers can definitely be used to correct any asymmetry. You can build up volume and structure by using one syringe per month. Three syringes should be fine.All the best, Justin Harper, M.D.

How can you correct an asymmetrical mouth? (photos)

Answers (9)

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