Botox for horizontal crease above upper lip? (Photo)

Question

Hello, I’d like to reduce the horizontal crease above my upper lip. It is only visible when smiling with my teeth. I am 26 y/o. I currently have lip filler. I’ve had the filler dissolved previously to see if it would improve the appearance of the crease (it didn’t). My philtrum is slightly long (15mm), but not long enough to bother me too much. Would Botox help? Which muscle/s would you inject it into? Would Botox lengthen my philtrum?

Anna Chacon, MD, FAAD · Answer

Hello,

Reducing a horizontal crease above the upper lip with Botox can be an effective approach, especially since you've already explored other options like dissolving lip filler. Here are some insights about using Botox in this area:

Effectiveness of Botox:

Botox can help relax the muscles that contribute to the appearance of the horizontal crease when smiling. This treatment is often aimed at reducing dynamic wrinkles, which are caused by muscle movements.

Target Muscles:
The muscles typically involved in upper lip creases when smiling are the orbicularis oris and possibly the depressor septi nasi. Injecting Botox into these muscles can help smooth the crease by reducing the muscle contraction.

Philtrum Length:
Botox is unlikely to significantly affect the length of your philtrum. While it relaxes muscles, it doesn’t have a substantial impact on anatomical features like philtrum length. The primary effect will be on muscle movement and the associated appearance of creases.

Consultation:
It’s important to consult with an experienced dermatologist or cosmetic surgeon who can assess your facial anatomy and provide personalized advice. They can determine the precise injection sites and the appropriate amount of Botox to achieve the desired effect without unwanted changes.

Considerations:
Ensure open communication about your aesthetic goals and any concerns you have regarding changes to your facial features. A skilled practitioner will tailor the treatment to balance muscle relaxation with maintaining natural expressions.

Overall, Botox could be a suitable option for you to explore, given your concerns and previous experiences with fillers. A consultation with a professional will provide the best guidance tailored to your specific needs.

Best regards,

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