Bulge above upper lip - can Botox fix? (Photos)

Hello,

Thank you for your question, asymmetries like a bulge above the upper lip can be both puzzling and frustrating, especially when they appear on only one side.

A small bulge above the upper lip on one side could be due to several possible causes:

Muscle hypertrophy or asymmetry of the orbicularis or surrounding muscles

Volume loss or fat pad shift that makes one side appear fuller

Scar tissue or past trauma/injection effects

A benign cyst or salivary gland prominence

Less commonly, vascular or nerve-related causes

Can Botox Fix It?
If the bulge is due to muscle overactivity or imbalance, Botox may help by relaxing the overactive muscle fibers, thus creating a more symmetrical appearance. This approach is commonly used in cases of lip asymmetry, gummy smile correction, or muscle-induced dimpling.

However, Botox would not be effective if the bulge is due to:

Structural fat pad differences

Scar tissue or cysts

Volume deficits on the other side

Next Steps
A proper in-person or virtual evaluation is essential to:

Palpate the area

Assess muscle activity

Rule out other structural or soft tissue causes

From there, we can determine whether Botox, dermal fillers, or another treatment (such as microneedling or minor surgical correction) would provide the most natural and effective result.

Hello,This issue will not be corrected by Botox, as Botox is designed to treat dynamic wrinkles and muscle-related concerns.

It's hard to know what is causing the contour above your lip. If you had filler near that area it may be migrated filler which can be dissolved. It could be a natural occurrence for you. Botox will not fix it as Botox works on lines and wrinkles caused from muscle activity, which this is not.