How can I fix my crooked lips? My top lip has an awkward dip down the middle. (Photos)

Question

It rises up unevenly on one side, my bottom lip is slightly wonky but doesnt bother me as much its more the unevenness of the top lip and i really dont like the uneven dip, is there any way i can fix it and does anyone know how much it might cost? thanks for the help

Aldo Guerra, MD · Answer

Hello TracyB.I certainly do appreciate your concerns. While your smile is pretty overall, there's mild asymmetry and lack of balance between the upper and lower lips with your full smile. I also see the areas of imbalance where the lips thins/thickens. I would suggest you consider a combination of neuromodulator (Botox and  Dysport) and dermal fillers for best outcome. Alternatively, you can begin just with a dermal filler. Once this issues is identified most patients need lifetime treatments so find a good injector/physician for a formal consultaiton.Best wishes. Dr. ALDO

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you consult with your board certified facial plastic surgeon because you seem to be an ideal candidate for injectable fillers. The injectables can create more symmetrical lips. 
Best wishes,

Douglas Wu, MD · Answer

The hyaluronic-acid based dermal filler Volbella or another HA filler can create more volume in the area of your lip that’s currently dipping inward. Volbella can reshape your bottom lip so that it’s more even, too. Volbella lasts about 18 months. You can get a ballpark idea about prices in your area by using this site. Consulting with a board-certified dermatologist will help you decide which dermal filler you want for your lip augmentation.

Jonathan Kulbersh, MD · Answer

Lip augmentations with fillers is a great option to improve the fullness, suppleness and symmetry of the lips. I prefer to use a micro cannula to inject the lips to prevent bruising. Cost will vary with how much filler is needed to get your desired results. Look for a cosmetic dermatologist or plastic surgeon who is an expert in fillers. 
I hope this helps.

Nadja Haub, MD · Answer

Dear Tracy,
Thank you for your question and the informative photos. 
I think that a good treatment option for you could be lip filler. This gel-like substance is made out of hyaluronic acid, a naturally occurring sugar in the skin. 
If I were your treating doctor, I would contour both sides of your upper lips and then fill them, making them a bit bigger and plumper. This would make the middle part of your upper lip appear less prominent. 
After that, I would contour the middle part of your upper lip. This is called the cupid bow. It is also essential to maintain a good ratio between the upper and lower lip. The ideal ratio is one-third for the upper lip and two-thirds for the lower lip. 
Please read more about lip filler in our informative blog. I wish you all the best for your journey.

Monika Soni, MD · Answer

Thank you for your question. From your photos, you appear to be a great candidate for lip augmentation with hyaluronic acid fillers, such as Restylane or Juvederm. Fillers are a great non-permanent way to help add volume and symmetry to the lips and typically results last 6-12 months. I do not advise having more than 1 syringe injected at a time as to avoid overcorrecting. You can always add more filler later if needed. I recommend having a consultation with an expert injector to determine the best treatment plan for you. Best of Luck!

Barry L. Eppley, MD, DMD · Answer

The critical question on then unevenness of your upper lip is whether the dip needs to be filled in or whether the fullness to the side of it needs to be removed. That decision changes what options exist for you. (fill in dip with V-Y mucosal advancement vs excisions of excess tissue to the side of the dip)

How can I fix my crooked lips? My top lip has an awkward dip down the middle. (Photos)

Answers (7)

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