How can I improve my upper lip asymmetry? (Photos)

Thank you for sharing your thoughtful description — it’s clear you’ve taken time to understand your options, which is a great first step.

Lip asymmetry can have several underlying causes — sometimes due to natural muscular movement, prior filler placement, or subtle differences in anatomy. While filler can occasionally improve minor asymmetries, it’s true that in certain cases it may not correct the imbalance and can even accentuate it if the difference stems from muscle dynamics rather than volume loss.

If you still have residual filler contributing to those small pouches under the lower lip, dissolving it might help restore a smoother contour. Once that area is rebalanced, a careful reassessment of your upper lip could be made. Sometimes, small, strategic adjustments with a very conservative filler technique can subtly enhance symmetry — but only in experienced hands and after evaluating how your lips move at rest and when smiling.

A lip lift, on the other hand, is generally reserved for cases where there’s significant elongation of the philtrum or a desire for more visible upper teeth when smiling. If your philtrum is already well-proportioned, a lift may not be necessary.

In your situation, I would prioritize first addressing any residual filler irregularities, allowing the tissue to settle, and then reassessing your natural shape. Patience and a gradual approach are key to achieving natural, balanced results — especially if you may undergo a facelift later on, as that procedure can also influence lip positioning.

You’re absolutely right to want a natural outcome — with the right sequence and a thoughtful plan, that’s entirely achievable.