Getting a wider mouth and more vermillion show for upper lip. What would be some next steps? (Photo)

Thank you for your question, You would get a nice improvement with lip fillers. Volbella, Restylane, and Juvederm are good to create a symmetrical lip. NovaThreads can be used to improve lift and shape. Implants or fat are alternatives. Technique will be important here, so you'll want to see someone meticulous. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

To get a wider mouth the physical location of the mouth corners need to be changed. (mouth widening or lateral commissuroplasties) No procedure done around the mouth such as palatal expansion or cheek implants is going to change the location of the mouth corners.