Lip Asymmetry

Recommended treatment

  • Facial Fillers
  • Botox/Dysport

Botox and fillers work by different mechanisms. . If asymmetric volume distribution of the soft tissues of your lips is contributing to your asymmetric appearance, then there may be a role for fillers. Fillers act to restore or add volume to a particular area, so for lip asymmetry “at rest” facial fillers work well to rebalance your appearance.

If you have more asymmetry when actively smiling that may be corrected better with Botox/Dysport. Botox acts to weaken or paralyze treated muscles – so by treating the involved muscles you can restore the balance around you lips.

Facial Fillers

All of us are asymmetric to some degree, which can include our lips. When performing injectable Lip Rejuvenation, we strive for subtle changes that can soften and improve theses imperfections.
Injectable fillers are an excellent choice to rebalance asymmetries while also augmenting, or volumizing the lips. This treatment includes defining the vermillion border of the lip with a more feminine overall appearance, balancing the proportions to maintain a natural shape and look, and adding volume to give the lips a pouty – not a puffy look.

Lip Enhancement


Nobody is completely symmetrical and the imbalance is usually quite subtle – but this is not the case when the asymmetry is with your lips. If your smile is asymmetric when speaking and smiling, Botox may be the best product to selectively weaken the muscles which are pulling too much.  This can be done safely and with great and predictable results. A doctor skilled with an artistic eye and with the anatomical knowledge for Botox Cosmetic, like Drs. Fiona and Tim Wright, will be able to identify the and correct theses asymmetries. Although many people have had success with Botox making their lip contour a little larger or rebalancing asymmetry in their lips, it is important to realize that this treatment requires advanced skills and it is critical that you are working with an experienced injector as an over-injection around the mouth can leave you with difficulty speaking, smiling, or chewing.

Lip Enhancement


Turned Down Lip Corners/ Lip Lift

Recommended treatment

  • Botox/Dypsort
  • Facial Fillers

Mouth frown got you down?  As we age, the mouth can take on a downturned appearance, which creates a very negative and sour /sad appearance to the face.  The cause of this drooping of the lips is multifactorial. The first culprit is a muscle known as the Depressor Anguli Ori (DAO) and it connects the corners of the mouth to your jaw bone. The DAO is primarily used for facial expression and allows us to, you guessed it, frown! The use of our DAO’s over time makes them strong and will result in a pull down on the sides of the mouth. This, in combination with other natural processes in the skin such as volume loss and a loosening of the ligaments around the mouth, contributes to marionette lines and the jowls around our jawline and lower face.

Botox/ Dysport

botox dysport

In the past surgery was the only option available to correct the downturned mouth. An incision on the lip margin would be made and the result can leave a scar right on the lip margin, which never looks natural. But now, with the help of BOTOX Cosmetic the DAO muscle can be treated to diminish the downward pull on the corners of the mouth and allow the muscles that elevate the corners to take over.
With just a few units of Botox, this almost painless procedure can soften the DAO muscles and restore the corners of the mouth to a more youthful and pleasing position. Drs. Wright always offer a complimentary follow-up to ensure you have achieved your desired goal. If more correction is needed, additional Botox may be placed or you may need filler to replace visible volume loss. The final results are striking! The corner of the mouth comes up to a normal level, and loses that scowling downward turn of the mouth and you look happier!

Facial Fillers

As women and men age, volume is lost, upper and lower lip wrinkles develop and the corners of the mouth draw down. This often creates a sad or unhappy appearance to the lip area, the “mouth frown” or marionette line, a very aging sign. In some patients a chronic irritation due to salivary overflow, known as Angular Cheilitis (see Facial Fillers for Dry Lips above) can develop. The sooner this area is corrected the better the final result will be. If these wrinkles at the corner of the mouth are neglected, they become deep folds with scar like wrinkles which are very difficult to treat successfully.

At Skin MD and Beyond, the rejuvenation of the downturned mouth with dermal fillers and Botox is performed daily by Drs. Wright with great success! They will treat this aging sign by injecting a Facial Filler, such as Juvéderm or Restylane, into the small triangle of skin just below the corner of the mouth. In this manner a drooping mouth corner can be turned up quickly and easily. The key to a good corner of the mouth lift is very dependent on the expertise of the injector.

Cosmetic Skin Care Specialist Plano, TX