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Can Botox correct my uneven smile?

Dr. Dean Kane Botox Q & A shutterstock_26897812

Q. I have had a crooked smile my whole life. I also have a lot of cheek flesh (even though I am a thin person in my body) which is accentuated by the crooked smile in my opinion. Can Botox make my smile more even to improve the overall symmetry of my face?

A. I notice natural variations in your normal facial anatomy. This is not unexpected as none of us have mirror-images between sides.

Your smile and therefore lips are a muscular “bungee cord” suspended in the air by muscular tethers held firmly to the facial bones. If the facial skeleton or foundation is not symmetric, then the smile will not be symmetric. If the muscular bungee cords are short or long, then the smile will not be even.

There are options to improve the symmetry short of extensive surgery. Botox by itself will not fix the asymmetry of your lips. Filler may help.

Consult with an expert and talented, Board Certified Plastic Surgeon to properly examine you face and make his / her recommendations. You have a gorgeous smile! Keep it up. All the best!


This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

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