A. No indeed, filler is only good for asymmetry correction for those also wishing fuller lips. Surgery is very risky in this area. Sometimes the problem is the teeth and for that a cosmetic dentist is the best option. For most patients, however, very carefully placed Botox can improve an asymmetrical smile. The key is to know exactly where to place the right number of units. I recommend a board certified dermatologist who does a lot of this procedure.

A. First, neither surgery nor filler injections into your lips is the optimal solution for your “gummy smile”. While I agree, fillers are not the answer, please remember to look at my gallery to see lip results. Good injectors do NOT give patients fish lips. Artistic technique from an experienced, expert, board certified injector can give lovely enhancement of the lips. No, neither surgery nor fillers is the best treatment for the gummy smile. The use of strategically placed Botox (yes! Botox!) is the optimal procedure to improve the gummy smile.
Q. I have heard Botox being used for jowls? How does that work?
A. The platysma muscle pulls the face downward. Microinjections of Botox along the jaw line and upper neck help neutralize the downward pull and help define and lift drooping jowls. In addition, the depressor anguloris oris is a muscle that pulls the mouth corner down and accentuates the jowls. The mentalis muscle pulls the mid chin up and makes the jowls look worse, so by injecting both of these muscles, the jowls get lifted. These Botox injections can complement other procedures such as Exilis or Ulthera skin tightening, or filler injections along the jaw line for further lift.
More Botox Related Questions
- Botox for Gummy Smile New Orleans - Can Botox be used around the mouth?
- Botox For Smiles New Orleans LA - I have a crooked smile and would like it fixed. My lips are full, so I do not want filler. Will I need surgery to fix it?
- Safe Botox New Orleans LA - I have recently read in the New York Times that Botox improves depression. Do you think this is true?
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- Botox Injection Benefits in New Orleans - I have recently heard about unusual uses for Botox. One friend told me you used Botox to enlarge the lips? I thought fillers were used for this?
- Botox Louisiana - Is it ever possible for Botox to stop working? I found that the last time, it did not take as well. It has been a while since I had it and hoped it would work as well as it used to
- Botox Results New Orleans - I have heard about Botox into the neck, but I am confused about what this would do to make you look younger. Please explain it.
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- Botox Injections New Orleans - Is there a waiting period between getting Botox injections after finishing Medrol 4 mg pack? I recently had poison ivy and was put on this medication for 6 days, taking 6 (4mg) pills on day one, 5 on day 2, 4 on day three, etc. I am not sure how long I should wait since this suppresses the immune system. Any thoughts or suggestions?
- New Orleans Botox - I have deep lines under my eyes and I always look tired. Can Botox help this problem?
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- Botox touch ups in New Orleans - I manage an advertising firm and I am constantly asked "why are you angry?". Even when I am in a good mood, I feel that my expressions are off-putting. Is there a way to improve my appearance without looking feminine?
- Hyperhidrosis treatment in New Orleans - Can botox be used for the treatment of axillary sweating?
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
- 𝐋𝐢𝐟𝐞𝐭𝐢𝐦𝐞 𝐂𝐚𝐫𝐞𝐞𝐫 𝐄𝐝𝐮𝐜𝐚𝐭𝐨𝐫 𝐀𝐰𝐚𝐫𝐝 from the 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧 - Recognizes full-time academicians who have dedicated their careers to educating dermatology residents and fellows;
- 𝐖𝐢𝐥𝐦𝐚 𝐁𝐞𝐫𝐠𝐟𝐞𝐥𝐝, 𝐌𝐃 𝐕𝐢𝐬𝐢𝐨𝐧𝐚𝐫𝐲 and 𝐋𝐞𝐚𝐝𝐞𝐫𝐬𝐡𝐢𝐩 𝐀𝐰𝐚𝐫𝐝 from the 𝐖𝐨𝐦𝐞𝐧'𝐬 𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐢𝐜 𝐒𝐨𝐜𝐢𝐞𝐭𝐲 - Recognizes dermatologists of national prominence who have been trailblazers for women in some aspect of dermatology.
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.