Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 243884

Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English

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Ask An Expert > Alexander Rivkin Message Board > What can be done for a crooked lip & smile?
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What can be done for a crooked lip & smile?
Hi there,

I really appreciate you looking at my question and any advice you can offer me would mean the world. (If you need me to take clearer photographs please let me know.)

I'm 24 years old and I've been very unhappy with my appearance for as long as I can remember. Knowing that I'm extremely ugly affects me every day.

In particular I hate my nose and under eye bags. However, lately, what bothers me most is my crooked smile. With the lip resting you can see that the left side of my lip is raised/lacks volume and so when I smile the left portion of my smile raises up leaving me with an unsightly asymmetric smile. I find it's only remedied by pushing down on the face or pulling the cheek outward. I have also noticed that this side of my face has more fat than the other side. The other side being more defined.

I have never had any surgery or cosmetic procedures.

Would you say this is something to do with extra fat in that side of the face altering the smile, or an issue with the facial muscles or jaw?

Most importantly I want to know what can be done to give me a smile akin to what I get when pressing down on my face in the third picture.

Please help! I am desperate to sort this out.

Thank you


Attached Media


Lip Relaxed


Crooked Smile


How I'd like it to look

Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Fillers and Botox can help.  February 12, 2013 2:35 PM

OK, so first off, you are far from extremely ugly, and that is a professional opinion. The most beautiful women in the world have asymmetries to their facial features. Asymmetry is not a flaw with these women, but a distinguishing feature that makes them unique and adds to their aesthetic appeal.
As far as what you are noticing, your lip can be made more symmetric with a little filler in the right side and perhaps a drop of botox. Fillers can also be used to address your concerns about your undereyes and nose. Before and after examples of these procedures can be found here: http://www.westsidemedicalspa.com/gallery.html

Plastic surgeon
New York, NY
United States
View My Professional Profile
This is normal  February 12, 2013 3:05 PM

What is bothering you so much is absolutely normal and is seen in about 90% of the population, with the lip being higher on the left. You can lift the right corner ever so slightly with a drop of Botox or the like.
As far as the under eye bags, you actually need a small amount of fat placed in the cheeks to make the bags disappear for good.
Good luck from NYC

Plastic surgeon
Miami, FL
United States
View My Professional Profile
  February 13, 2013 2:51 AM

When I was first reading your question and your description of your appearance I was concerned you really had a severe asymmetry. Than I viewed your posted photos. You are a very attractive person with NORMAL facial asymmetries. To be SOOOO focused on these minor appearance differences is more concerning. Best to seek in person plastic surgery evaluations to determine if your expectations are realistic to the degree of facial asymmetry. Best of luck.

Plastic surgeon
Park Ridge, IL
United States
View My Professional Profile
Asymmetrical smiles  February 13, 2013 7:51 AM

Hi! Thank you for your question.

I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). I am also certified with the American Board of Plastic Surgery.

There are different causes for an asymmetrical smile. One that is common is Bell?s palsy which is defined as facial nerve weakness, usually on one side. The facial nerve is responsible for controlling the muscles of facial expression. A person with Bell's palsy typically has an asymmetrical smile because the side with the facial nerve weakness is unable to move the lips the same way as the unaffected side.

There are several ways to fix an asymmetrical smile. A surgical procedure will involve placing a sling under the skin to suspend the corner of the mouth affected by Bell's palsy in an elevated position. When the person smiles, the opposite side comes up and the smile looks even. Surgeons can use tissue from other parts of the body or synthetic materials to form the sling.
The non-surgical procedures would include fillers such as Collagen, Radiesse and Restylane. Fat injections can also be used to plump up your lips to make them look more "even". Correction of a crooked smile with Juvederm or Botox can occasionally be done.

I would advise that you visit your board certified plastic surgeon for a cosmetic consultation.

Here is a direct link for additional information on the fillers and before and after pictures.


If you have any further questions, please feel free to call us at 847.696.9900 for a private consultation.

Best of luck and have a great day!
Dr. Speron



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