Q) I am a 24-year-old male with a crooked smile. Can injectable fillers such as Juvederm be used locally to straighten my smile?
A) What is the cause of the asymmetry to your smile? If it is related to a nerve or a muscle, Juvederm may be good at improving the appearance at rest. However, when the person is animated or smiles then the asymmetry there may be seen. If the problem is just part of the soft tissues that are involved in your smile mechanism and one side of the face is a little bit thinner or have atrophy, then a filler may be of benefit. The needles used for injectable fillers are very, very small. Also, many different techniques are used to make sure that the pain is minimal and the needles are tolerated well by the patients.