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Do you want the upper half or only the left side of the mouth? Try the crop effect.
I apolgoize, but I'm pretty new to Premiere. Where is the crop effect?
EDIT: I found it, but it's a square crop. Is there any way I can make it more circular, or even with a bit of a feather effect to kind of blend it a little better?
Use a matte in that case or even the titler. Third option is to use Pixelan SpiceMaster, which is the one effect I prefer for this kind of work.
The crop effect works independently on each side.