Botox for Drooping Mouth Corners?

Injecting a half cc of Juvederm or Restylane ($350) plus injecting Botox ($300) should fix that droopy mouth corners quite well for about 3-5 months.

Botox injected in the depressor anguli oris muscle will weaken it, preventing it from pulling your mouth corners downward. That may be sufficient to give you a more pleasant demeanor. If you have developed wrinkles from the muscle's action, these can be filled in with a hyaluronic-acid-based filler, such as Juvederm. You will need maintenance treatments every three to four months. I hope this helps.

Using Botox in the depressor anguli oris muscle can prevent it from pulling the corners of your mouth down. That will allow your lips to remain upturned. Injections have to be very carefully placed as too much Botox or improperly placed Botox can give you a “stoke-like” appearance and/or make an unusual smile. Depending on how severe the mouth droop is, you might also need hyaluronic-acid based fillers such as Juvederm, Vobella or Restylane to fill in the grooves. Please see a board-certified dermatologist to find out how to give yourself a more relaxed demeanor.

To improve the drooping mouth corners, I commonly use both of the following techniques -- (1) injecting filler into the mouth corner, and (2) injecting Botox into the muscle that normally depresses the corner of the mouth, the Depressor Anguli Oris.Be sure to seek the services of an experienced physician injector. I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin and see the actual muscles themselves. For me, this helps guide where to inject and where not to. However, with that said, I know many Dermatologists who know the anatomy well despite not operating in that area, and get great results.Good luck.Dr Markarian

 I agree, botox in conjunction with filler in the corner of the mouth works really will to support and help elevate a down-turned corner of the mouth.  Best, Dr. Karam