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Botox for Drooping Mouth Corners?

The corners of my mouth droop. People often ask me what's wrong. Can Botox be used to help this and where would they inject it?

Doctor Answers (10)

Juvederm or Restylane plus Botox works for droopy 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.

Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

Quite helpful


One of the growing uses of Botox is exactly that, ie. turning up the corner of the drooping mouth. It is done by putting a few units into the Depressor Anguli Oris (DAO) muscle. This is the muscle that pulls the corners of the mouth down often giving the patient an unhappy or scowling look.

If you have it done, by a physician experienced in its administration, I am quite sure you would be happy with its affect.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 10 reviews

Injectable Fillers work well to correct the downturned corners of your mouth.


Although BOTOX is used for downturned corners of the mouth, I prefer using Injectable Fillers to replace volume in the groove, and improve the appearance.

I've attached a photo demonstrating filling the "marionette groove" for your perusal.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 287 reviews

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Yes, but Botox not the only option for drooping mouth corners


Dear Ritamarie

A small dose of BOTOX in the depressor anguli oris muscle can help lift the corner. This treatment will be effective for several months. However, filling the corner of the mouth and the depressor anguli oris area with Perlane will accomplish the same goal but provide a result that has the potential to last well over a year. This is a much better alternative although the treatment will cost more.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 18 reviews

Botox (and Fillers) to Elevate the Corners of the Mouth


Hi Rita,

A few units of Botox properly placed into the muscle that depresses or pulls down the corners of your mouth will help your drooping mouth. As to where it would be injected, that would be in a qualified physician's office, the physician better know where to put it and not depend on your showing her/him. It is placed in the depressor anguli oris muscle.

Additionally, a filler injected properly in the corners of the mouth will also elevate the droop.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Botox can help a droopy mouth


A few units of Botox (usually in the range of 2-4 units per side) into the depressor anguli oris muscles can make a significant improvement in drooping, downturned mouth corners. Caution must be used in this area, however, as even small amounts of Botox may sometimes cause an asymmetry of the smile. Botox in the lower face may cause unwanted functional impairments and should therefore only be performed by experienced injectors.

I also agree that a small amount of filler (Restylane, Juvederm, Perlane, Radiesse) will complement this treatment nicely and give more lasting results.
Good luck.

Jason R. Lupton, MD
San Diego Dermatologist
4.5 out of 5 stars 7 reviews

Drooping mouth


Botox is not the best solution for drooping of the lateral commisures of the mouth.  You  may be better off with a facelift, some p

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Botox for drooping mouth


I do not use Botox for areas around the mouth nor do I recommend it for my patients and know that several other dermatologists do this. I dont recommend it for these areas because of the risk profile associated with it. However, those dermatologists that have expertise and more importantly experience in treating those areas with good results would be a better resource for Botox around the mouth.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox for the drooping corners of the mouth


 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

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 84 reviews

Drooping mouth corner


I agree with the others that a combination of filler to the corners of the mouth to provide structural support and a few units of Botox to the DAO muscles would give you the best results.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.