Surgery for Drooping Mouth?

There are many options and the choices depend on the severity: 1) Botox to the other side 2) Subcutaneous Fillers 3) Corner lift 4) Asymmetric Lip lift (Bull-horn or gull wing) 5) Cheek lift 6) Face lift

Drooping of one side of your mouth may respond well to having some Botox placed in the DAO, (depressor anguli oris), muscle on the side of the droop. As this muscle "pulls down" the corner of your mouth, weakening it with Botox may correct the asymmetry. Make sure you have somebody with experience in lower face Botox therapy, as, if it is done incorrectly, the lower lip, (and not just the corner), will be distorted. debrairizarry.com

When the corners of the mouth turn down, there is other solution than to treat it directly. Many people mistakenly believe that a face or cheek lift will turn the corners up to a level position, but this will not result from those procedures. A simple corner of the mouth lift removes a very small triangle of skin at the mouth corners and creates an immediate and permanent change in the smile line. It does result in a very small scar but this area heals well and  scar revision of it... more

Direct solutions to the problem should be avoided. Any corner of the mouth lift will leave you with a very visible and unnatural scar.....for that mater any visible scar in the area of the mouth is unsightly and to be avoided at all cost (either surgical or traumatic.). My suggestion is to try either a filler in the area or for a more permanent longer lasting result get a preauricular facelift (essentially a gentle small pull under local anest. 20 min. near the tragus that may elevate the are more

Sometimes a midface lift can lift the upper lid and cheek. The surgeon probably thought you had a facial nerve palsy from an accident. The midface lift can give you a good result from this. 

Dear Highlander, A photo of the mouth at rest and one smiling would GREATLY ease our job and increase the accuracy and relevancy of the answers. Besides the NATURAL facial asymmetry we all have, there are several reasons why one side of the mouth and "THE" solution would greatly depend on the reason for the droop. Age related drooping associated with a deepening nose to mouth (Nasolabial) fold would be improved with a mid-facelift as well as with fillers in the fold. Sometimes the... more

Everybody's face is asymmetrical to some degree.  Some more than others.  If the underlying bony architecture is very different from one side to the other, soft tissue work alone may not correct the problem sufficiently.  A photo of you would help here enormously. 

I would agree with Dr. Placik about the options for rejuvenation. I would also point out though that some degree of asymmetry is absolutely normal. In most cases, surgery will improve asymmetries but not completely correct them. Patients should weigh if the risk of worsening things is worth the possible reward of improvement.