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Can Botox Be Used Around the Mouth Area?

sides in particular

Doctor Answers (7)

Botulinum Toxin (Dysport and Botox) is not a filler around the mouth but may ease pursing lines

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Botulinum Toxin (Dysport and Botox) is not a filler around the mouth but may ease the "lipstick" lines that appear with pursing of the lips. It also can ease the muscle which pulls down the corners of the mouth called the Depressor Anguli Oris


Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Botox and the mouth

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I have used Botox in the upper lip to soften some of the vertical lip lines. I use it in very small doses.  It  can possibly affect the smile.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Botox for the sides of the mouth is risky

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Treatment of the sides of the mouth may affect nearby muscles that can produce an unwanted effect such as an unequal smile or difficulty in pursing the mouth on that side. If you have a droopy corner of the mouth, then the depressor anguli oris (DAO) muscle can be injected to help lift these corners, but the injection site is close to the jaw margin, not a the corner of the mouth.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

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Yes, but must be conservative

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Botox can be used sparingly for the lines around the mouth. It can also be injected into the DAO muscle nearer the chin to give a lift to the mouth corners. Lastly, Botox is used to improve chin dimpling. Botox works best around the mouth when combined with filler

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 9 reviews

Botox occasionally used around the mouth

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Botox (and Dysport) works by relaxing hyperactive muscles that cause wrinkles, such as the vertical lines between the eyebrows from scowling and the crow's feet lines by the eyes from squinting. Dermal fillers such as Restylane and Juvederm are used to fill in furrows, such as the groove that runs from the nose toward the corner of the mouth. Botox may be used for "smoker's lines" since it would relax the muscles of puckering, but it is an advanced application so you need to go to someone experienced.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 25 reviews

Botox around the mouth

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The short answer is yes, but with caution. This is considered an advanced technique and you want to choose a very experienced and very skilled doctor to do it. Common muscles treated around the mouth are the depressor angular oris to elevate the corner of the mouth, the mentalis to reduce chin dimpling (peau d'orange), the orbicularis oris to reduce smoker's lines.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Botox for the corners of the mouth

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Botox can be used to inject the depressor anguli oris muscle which pulls the corners of the mouth down.  Botox injection would temporarily weaken this muscle and cause the corners of the mouth to come up.  This should be performed by a skilled professional as injection in the wrong area can lead to a crooked smile. 

Etai Funk, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 12 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.