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Treatment Options for Drooping Mouth Corners on Younger People?

I am in my later 20s and I notice considerable drooping of the corners of my lips, comparing to photos taken in my mid 20s. They give me that frowning look. The corners of my lips are also drooping asymmetrically. I have heard of lip lift for mouth corners, dental facelift, and fillers. I worry that fuller lips from injecting filler will not harmonize with my Asian facial features. What are the best early interventions and procedures to correct the drooping and asymmetry?

Doctor Answers (13)

Treatment options for drooping mouth corners on younger people?

+3

Tracy,

There are at least 20 pairs of facial muscles devoted to expression. The balance between muscles that lift VS muscles that pull down determines the expression and its extent. As was previously stated, the corners of the mouth are acted upon by several muscles, including muscles that pull it down, the most powerful of which are the Depressor Anguli Oris muscles. When the corners of the mouth are pulled down, these muscles exert more of a pulling down effort than the lifting muscles.

As a result, gently weakening these muscles allows the lifting muscles to pull up the corners of the mouth resulting in a smiling rather than a frowning face. This can be done with a few units of Botox put into the muscles. It can be supplemented with either Juvederm/Restylane or Perlane filler in the actual fold to flatten any creasing.

I hope this was helpful.

Peter A Aldea, MD, FACS


Memphis Plastic Surgeon
5.0 out of 5 stars 66 reviews

Corner of the Mouth Lift Options

+2

The easiest way to improve drooping corners of the mouth is with hyaluronic acid fillers like Restylane and Juvederm.  Placed in the corners of the mouth it effectively gives a "lift".  Additionally, low doses of Botox to the muscle that pull the corner of the mouth down can also be helpful.   In older patients, a corner of the mouth lift with incisions is very effective, but does leave a relatively inconspicuous scar.

Keith A. LaFerriere, MD
Springfield Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Longest and best results use a combination of botox and filler

+2

Your picture is very helpful.

Unfortunately, you have a combination of excessive tone of your depressor anguli oris (the muscle that pulls DOWN the corner of the mouth) and loss of bulk in the edge of the lower lip.

The Botox is used to decrease the tone of the muscle and the filler (usually Juvederm) fills the loss of bulk.

It works well, but unfortunately is not a permanent fix.

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
4.5 out of 5 stars 7 reviews

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Drooping corners of the mouth

+2

Botox is the answer.

The corners are bent downwards for 2 reasons.

1. The muscle DAO (Depresssor Anguli Oris) is pulling the upper lip downwards.

2. The cheek soft tissues have become loose over time and are now sagging at the corners of the mouth.

Treatment:

1. Botox into the DAO, leading to the corners being pulled upwards giving a more horizontal look to the lips instead of an upside down curve you have at this time.

2. Filler in the cheek bone area to lift the sagging tissues away from the corner of your mouth. My favorite would be either Radiesse or Sculptra.

Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Down turning Corner of mouth in Younger Patients

+1
This is a complex problem. A full examination including the teeth is necessary to create a plan. Assuming normal height to the teeth,we need to look at the fullness of the cheeks and the low groove causing the corner to come down. Fullness in the cheeks could be softened with weight loss if appropriate or facial liposuction. 
Down turning of the corner of the mouth is often caused by a small muscle running from the corner of the mouth to the jaw line. A small amount of BOTOX could be placed into this muscle to slow down this muscle from making the groove worse. A hyaluronic acid filler will help to restore volume to the depressed area.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
4.0 out of 5 stars 10 reviews

Lip lift with Ultherapy in Los Angeles

+1

We have found that the Ulthera and simultaneous Radiesse filler works well to lift the corners of the lips.

Raffy Karamanoukian MD FACS

Los Angeles Plastic Surgeon

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 53 reviews

Best correction for drooping corners of mouth in young patients

+1

If you are in your 20's, and have some down-turning of the lips at the corners, the easiest way to correct this is by injecting fillers such as Restylane or Juvederm. It is not a permanent fix, but the results are instant and do not require any incisions or down-time. I understand your wanting to maintain facial harmony consistent with your Asian background, and this is entirely possible with fillers.

You do not have to have the filler injected into the lips themselves in order to lift the corners of the mouth. In fact, the injection is done outside of the lips in order to raise the corners. Since the fillers are not permanent and you are not sure you will like the results, you can always try out a short-acting filler to see if you like the results, and then switch to a longer acting filler. I would recommend visiting someone with experience injecting fillers in this region, such as a board certified plastic surgeon, facial plastic surgeon, or dermatologist. Good luck!

Anita Patel, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 12 reviews

Drooping corners of mouth

+1

SEE VIDEO BELOW:

I agree with many of the options described below. One other alternative for a longer lasting result may be a corner lift which is also known as an external angular oral commisuroplasty

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Cosmetic fillers for drooping mouth corners

+1

The best treatment for the problem shown in the photograph is cosmetic filler injection around the corners of the mouth to give a lateral corner lip lift. A facelift will not lift those up.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Droopy corner of mouth on Asian skin

+1

Hi Tracy,

Both botox and fillers such as Restylane or Juvederm work well for this area and looks very nice and natural for all skin types, including Asian skin. I like to start with fillers and add botox if needed. 

Tomi L. Wall, MD
Oakland Dermatologist

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.