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?

Treatment options for drooping mouth corners on younger people?
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9 answers to “Treatment options for drooping mouth...”

A: Drooping corners of mouth

Otto Joseph Placik, MD

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

A: Cosmetic fillers for drooping mouth corners

William Portuese, MD

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.

A: Droopy corner of mouth on Asian skin

Tomi L. Wall, MD

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. 

A: Treatment options for drooping mouth corners on younger people?

Peter A. Aldea, MD

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... more

A: Combination therapy with botox and juvederm

W. Tracy Hankins, MD

A very small amount of botox placed in the DAO muscle combined with Juvederm, a hyaluronic acid filler would correct this area vey nicely.  As it would not take much juvederm to correct this, you might also enhance your lips slightly, which would also improve tha appearnce of the downturn at the corners>

A: Longest and best results use a combination of botox and filler

Nathan Mayl, MD

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)... more

A: Droopy corners of the mouth do great with Juvederm

David Hansen, MD

I agree that you should get the droopy corners fixed and filling them in with a little filler such as Juvederm to lift up the corners and give you a happy smile rather than a frown would be so worth it. Juvederm is only $550/ syringe and is so easy to get put in and lasts about 9 months.

A: Drooping corners of the mouth

Tanveer Janjua, MD

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... more

A: Fillers can be used for the corners of the mouth

Kamran Jafri, MD

 Hi Tacy, Thanks for the photo - very helpful. You are young and have good skin tone and no obvious wrinkles on the upper or lower lip. I think the best bet for your case would be to use fillers to soften the furrows that run from the corner of your lips down towards your chin. This would eliminate the... more

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