Treatment Options for Drooping Mouth Corners on Younger People?

asked 2 years ago by Tacy in Houston,
Latest answer by Keith A. LaFerriere, MD
Question viewed 9,080 times
Tags: age 25-34, mouth, asymmetry, droopy, Asian

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?

11 answers to Treatment Options for Drooping Mouth Corners on Younger People?

Best correction for drooping corners of mouth in young patients

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... more

Anita Patel, MD
Beverly Hills Plastic Surgeon

www.anitapatelmd.com

Drooping corners of mouth

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 see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Treatment options for drooping mouth corners on younger people?

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... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Longest and best results use a combination of botox and filler

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

Corner of the Mouth Lift Options

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

Cosmetic fillers for drooping mouth corners

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

Droopy corner of mouth on Asian skin

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

Combination therapy with botox and juvederm

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>

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

Droopy corners of the mouth do great with Juvederm

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.

David Hansen, MD
Beverly Hills Dermatologic Surgeon

Drooping corners of the mouth

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... more

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Fillers can be used for the corners of the mouth

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 droopy appearance that your mouth has while avoiding a funny looking "trout pout". You may want to consider a little bit of filler along the lateral (side part) of you upper lip... more