Most Cost-effective Procedure for Drooping Mouth Corners?

What is the most cost effective and natural-looking way to correct an aging (61 years old) mouth that is drooping at the corners?

Doctor Answers 31

Drooping mouth corners

It depends if you are talking about just at the corner of the mouth, or if the line extends all the way down to your jawline. In the first instance, fillers such as Restylane and Juvederm Ultra Plus work very well and are inexpensive for what they do. If you have a line that travels all the way down to your jawline this is referred to as a Marionette line. A Marionette line is really the anterior portion of a jowl - the descent of cheek fat caused by aging, which breaks your jawline contour and give a square appearance to the face. If this is the case, fillers do not work well (you would need too much to get the desired effect and you would end up with a very "full" face). For these cases, a formal face lift is the right procedure. Visit with a board certified surgeon who both performs face lift operations and also uses fillers, and have them evaluate your anatomy.

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Drooping Mouth Corners?

There are a variety of options that may produce a cosmetic improvement: temporary fillers, long lasting micro-fat grafts, various lifts, or a combination of procedures. Each has benefits and potential drawbacks.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.5 out of 5 stars 15 reviews

Fillers vs. Surgery

It's difficult to say which treatment is best without examining a patient and reviewing goals. However, depending on severity, two options exist: fillers and surgery (lower facelift). Surgery would have the best long-term result. Fillers can ameliorate marionette lines quite well but would need to be repeated 2-3 times a year. My advice would be to visit an experienced facelift surgeon for a comprehensive consultation.

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Fillers Or Surgery

Without a photograph, it is difficult to tell what would be your 'best' option. A couple of options though include facial fillers, corner of the mouth lift, and a lower facelift. The most cost effective is dependent on many factors not the least of which is the amount of recovery you are willing to accept, long term costs if a procedure such as fillers has to be repeated, and exactly what results you desire.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Cosmetic fillers or facelift

At 61 years of age, the drooping mouth corners can be partially corrected with cosmetic fillers and injectables such as Restylane and Juvederm. Additional correction can be performed with a facelift, but the surgeon needs to be very careful not to pull the corners of the mouth outward creating an obvious telltale signs of having had a facelift. The goal of a facelift is to  lift the jowls, tighten the SMAS and neck muscles, remove fatty deposits in the neck and conservatively tighten skin in the face and neck. For many examples, please see  the link below to our facelift  photo Gallery

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

Cost effective is very subjective

Dear Droopy

You should be much more concerned about what is right rather than what is cost-effective. Yes, fillers can be fantastic ,but the costs do add up. At your age, it probably makes sense to consider a facelift.

Ultimately, I find that some patients are really not so excited about having surgery. In the long run it is probably more cost effective to have surgery and then use fillers to correct what can't be fixed with surgery. However, it is possible to have great improvement just with fillers.

The dilemma you will have is that most surgeons who offer facelifts, are not enthusiastic users of fillers. Also in the short term, there is more money in performing surgery than in performing fillers. So you have to be careful of economic bias on the part of your consultant.

I would recommend that you seek multiple opinions and in particular, consider seeing a cosmetic dermatologist regarding their take on fillers. You might look on the liquidfacelift.com website for the name of a highly qualified physician who performs these services in your area.

Ultimately do what your are comfortable with and recognized that all of there options are expensive and there are no absolute best ways to approach this.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 19 reviews

Best treatment for the corner of the mouth

The changes that come to this area with ageing are extremely complex and the potential treatments available are multiple. I wouldn't say that anyone treatment is the best in all cases and I would be very wary of anybody who tells you what you should have done without giving you a full examination and questioning you on your motivation and expectations. 

Addressing corners of your mouth and marionette lines

There are a spectrum of options to address the down-turned corners of your mouth and marionette lines from neurotoxin to surgical treatments of the area. Your plastic surgeon can help you by assessing your candidacy for these different options. I discuss with my patients the importance of assessing the whole face in respect to their complaints in how I may improve their concern area. In younger patients with little to no volume loss or loose skin, neurotoxin treatments of the muscles that work to pull down the corners of the mouth is a good approach. With mild to moderate volume loss and good quality skin the addition of hyaluronic acid fillers can be successful. Both of these treatments are temporary and need upkeep. More permanent approaches are fat transfer and facelifting operations. 

Rachel Streu, MD
Ann Arbor Plastic Surgeon
5.0 out of 5 stars 8 reviews

Most Cost-effective Procedure for Drooping Mouth Corners?

As we age lines at the corner of the mouth can form. These are treated with injection of filler. This can have an improvement in the corner of the mouth and can help lift it. Some patients feel as if they are constantly frowning, and some filler to support the corner can help with this appearance.

More advanced aging can lead to a line from the corner of the mouth down to the jaw. This results from tissue in the face descending. This is called a marionette line. Marionette lines are not treated with filler. Proper treatment of marionette lines requires elevating the sagging facial tissue.

Advanced facial aging includes marionette lines, nasolabial folds, jowls, and facial deflation. This requires a facelift procedure to be adequately treated.

Consultation with your local surgeon will help determine which procedures are right to meet your goals.

Austin Hayes, MD
Portland Plastic Surgeon
5.0 out of 5 stars 4 reviews

Best Treatment Procedure for Drooping Jowls and Mouth?

For a 61 year old with aging lower face (drooping at the corners of mouth), a lower face and neck lift is the answer. Do not waist your money on fillers. My advice would be to visit an experienced facelift surgeon for a comprehensive consultation.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 106 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.