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 (26)

Drooping mouth corners

+5

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.


Dallas Plastic Surgeon
5.0 out of 5 stars 47 reviews

Fillers vs. Surgery

+3

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

Cosmetic fillers or facelift

+3
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 54 reviews

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Drooping Mouth Corners?

+2

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 14 reviews

Fillers Or Surgery

+2

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 12 reviews

Cost effective is very subjective

+2

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 14 reviews

Correcting a drooping mouth

+1
Aside from facelift,  injectable fillers are a good option for the corner of the mouth area. Occasionally a more direct corner of mouth lift may be indicated. 

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Drooping Mouth Corners

+1

If the drooping of the mouth corners is minimal, sometimes the use of a filler such as Juvederm or Restylane may be sufficient. These procedures are temporary and require repeat treatments over time. If the drooping is more substantial then a facelift may be required. A facelift is a more extensive procedure requiring an anesthetic and much longer recovery time.


John J. Edney, MD
Omaha Plastic Surgeon
4.5 out of 5 stars 43 reviews

Mouth Corners

+1

Can you post a few pictures to show us what you're concerned about. In some people, a combination of Botox and fillers is a great option. In others, a facelift is a better option.

Best,

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 28 reviews

Corner of mouth drooping

+1

The easiest and most affordable approach to correcting sagging at the corner of the mouth is with a filler such as Perlane or Juvederm or Restylane. In some individuals the results are dramatic and can last up to 9 months. Fillers are not a substitute for facial surgery but can safely and easily make great aesthetic improvements. A good facelift or local anesthesia "Uplift" done in a couple of hours painlessly and safely will give a long lasting result and look 100% natural. It can easily be combined with fillers as desired..... Any questions? call 305-974-0505 Richard Galitz MD, FACS

Richard Galitz, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 7 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.