What is the most cost effective and natural-looking way to correct an aging (61 years old) mouth that is drooping at the corners?
Most Cost-effective Procedure for Drooping Mouth Corners?
Doctor Answers (27)
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.
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.
Cosmetic fillers or facelift
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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
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.
Cost effective is very subjective
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.
Correcting a drooping mouth
Drooping Mouth Corners
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.
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.