Facelift: Q&A
Ask a QuestionUpside Down Smile Not Improved After Facelift and Fat Transfer?
I had a facelift, neck, upper and lower eyes and fat transfer to fill marionette lines. I did not realize that my downturned mouth would not be helpped. Before the procedure, I could not smile. I still can't smile, my thin lips are not visible, and I look like an inverted yellow smiling sticker. I live near Denver. Can anyone send or direct me to before and after photos of something this severe and recommend a procedure or steps that can help?
Tags:
11 Doctor Answers |
Asked by
yellowsticker
+1
Face lift post procedure and still with downturned mouth
Facelifts can help this to a degree. Much of your aging is volume loss related. Around the mouth you can volumize to improve this appearance and this is not achievable with a face lift alone. I would consider fillers or fat injections or other newer volumizing procedures.
+1
Downturned corners of the mouth
This is a problem related to loss of fat in the prejowel sulcus area from the inferior mandible to the corner of the mouth. A refilling of this area skillfully by an expert in fat injection will improve it immensely. A corner mouth lift operation does address this but a small scar at the corner of the mouth is left
+1
Lip lift may be your answer
Unfortunately the naslolabial folds and corner of the mouth are not improved significantly by traditional face lift surgery. A direct corner lip lift can improve this area directly. It is an in office procedure that has a quick recovery time. You need to be accepting of a small scar along the lip line but for most patients this is not perceptible.
You might also like...
Real Stories
At 61, I was through looking as tired as my job makes me feel so I opted for a deep plane...
+1
Consider Corner of the Mouth LIft
Contrary to patient perceptions, a significant downturning of the corners of the mouth will not be improved by any facelift technique. Now will any injection material drive up the corners of the mouth if they are more than slightly less than horizontal. In the really downturned commissures, a direct approach through a corner of the mouth lift is needed. This may be combined with vermilion advancements if one's lips are also extremely thin.
+1
Facelifting and the Corner of the Mouth
It would be very helpful to see pictures so that I could provide more specific advice. That said, here are some observations that pertain to this challenging area.
There are a number of facelift techniques that do a wonderful job of improving the tone of the cheek, jaw border, and neck, yet do very little to help with the issues you describe. Volume in the form of fat or injectible fillers helps some, but doesn't really go the distance.
One...
more
+1
Upside Down Smile Not Improved After Facelift and Fat Transfer?
OK, I must confess that I'm confused. From your posted question it appears that you still have jowls and Marionette Lines, with severely thin lips, after your Face Lift Surgery. Without photos, of your face, I'm not sure how we could recommend anything at this point. At the very least, aesthetically, you might want to have some form of Lip Augmentation and fillers to the Marionette Lines.
+1
Poor results after facelift surgery.
Poor results after facelift surgery require you to send photos to see what YOUR problem is specifically and then a proper answer can be made.
+1
Downturned corners of the mouth don't always go away with facelift surgery
The muscles at the corners of the mouth sometimes attach very strongly to the skin and the corners as well. Pulling the face back with a facelift doesn't always fix this. Other treatments are using Botox to relax the muscle called the depressor anguli oris, filling the crease or even a procedure called an angle of mouth lift. The surgical option is the most reliable but may leave scars along the corner of the mouth.
+1
Upside down smile better with filler or fat
During aging, the corners of the mouth often descend creating a downturn to the corners of the mouth that makes you look like you're frowning. This occurs in conjunction with deepening of the marionette lines and thickening of the jowl. In my view, facelifting does very little to help with this problem. Jowls and overhanging skin can be mostly flattened out but an artful facelift expressly AVOIDS distorting or changing the shape of the mouth. Injectable fillers...
more
+1
You need to include pictures of your present status to get a realistic answer. It requires multiple views.
There are several issues that can create a downturned smile:
You are "wired" so the depressors of your lips pull down. This can sometimes be helped by carefull use of Botox
Your jawline is poorly supported and you have an uncorrected overbite which worsens the appearance of the folds as well as changing the dynamics of your lower lip muscles
Your upper and/or lower lips are too flat
etc.etc etc
A facelift and injections are sometimes not the...
more
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.
Comments (0)