Age 57 - Hanging Frown Lines on Sides of Mouth

"​For glabellar lines (or frown lines / ""11"" lines), we inject Botox, Xeomin, or Dysport into the muscle, causing the muscle to weaken and improving the appearance of the lines. These work by binding to receptors that send nerve signals for muscles to contract. Since your body makes new receptors and neurotransmitters all the time, it needs to be maintained otherwise the wrinkles will slowly return as the muscle regains function over time. Neurotoxins take 2 to 4 weeks to start working and lasts for up to 6 months.

For deeper glabella lines or strong 11s, I use a combination of Botox with fillers, lasers and microneedling with PRP. I suggest getting a formal evaluation with an experienced cosmetic dermatologist and expert in lasers and fillers. Best, Dr. Emer
​"

It’s not unusual for patients to develop marionette lines
during facial aging. When these lines are minimal they can often be treated
with injectable fillers. When these lines are more severe and accompanied by
redundant saggy skin surgical intervention may be necessary. It’s important to
understand that none of these solutions are permanent. In other words we’re
able to set the clock back, but never stop the clock from ticking.In
someone who is 57 years old, redundant facial skin is often present. Under
these circumstances it’s impossible to make a recommendation without a physical
examination or pictures. This recommendation will depend upon the patients’
physical findings and aesthetic goals. In some cases facelift surgery will be
indicated.If you
have deep marionette lines it’s important to consult a board certified plastic
surgeon. This surgeon should be able to formulate an appropriate treatment plan
for your condition.

When mild this sagging can be addressed by injection of a filler. The cost is in the hundreds depending on the type of filler and amount used. More severe sagging will require a more aggressive surgical approach. Without a photo I could not speculate which would be better for you or even if both is an option. If the skin pinch in front of your ears required to correct it is more than 1cm then surgery is your best option.

The ugly frown lines on the corners of the mouth are easily corrected with radiesse to bring them up for about $630 and lasts about a yr.  It is a quick and easy fix.  Sincerely,

David Hansen,MD

The best treatment for saggin tissue around the mouth is often a  facelift and sometimes combined with facial fillers.

Fillers would certainly be a relatively inexpensive way to remedy this common cosmetic problem. Thus, you might try this first and if not satisfied, or as the problem worsens, seek plastic surgery as a more permanent correction.

Perlane, a more intense form of Restylane, is effective in this area as is Radiesse. Medicis is presently running a special ( good until the end of the year), with a $150 rebate on two syringes.

This affect can be augmented with 2-4 units of Botox placed into the Depressor Anguli Oris ( DAO) muscle.