What Can Be Done About Sagging Around Mouth Corners?

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

There is a simple and a more complicated way to address this.
For mild to moderate drooping, and assuming that a patient is not interested in surgery, one can use a filler (Radiesse or Juvederm) to provide volume to the oral commissure (corner of the mouth), combination to a small amount of Botox to the DAO's (muscle that pulls the corner of the mouth down). This is a temporary solution.
Assuming you are willing to have surgery and you have further indications (jowls and changes to the neck), a Facelift may address some of your concerns. However, it is important to note that too much tension on the corners of the mouth is one of the tell tale signs of an overdone Facelift.