Which procedure would reduce the appearance of sagging around the mouth? (photos)

Question

I am a 42 year old woman who began using pretty minimal botox a year ago to treat crows lines and in the chin to try and reduce appearance of perioal mounds. I feel like my face is sagging more and more around the mouth. I am not ready for surgery but really unhappy with how much this ages me. What would be a good treatment to reduce the way my face is dragging down around the mouth?

Camille Cash, MD · Answer

From the submitted photos it appears you would have the best result from a combination of treatments.  Fillers can be used to add volume and improve facial contours.  Morpheus8 is a great adjunct treatment which combines RF technology with microneedling to improve overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Eric M. Joseph, MD · Answer

When somebody has indentations below the corners of their mouth, these tend to be called marionette grooves. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for filling these areas permanently. I hope this helps to answer your question. Sincerely, Dr Joseph

Nelson Lee Novick, MD · Answer

So, if you don;t want surgery you're in luck. In fact, very few ethical physicians, I would venture to say, would even suggest or recommend surgery for the minimal sagging you appear to currently have around the mouth. The rather minimal marionette lines seen in the photos provided are routinely treated, practically every day, in any active cosmetic dermatology practice. The results of treatment in this way are typically immediate and treatment engenders little to no significant downtime. You would be wise to consult with an experienced, board certified cosmetic dermatology filler expert. Hope this helps and best of luck.

Sheryl D. Clark, MD, FAAD · Answer

Hello Fabulous:

Your photos show furrows and loss of jawline definition due to normal bone loss which begins after age 35. Since you have less volume of skeletal bone for your skin to drake over, you see some furries and sagging beginning. The treatment for this is to replace the volume at the locations and depths where it has been lost, with fillers, By careful planning with understanding of the anatomy and also the rheology of fillers and using blunt-ripped cannulas, you can have a safe very natural result with a small amount of filler that will last at least 2 years. Please consult an advanced expert with years of experience for the best result.

All the best from New York City, 
Sheryl Clark MD, FAAD

Darryl J. Blinski, MD · Answer

Ions best option is seen in the posted. Photos is a mini interior facet with muscle supplication. Feed $5000-$8000. Best of virtual consult with.

Which procedure would reduce the appearance of sagging around the mouth? (photos)

Answers (5)

Answer: #DermalFiller for saggy skin

Answer: #DermalFiller for saggy skin

Answer: Midface and lower face ag

Answer: Midface and lower face ag

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Which procedure would reduce the appearance of sagging around the mouth? (photos)

Answers (5)

Answer: #DermalFiller for saggy skin

Answer: #DermalFiller for saggy skin

Answer: Midface and lower face ag

Answer: Midface and lower face ag

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.