Can Botox Be Used to Make Lips Appear Slightly Smiling Position (Curve Upwards) Than Appear Sad Position (Curve Downwards)?

Question

Kenneth D. Steinsapir, MD · Answer

Nothing good comes from weakening the lips with BOTOX. Generally fillers are the way to go here. So be careful what you ask for. Just a little too much BOTOX and you will look like you had a stroke.

Ron Shelton, MD · Answer

Botulinum toxin, whether Botox, Dysport or Xeomin, can be used to relax the native pulling down of the DAO muscle that anchors the corner of the mouth. During its relaxation by Botox, the DAO can no longer antagonize the normal upturning actions of the levator anguli oris muscles and the sad curvature of the corner of the mouth becomes more horizontal and the patient begins to look more happy than sad.

	There are risks with any treatment and you should see a Botox expert for such an off-label use of Botox.

Cameron Rokhsar, MD, FAAD · Answer

In the hands of a skilled physician, Botox can be used to slightly upturn the angles of lips that typically angle downward. This usually happens because tight muscles "pull" the corners down, and relaxing them can allow the lip to turn more upward on the edges. However, I stress that it is VERY important to find a doctor who has experience in this area. Otherwise, you may risk being unable to form certain words, sip from a straw, pucker your lips for a kiss, etc. Research wisely..

Benjamin Barankin, MD, FRCPC · Answer

I have used Botox successfully for several years to lift the corners of the mouth - "turn that frown upside down". By carefully injecting the depressor anguli oris muscle, the corners of the mouth can be gently lifted and upturned. In some cases, the addition of filler is also quite useful and so I often will combine the two treatments with nice, natural results.

Janet M. Neigel, MD · Answer

You can have Botox put in the muscle that pulls the corner of the lips down. It is an off label advanced technique. When done properly it can relax the corners of the mouth and soften the marionette lines. Combined with filler in this area it is a winning combination.

Rebecca Baxt, MD · Answer

Yes, Botox used properly can be used to turn up the corners of the mouth, I agree with the other doctors that it is best used in conjunction with a filler like Juvederm or Restylane, and it must be done by a very experienced board certified dermatologist or plastic surgeon who injects a lot.

Martie Gidon, MD, FRCPC, FAAD · Answer

An experienced injector can inject Botox to relax the muscles that pull down the corners of the mouth.  This treatment can turn up the corners of the mouth to make you look happier.  Fillers can be used together with Botox to keep the corners of the mouth up.

	These procedures should be performed by an experienced injector to avoid side effects such as uneven drooping, so you should consult a board certified dermatologist or plastic surgeon to get the best possible results.

F. Victor Rueckl, MD (in memoriam) · Answer

You need to visit an extremely experienced physician for this! Do not just go to anyone! You can alter the lips a tiny bit by proper injections of very small amounts of Botox so that the sides don't pull downwards anymore, which is what makes them look like a permanent scowl. But please, please make sure you see someone exceptionally experienced with Botox because doing it incorrectly here can result in drooling, and problems smiling, eating, and talking. It can be very bad if not handled correctly, so make sure you understand all the risks before you try to do anything here.

Can Botox Be Used to Make Lips Appear Slightly Smiling Position (Curve Upwards) Than Appear Sad Position (Curve Downwards)?

Answers (8)

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Answers (8)

More Botox Questions

I Got my Eyebrows Waxed a Couple of Hours After Botox. What Will Happen?

I Rubbed My Botoxed Area by Mistake 28 Hours (1 Day) After the Injection?

Can Botox Make my Eyes More Feline?

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How Serious Are the Effects of Botox One Week After Conceiving?

Does Botox Make Eye Sensitive to Light?

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