Would a DAO Release help both my resting smile as well as my active smile when used for a downturned mouth? (Photo)

Hi @Guess1975. Botox in the DAO muscle is a temporary fix. The results last about 3-4 months. The injections stop the DAO muscle pulling down the corners of the mouth. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance. If you are looking for a more permanent solution, I recommend an in person consultation. Best of luck, Dr. Nima!

Botox can be used to weaken the DAO. However, it is not a permanent result. Your corners are depressed and the technique I recommend is an extended lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. The procedures takes less than 1 hour to perform under local anesthesia and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Hello, Thanks for your photo and question.If you want to get what you want with a simple method, a very carefully made botox can give you some benefit. However, the biggest and lasting obtainable result can be achived by facelift surgery performed with deep plan technique. Because the main problem is the side parts of your mouth corners droops and collaps.You need to have a detailed examination and face analyse to get customised treatment plan, be sure that your surgeon is professional board certified facial plastic surgeon. Best Regards,