How do I correct a downturned smile? (photos)

Question

I've only recently become more aware of how asymmetrical my smile is. One side is downturned and the other is upturned - so naturally 1 side is higher than the other. My top lip also moves in a different direction to my bottom lip. (See photos) I've previously tried Botox in my DAO, which hasn't been super effective. Are there any treatments (surgical/non-surgical) that can correct this?

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Dermal fillers can be administered to treat downturned corners of the mouth. These hyaluronic acid formulas can restore volume and provide a subtle lift to bring your smile into balance while complementing the rest of your facial features.

I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to assess your concerns and help you decide on the best treatment option.

Michelle Zweifler, MD · Answer

Asymmetric smile can often be improved with DAO botox and fillers.  Filler in the oral commissure or corner of the mouth may help with mild asymmetry.  Filler in the lips may soften the smile asymmetry but not overdoing it for the mouth at rest.

Jason Emer, MD · Answer

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.

Camille Cash, MD · Answer

The simplest option to improve smile asymmetry is a combination of Botox and fillers.  If you have tried Botox in the past and it was somewhat helpful, you may find tweaking the treatment may yield better results.  Always see an experienced injector for best results.

Leonard Grossman, MD · Answer

The way people smile depends on the skeletal and muscle anatomy of the face and everyone’s face is a little different. Both sides of the face are never, never the same. Trying to create symmetry. Usually results in dissatisfaction, if not a disaster. There is absolutely nothing wrong with your smile, which is beautiful. Enjoy your life and good luck from New York City Plastic Surgery.

How do I correct a downturned smile? (photos)

Answers (5)

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