Deep Grooves in Corners of Mouth? (photo)

     HA fillers like Restylane and Juvederm can be used to give a lift to the corners of the mouth.  This is probably the most cost effective and least fraught with complications.

These down turned corners and shadows Mary you look a bit grumpy even when you feel good. Using fillers such as Restylane or Juvederm is the easiest, cost effective, and most natural look in most cases. It is also very safe, and can be individualized. 

Thanks for your question.  Deep grooves at the corner of the mouth do well with Restylane.  It is pretty simple, takes just a few minutes in the office, and creates an immediate improvement.  Excision of the tissue, such as a lip corner lift, results in visible scars on the sides of the mouth which can take a long time to improve.  I typically just treat these depressions with fillers and reserve excision for when the filler just doesn't give the desired improvement.  Good luck.

Thanks for the photos, but it is hard to see from this view. You might benefit from another facelift with or without facial filler or fat injections.  Best to be seen in person.