Botox to lift the corner of the mouth?

Question

I had a few nightmare experiences where I had botox in various places to lift the corner of the mouth. I had bells palsy when I was a child. A few times I have tried the platysma, the DAO, along the jaw line. It worked once or twice but a couple times my whole bottom lip depression was wiped out and I looked awful. I really want to try again but am afraid. Where is a safe place to inject that would avoid the lower lip depressors?

Aldo Guerra, MD · Answer

The safest place for Botox to lift the corner of the mouth is at the origin of the DAO. In other words, at the jawline as far away from the lips as possible. Be sure to tell your injector about past experiences. Start with a low dose! You may have to come back to get a little more in 2 to 3 weeks, but in your case it’s better to go slow than to have a disappointment. Best wishes. Dr. Aldo

Jason Emer, MD · Answer

Often the botox doesnt help the mouth corners, sometimes this needs fillers, threads or ultherapy.  I suggest a formal consult.  Best, Dr. Emer.

Craig Austin, MD · Answer

You can have a small amount of Botox injected into the DAO muscles to slightly elevate the corners of the mouth. Only 5 units or so are needed. Find a Board Certified and experienced injector to work with in your area.

Kurt Kuhlman, DO · Answer

Botox of about 4-5 units into each DAO muscle should slightly elevate the corners of your mouth. If the injector is unskilled, they may inadvertently inject the lower lip depressors resulting in a poor outcome. Additionally, you may need fillers for the marionette lines and pre-jowl sulcus for a good outcome.  See a skilled injector

Leonard Grossman, MD · Answer

Patients like yourself should really be seen by plastic surgeons only. Only plastic surgeons knowledge of anatomy can help you get a good result using Botox and lifting corners of the mouth. Good luck from New York City

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