Botox lip flip to help with downward corners of lips? (Photo)

Question

Hi, I think my lips are generally pretty full and I'm not looking to add any more volume. However, the corners of my mouth appear to be turned down when my face is relaxed making me appear angry or sad. I also have very thin sides in my top lip, and all the fullness is in the middle where the Cupid's bow lies. Would a Botox lip flip solve the downward facing lip issue? And would it add a little more visability to the sides of my upper lip? Thanks!

Bhupesh Vasisht, MD · Answer

Thank you for your question. While Botox may solve your lip issue, it may not be the best choice. Fillers could be the ideal solution, however because you have such naturally full lips, you would need to make sure that the person performing the injection has extensive experience and knows exactly what you want. My best advice would be to schedule an appointment for a consultation with a board certified plastic surgeon. They can examine you up close and recommend the best course of action to address your concerns. Hope this helps

Kristin M. Baird, MD · Answer

Based on your photos and comments I would recommend filler to your lateral lips rather than Botox to get more pink lip show. Filler can give you more fullness laterally in your lips which will help pull up the corners of your mouth as well. Many fillers may be used however Juvederm works well for this purpose. If you have a very strong pull down of the corners of your mouth when you're asked to "show your lower teeth/grit your teeth" then Botox may be helpful to treat the muscle that pulls your corners down. Please consult a board certified dermatologist or plastic surgeon experienced in aesthetic injectables. Best wishes.

Gregory A. Buford, MD, FACS · Answer

Lifting lip corners is a very popular procedure and one that is easily performed.  To accomplish this, I do the following:Physically lift and support the lip corners using a filler such as Voluma or VollureRelax the downward muscular pull of the lip corners using BOTOX CosmeticThis is a straightforward procedure but one that should be performed by an experienced injector.  I hope that helps and wish you the very best.Gregory A Buford MD FACS-Board Certified Plastic Surgeon and Author

Jason Emer, MD · Answer

Yes, botox and pdo nova threads can be used to lift the lip corners and improve lip shape. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Robert F. Jackson, MD · Answer

Thank you for your question and photos. I understand that you are not interested in adding volume to your lips, but BOTOX® is a muscle relaxant and may not help with your downturned lips. Instead, a small amount of filler could be applied to the corners of the mouth. This would plump up the corners of your lips slightly, which may help pull them up slightly. I recommend consulting with a cosmetic surgeon or experienced aesthetician at a medical spa. Good luck!

Peterson Pierre, MD · Answer

Thank you for the photos. They are very helpful. You have beautiful, full lips and definitely don't need more volume. The corners of the mouth can be pulled down by depressor muscles and this is best addressed with Botox. However, the thinness of the lateral portion of your upper lip is perfect for fillers. Fillers can also be used to turn up the corners of the mouth and help show more of the upper lip.As with all cosmetic treatments, the skill of the doctor is of utmost importance. Consult with an expert in facial aesthetics to maximize yourresults while minimizing side effects. You'll be happier and save money in the long run.

Harpreet Lotay, MD · Answer

A muscle at the corners of the lips may be responsible for the downward pull or turn at the edge of the lips.  Looking at your pictures it seems that a combination of Botox to these depressor muscles would help, along with fillers to the upper lip.  Fillers could be used to turn the edges of the lips outward. Seeing an expert injector is key.

Christian N. Ford, MD · Answer

Thank you for excellent question.  Botox may help, but a combination of Botox and filler is probably the best approach to achieve your desired result.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Amanda Abramson Lloyd, MD · Answer

Botox is fabulous for helping to increase the pink show of the upper lip.  I've been doing it for years. It is a great place to start if you don't want or aren't ready for filler. Filler can be added if it doesn't produce enough pink show. Botox can also be used along the jawline to help turn up the corners of the mouth. Definitely seeing a board certified Dermatologist who specializes in cosmetics is a great way to achieve your goal!

Shaun Patel, MD · Answer

Thanks for sharing your question and photos. I prefer to use one of the thinner flexible gel hyaluronic acid fillers, Restylane Refyne, to add support to the corners of the mouth and to help reduce the downturn. The oral commissures can also be upturned using a neuromodulator (Botox/Dysport) to the DAO muscle.

Botox lip flip to help with downward corners of lips? (Photo)

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