What is the best method to fix the corners of my lips from drooping down? (photos)

Question

I have nice full lips but they are droopy in the top corners. The top pic is what my lips looks like naturally with a resting face. The bottom pic shows all of my top lip and what I would want my lips to look like with a resting face. What is the best practical method for someone who doesn't have a lot to spend but wants to do see improvement? Thank you.

Jeffrey H. Spiegel, MD · Answer

Sometimes fillers work well, but typically a lip lift is the best options.  We adjust the lip so that it is held up exactly the way you are showing in the photograph. That's done in the office with local anesthesia and is both effective and well tolerated. Best of luck!

Nelson Lee Novick, MD · Answer

Basically your photo shows evidence of the downturing at the corner angles of the mouth representative of the incipient development of marionette lines. The use of a volumizing filler injected in an inverted K fashion should help to lift and straighten the angles and achieve the look you desire. Restylane Lyft would be my choice of volumizer in my Upper East Side Manhattan practice and Hyaluronica 2 would be my go-to in my Israel satellite facility, where a far greater number of regulatory agency approved volumizers are available. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her before and after photos of patients with a similar issue as yours. Best of luck to you.

Robert M. Tornambe, MD · Answer

spbear.   Your issue with your lips is quite common, and easily remedied!  A small amount of filler placed in the corners of your mouth expertly will lift them nicely. Be sure to consult with a board certified plastic surgeon or dermatologist. Good luck!

Hardik Soni, MD · Answer

Thank you for your question. The corners of the mouth can easily befixed with the use of a dermal filler. The filler can be injected around thelips to help lift the corners of the mouth. There are many fillers that can beused in this area, Such as Juvederm or Restylane. I recommend having aconsultation with an expert to determine the best treatment plan for you. Bestof Luck

Tracy Evans, MD, FAAD · Answer

There are several options for treatment here.  As the other physicians have mentioned, there are a number of different fillers that can slightly augment the shape/appearance of the upper lip.  Juvederm Ultra and Juvederm Volbella are my favorites and can be used together or seperately to adjust the edge of the lip and the volume inside the lip.  Another option to consider in addition is using a little bit of botox/dysport to weaken the muscle called the depressor anguli oris (DAO).  This muscle depresses the lateral corners of the mouth when engaged.  Weakening this muscle allows the lip elevators to re-position the corners of the mouth in a slightly more upward position.  It should only be done by an experienced injector, so be sure to research your provider.

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  Based on your photos, you appear to be a great candidate for a hyaluronic acid based dermal filler such as Juvederm.  Restoring volume at the corners of your mouth should address your concerns.  If you are also looking to add subtle volume to your upper lip, you might also consider the newest addition to The Juvederm Collection of Fillers, Volbella, which is FDA-approved for lip augmentation.  Please be sure to see an expert injector for an in-person consultation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Onir Spiegel, DDS, PhD · Answer

Hi fellow New Englander,
Your wishes can be achieved simply with hyaluronic acid fillers like the Restylane Lyft or Defyne, or the Juvederm Ultra and Ultra Plus.  Small injections at the corner of your mouth can turn a frown into a smile. It's achievable and fast.  Good call to ask!

John S. Won, MD · Answer

Hi there!
I can see that you are lacking volume at the lateral borders of the upper lip. It can be addressed by injection of small amount of the filler. However, once upper lip is augmented as such, I recommend that lower lip volume to be increased to achieve the right balance between upper and lower lips. I think you will be pleased with results!

Alain Michon, MD · Answer

Thank you for your question and pictures. Dermal fillers are great at improving down turned corners of the mouth ( sad look ) . A small amount of botox at the depressor anguli oris, the muscle that pulls down the corners of the mouth, may also be of benefit, but results are best seen with dermal fillers injections. I recommend seeing an expert for a proper consultation and treatment plan . All the best, Dr Michon

Kevin Cavanaugh, MD · Answer

Hi,
Thanks for your question and sharing your pictures. Use of dermal fillers in this area will pick up the corners of your lips. The filler will not go in the lips themselves, but in the area around the lips to lend a scaffolding to pick up the corners of the mouth. There are a variety of fillers that can be used. I recommend you speak with a cosmetic dermatologist or plastic surgeon in your area to find the filler that is ideal for you. Wish you all the best!
Kevin Cavanaugh, MD

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