Age 46, is a deep plane facelift the best option to treat drooping corners of my mouth? (Photos)

Question

I am 46 years old and I am open to both non-surgical and surgical procedures although I don’t really want to do any thread or PDO lifts. I have had Botox for my forehead and crows feet and cheek filler in the past.

James M. Economides, MD, FACS · Answer

Thank you for your question and photos.  From the photos you posted, you do not seem to have significant facial aging that would warrant a facelift or necklift at this time (i.e., no jowls, skin laxity in the neck, platysmal banding).  A simpler approach may achieve the desired result.  Quick injections of Botox into the DAO muscles (the muscles which pull down on the corners of the mouth) will relax these muscles and allow your "frown" to be turned upside down.

Bora Ok, MD · Answer

Hello from Istanbul! A deep plane lift can effectively address the areas you’re concerned about. If needed, we could also consider combining this with a midface lift to optimally smooth out the nasolabial folds. An in-person consultation would be best to determine the most appropriate course of action. Best of luck on your journey!

Kevin Sadati, DO · Answer

A Preservation Deep Plane Facelift is an excellent option for individuals in their 40s seeking early, natural-looking facial rejuvenation. At this age, signs of aging like mild sagging in the midface, jawline, and neck can be addressed effectively by lifting and repositioning deeper tissues while preserving facial anatomy. This minimally invasive technique ensures a more youthful appearance without the overly tightened look of traditional facelifts. It also offers long-lasting results with minimal downtime, making it ideal for proactive rejuvenation.

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs. A deep plane facelift procedure would go well beyond adjusting the position of the corners of the mouth.

If your focus is strictly on the shape of the corner of the mouth, there are options for local anesthetic interventions to raise the corner of the mouth, which also leave some fine scars at the edge between the vermilion and the skin.

Medical treatments are also available. Botulinum toxin injections to the muscles below the corner of the mouth can help to raise the corner of the mouth and change the expression in that area.

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing your photos and questions. You have a mild of aging in the neck and jawline and moderate in the midface. There is elongation of the upper lip. A true extended deep plane facelift (with complete mobility of the midface and malar fat pads) combined with upper lip lift would address the concerns satisfactorily. There is plenty of midface volume so that a fat transplantation is not necessary.

Lexie Wang, MD · Answer

Hi! A deep plane face lift, of course, can definitely help with the drooping of the corner of the mouth you see and would give the most natural and long-lasting effect. However, it sounds like another option you haven't tried yet would be to consider neurotox treatment to the DAO and/or platysma, as those are the muscles that pull down the lips. If you are able to buy yourself time before surgery and achieve the goal you're looking for with that alone, then you could certainly do that!

Ronald J. Edelson, MD · Answer

You would benefit from a facelift. Forget whether it’s a deep plane or not. Concentrate on gong to the surgeon you think is best based on reputation and previous work

Tanveer Janjua, MD · Answer

Even with the best facelift you will develop those corner issues again in a year or so. You are better off getting a filler in that area or leaving it alone. Having said that, deep plane facelift will certainly help. Its just that your face overall looks great and getting an extensive procedure for just this little issue seems aggressive. 
Best
Dr. Jamjua

Jeffrey H. Spiegel, MD · Answer

Depending upon your goals, time, and motivation we can put together a number of options. Based on your photos you could get a deep plane facelift, but, a lip lift with corner lift and skin tightening with radiofrequency could also get you quite a ways. That latter combination is done right in the office.

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for submitting your photos and question! A well-executed lip lift that elevates the central subnasal portion of the lip as well as the corners of the mouth is a very direct way of addressing this problem. In some situations a facelift can help, but based on your appearance in the photos I don't think that's the best way forward.
Best,Dr. Tower

Age 46, is a deep plane facelift the best option to treat drooping corners of my mouth? (Photos)

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