Treatment Options for Drooping Mouth Corners on Younger People?

Thank you for your question. Although neurotoxins and fillers could improve the drooping corners of your mouth, it would require long term maintenance as neurotoxins eventually wear out and become very costly. I believe a simple corner lip lift would be more beneficial in your case because of your young age. Small wedges would be removed at the lateral ala  to lift the corners of the mouth. Two small incisions would be hidden at the creases of the ala where they would be virtually undetectable. I typically remove tissue from this area on a routine basis in conjunction to a bullhorn lip lift to avoid a turned down mouth. You are welcome to view my gallery of lip lifts on this site to see my results. I hope this helps.Best wishes and kind regards,

Drooping and asymmetry in the corners of the lips can result from natural aging, genetics, or changes in soft tissue volume. For early intervention, treatments like neuromodulators (e.g., Botox) can help relax the muscles pulling the corners downward, creating a subtle lift. A lip flip is a non-surgical cosmetic procedure that uses neuromodulators, like Botox, to relax the muscles around the upper lip, creating the appearance of a fuller, more defined lip without adding volume. Dermal fillers can also restore volume and support, but they can be customized to achieve a natural look that complements your facial features. Consulting with an experienced practitioner specializing in facial harmony is key to creating balanced, personalized results.

Thank you for your question!  I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. Technique is the key to a successful lip augmentation with fillers, so you'll want to see someone meticulous. An experienced physician will be able to determine which filler, how much filler, and which technique will give you the subtle result you're looking for. See an expert. Best, Dr. Emer

All the procedures you mentioned can help in correcting the "frowning look" that is affecting the corners of the mouth. Before undergoing an invasive procedure such as a Lip Lift, I will suggest to try an intervention that will have less risks and downtimes. If you combine a neurotoxin, such as Botox or Dysport, with a filler, such as Refyne or Volbella, it will help correct the drooping and asymmetry that you are explaining.

We offer non surgical treatments to lift the drooping corners of the mouth for younger patients.  This consists of Botox to weaken the muscles that pull the corners of your mouth downward, thereby allowing the corner of the mouth "lifting" muscles to work unopposed.  Cautious use of a dermal filler with an appropriately selected firmness will provide a "scaffolding" of support in the deeper tissues to support the corner of the mouth and prevent it from sagging
We also perform surgical treatments for patients starting in middle age.  A well executed "Corner Lip Lift" has returned good results in our practice with patients gaining a more youthful mouth shape with lifted corners of their lips back to a neutral position with the remainder of the mouth.  

Good day! Thank you for providing a photo with your query. Ask your doctor about corner lift that focuses on the outer edge of the upper lip to the corner. This procedure is used to raise the corner of the mouth and improves the look of despair. The small incision is closed with dissolving sutures and can be covered with make up within the week. Find a board-certified plastic surgeon that has extensive experience with your case and discuss realistic goals and expectations. Best of luck! #RealSelf100

I would recommend starting with botox (about 5 Units per side) into the DAOs (the muscle that the other doctors have referred to). Give that 2 weeks and then assess the response. At that point you and your physician can decide if filler may be useful as an additional treatment. 

The down turned corner of the mouth can be a difficult problem to correct. Botox can be injected into the depressors of the mouth along the chin which can provide a temporary fix or a Diamond procedure can be performed which helps to lift the corners of the mouth. This is a more permanent fix though there may be a visible scar which does fade over time.

Thank you for your question. There are multiple possible reasons for the appearance of downturned lip corners including volume deficit or loss affecting the lip and/or the area below the corners of the mouth or jowling associated with facial aging, or strong 'corner lip depressor muscles' (the DAO muscle - Depressor Anguli Oris). In a younger patient, volume loss is more common. One might consider a trial of injectable volumizing filler to treat the area underneath the lower lip corners. One may minimize the contribution of the DAO muscle using treatment with neurotoxin such as Botox, Xeomin or Dysport.  In cases that do not respond sufficiently to non-surgical options, surgical procedures may be considered. A corner Lip Lift procedure is performed to surgically lift the corners of upper lip in order to show more vermillion (red lip) and to minimize the appearance of 'downturned' lip corners. 

If your upper lip is long and covers your front upper teeth, you would be a candidate for a lip lift. The lip lift will increase your vermillion show and bring your columella down to make it visible in the front view and slightly elevate the corner of your mouth. These are very desirable aesthetic improvements. To eliminate the excess skin above the corner of the mouth, one hes to remove a triangle of skin in that area. This is known as the corner lift. If you want something less invasive you can have fillers but don't expect the same results.