What is the Best Filler for Wrinkles in the Corners of the Mouth?

I prefer Juvederm or Restylane for wrinkles around the mouth.  These fillers last for 6 to 9 months. While Radiesse lasts longer (18 months), it is more ideal for coarse wrinkles and sometimes leads to lumps.

Down tuning of the corners of the mouth, generally imply that one is clenching or grinding one's teeth at night. Since there is a small muscle at the corner that works when we are clenching, over the years tissue begins to break down.

 Mild cases can be treated with Botox to the depressor anguli oris(DAO). If the creases are deeper, volume is needed. In the office i prefer Juvederm ultra Plus. in the operating room I will place fat.

I do not recommend surgery to lift the corners. the patients I have seen following this procedure elsewhere look like the joker.

I do not like radiesse. I prefer the hyaluronic acids such as restylane,perlane or juvederm to do the trick.