How best to fix RBF or chronic mouth frown? (Photo)

Question

For several years I noticed the corners of my mouth have progressively gotten worse. They are turned down at the corners. What's are some ways, temporary or permanent, that will help? Also, would botox or lip filler have any effect?

Nima Shemirani, MD · Answer

Hi @Hey_renee70! I recommend getting 2 units of Botox into the DAO muscle. The injections stop the DAO muscle pulling down the corners of the mouth. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance.

Tanya T. Khan, MD · Answer

Hi, I think that adding some volume to your upper and lower lip will help a lot. In addition, we can inject at the corners of the mouth as well as the cheekbones to help lift the corners. Please visit an experienced injector to help with this issue.

Nik Rana, MD · Answer

Downturning of the lips is very common over time due to volume loss. Some people are even naturally built that way. You can use a combination of filler or botox/dysport to address this depending on your goals. There are ways to add structure and volume around the lips in the marionette folds to help reverse the effects of volume loss. Also, strategic placement of neurotoxin (botox/dysport/xeomin) into select muscles of the face can actually prevent you from frowning. I recommend seeking a facial plastic surgeon in your area, whose expertise in facial anatomy, can help address your concerns.

Anshul Gambhir, MD · Answer

Thank you for your question! The corners of the mouth can progressively get worse due to a number of reasons. Generally, as we age we lose volume and collagen which creates a sagging appearance. Collagen building procedures such as Thermage and Sculptra can help add that collagen back in to create a more lifted/tight appearance. You may also be losing volume in your cheeks where filler such as Voluma can be placed to help lift the upper face. Botox below the corners of the mouth can also help relax the muscle and lift the corners of the mouth more. Filler can also be placed  in the folds and marionette lines(corners of mouth) to also help lift that area up and make it appear to be less down-turned. Hope this helps!

Jo Herzog, MD · Answer

Fillers can be used in the corners of the moth to change a sad frowning mouth to a neutral state. Be sure that you see a physician  that has a lot of experience with this as this is a tricky area to do a good job with .

How best to fix RBF or chronic mouth frown? (Photo)

Answers (5)

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