Smile looks downturned: what can I do to improve it? (photo)

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

You might benefit from a buccal fat pad removal. This is a very simple procedure where a small incision is made inside your mouth to remove some of the fat near the corners of your mouth and would give you a less chubby or full appearance to your face. It can be done under local anesthesia or with mild sedation and is a permanent correction. I would recommend a board certified facial plastic surgeon in your area for consultation. You can also add a small amount of filler to the corners of your mouth to help with the downturned look or a couple of units of Botox which has a short duration of effect in that area. Good luck with your consultation

It is not possible to give you good evaluation and advise based on this smiling photos! In order to correct down turned corners of the mouth, we perform so called "smile surgery". In person consultation with a board certified plastic surgeon, familiar with this or similar procedure, is recommended. Good luck.