How to fix perma frown or downward lip corners? (Photo)

Question

I am hoping the corners of my lips can be slightly lifted for a more natural/happy looking face without any surgeries. I have been to two different doctors with my droopy lips complain, but both ended up injecting botox on my forehead instead!!! That did NOT work and I am tired of wasting money and not finding a temporary/permanent fix. What are my options? Thank you.

Jason Emer, MD · Answer

A downturned smile or permanent frown can be improved with a combination approach, including Botox/Dysport, 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.

Robert M. Klaich, DMD · Answer

There are a few ways to non-surgically improve your downturned smile using injectables. The most profound improvement should come from using a medium to high viscosity filler like Juvederm Ultra or Juvederm Ultra Plus directly to the nasiolabial folds and marionette lines and cross hatching the material perpendicularly to the lines. 
1-2 units of Botox can be placed in each of the Depressor Anguli Oris muscles to knock out their ‘pulling down’ function of the corners of the mouth as well.

Shaun Patel, MD · Answer

A combination of filler and Botox or Dysport should get you a nice correction. Botox/Dysport could be injected into the DAO muscle which pulls down the corners of the mouth. Filler can be injected directly into the corners of mouth and marionette lines.

How to fix perma frown or downward lip corners? (Photo)

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How to fix perma frown or downward lip corners? (Photo)

Answers (3)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.