Drooping of corners of the mouth after a Facelift. Any suggestions? (photos)

A before picture to assess the degree of correction would be helpful.  In a properly performed facelift, improvement in the marionette lines is frequently seen due to transmission of force through the SMAS.  However, altering the position of the corner of the mouth is not a part of the procedure.  I would suggest use of a filler like Radiesse or Juvederm to help fill and subsequently lift this area. A very small amount of Botox injected into the Depressor Anguli Oris (DAO) muscles can also be of some benefit.

Without seeing a "before" photo it is difficult to say whether the appearance of the corners of your mouth have been affected by the facelift. As others have said, a facelift typically doesn't address these areas. Injectable fillers are often a good way to provide a slight lift to the corners of the mouth and add volume to marionette lines. I think this approach, combined with what appears to be a good result from your facelift, will give you the look you desire.

Thank you for your question.  While the corners of the mouth typically aren't addressed with a facelift, the soft tissues surrounding and overlying the corners will be lifted.  If there is a pre-operative down turning of the corners, they can still be down turned post-operatively.  This can be corrected with soft tissue fillers such as Restylane or Juvederm.  Be sure to discuss your concerns with your surgeon, as only he/she knows exactly what happened during your surgery.  I hope that this helps!-David Gilpin

Thank you for the question and photo. It is difficult to answer your question without having any preop photos to compare with. However, you may benefit from fillers and or toxins such as Botox, Xeomin, or Dysport. It is best to discuss with your board certified plastic surgeon. Good luck.

A few thoughts. The mouth drooping may have been there before the lift,and now with your cheeks elevated, it's more apparent. You may have lost weight after the lift and this could worsen the groove. Your mid face may not have been lifted during your surgery. Your easiest treatment option is to have injectable fillers placed. Speak to your surgeon.