Bullhorn liplift or mouth corner lift with moles? (Photos)

Thanks for your question. There are are three types of corner lip lifts , each of which provide their own idiosyncratic  benefits. The noninvasive route would be fillers plus or minus a neuromodulator such as Botox® into the depressor anguli oris muscle. This treatment route is good for mild cases. However, corner lip ptosis progresses with age.   A traditional corner lip lift will elevate the drooping corners of your mouth while at the same time, help eradicate the small fold (marionette fold) that originates from the corner. The surgery can be performed under local  anesthesia and results are subtle yet dramatic.  The DAO release is performed within the mouth but is a less effective treatment option than a traditional corner lift (the effects of which can be predicted by injecting Botox ®  into the aforementioned muscle). It does nothing for any marionette folds   A medialized corner lip lift is one which elevates the corners of the mouth, lessens the marionette folded and also can directly reshape the lateral vermillion. It is essentially a "magic trick". Results are permanent, subtle and yet, as mentioned, very dramatic.  For a complete assessment, I recommend an in person consultation with a board certified plastic surgeon specializing in lip augmentation to discuss best option for you.

The easiest ways to turn a frown upside down, or elevate the corners of the mouth, are with fillers to the oral commissures (corners of mouth) and marionette region (below corner of mouth towards chin), and Botox or Dysport to the DAO if needed (the muscle pulling down the corners; injected just below and towards the outside of the corners of the mouth). Without seeing you in person or seeing additional photos, I cannot comment on whether or not cheek fillers or fat transfer are indicated, or if you are a good candidate for a lip lift. For this, it helps to see the lips barely parted, to look how much tooth show you have at rest.