How can I get the corners of my mouth to turn "up" again -- instead this "frown" I have, when I'm not smiling...
How to Get Up-turned Lips?
Doctor Answers 14
Filler or Plastic Surgery
For patients under 60, or whose skin is moderately firm, placement of a hyaluronic filler can correct this problem quite readily. My preference for this area is Restylane since I feel it gives better support. However, Juvederm can be used, especially if there are other areas to be filled that are more adaptable to this filler.
The filler is injected into the small triangle that seems to form with the down-turned smile. This is done with a fanning technique approaching at different angles. Then the corner of the lip is injected straight on and a nice lift results.
One caveat: this procedure often requires more filler than you might expect. It is better to have great results on both sides than either great result on one side and mediocre results on the other, or mediocre results on both sides. So, it might be better to save your money so both sides can be corrected optimally.
If you are over 60 or have saggy skin, a plastic surgeon can perform a smile lift in which the above mentioned triangle is excised and the corner lifted up.
How To Get The Ends of My Smile To Turn Up
There are two fairly easy ways to accomplish this. The first is with the use of Botox. There is a muscle called depressor anguli oris which runs from the corner of the mouth to the angle of the chin. If you place a small amount equally to both sides where the muscle meets the jaw, you will block that muscle and naturally lift the smile up. If this technique still does not pull your smile up, you can add a filler such as Juvederm or Radiesse, or Restylane in a crosswise manner to the angle of the smile to physically perk it up by bolstering it up. Botox to this area lasts approximately 3-4 months and each filler varies on duration.
Corner Lift for the Corners of the mouth
In certain instances, patients may develop sharp downward turning of the corners of the mouth making them look sad or angry.
There is a procedure called a "corner lift" which lifts the outer corners of the mouth and pulls them out of the deep groove which blends with the marionette lines.
There are a few variations on the incisions ranging from triangular excisions to heart shaped excions of skin with repositioning of the corner (commissures) of the mouth.
Typical removable sutures are placed and removed within a week.
This is in contrast to the lip lift procedure which can be performed using several different options with scars residing on the white roll (lipstick liner) or immediately beneath the nose.
It is not uncommon to perform these procedures in tandem with a facial rejuvenative procedure.
You might also like...
Upturned Frown Lines
I love using Restylane Lyft in this area to make the frown lines go up. Also injecting a small amount of Botox in the DAO's will help with this process as well. Please consult an expert in facial injections. Best, Dr. Green
Downturned oral commissure (depressor anguli oris muscle)
Reference: Petrus GM, Lewis D, Maas CS. Anatomic considerations for treatment with botulinum toxin. Facial Plast Surg Clin N Am. 2007; 15: 1-9
Injectables or Surgery
What you describe is a very common concern, that is, the downturned corners of the mouth. This can be addressed by:
1. Injectables like Restylane or Juvederm. When these are injected into the corners of the mouth, it can serve as a platform to lift up the corners.
2. Surgery. The most direct approach is an anguloplasty (AKA a "corner lift"). This procedure can be done under local anesthesia where a triangle or heart shaped portion of skin is removed from each corner of the mouth. The corner is then lifted and the incision is closed with sutures, which stay in for about a week. With a meticulous wound closure, the scar is often imperceptible (especially if you wear lipstick!). This often addresses the downturned corners better than other procedures (like a facelift).
To be botoxed and filled
In my hands a combination of botox to the muscles the depress the lips and a small amount of filler in this area can make a big difference.
The key is to find that balance and to not put too much filler in this location as it can.
Hope this helps.
Best of luck,
Up Turned Lips
It is always the best option to get a consultation, before you commit to getting anything done. I have significant experience working with lip enhancers and they are a safe and effective treatment when applied by a trained professional. While it takes about 2 days for the swelling to go down, the results are long-lasting. Most clients need 1-2 syringes for a dramatic effect, but some require more. This depends on the amount of product you need to achieve your desired lip volume. Be wary of pricing that is overly discounted. Lip augmentation requires a great deal of precision and skill and can really alter the balance of your face when done poorly. If you have questions or concerns, it is recommended that you contact your provider as soon as possible! Best of luck!
Lip Augmentation with Juvederm ULTRA XC
#RestylaneSilk #lipborders #Fillinglips
A Natural Lip Enhancement
The cost of a single 1ml syringe will vary within $50-$100 between competitive practices. We suggest finding a reputable practice with expert injectors for the blend of science and artistry!
Caution: upturned lips might be the cause of overfilling!
#lipenhancement #JuvedermUltra #RestylaneSilk
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.