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Botox injections to the depressor anguli oris (DAO) muscle can help return the corner of the mouth to a neutral or even upturned position. The bilateral depressor anguli oris muscle inserts at each oral commissure (corner of the mouth). This muscle may become hyperkineticwith time, resulting in downturned oral commissures. The individual with downturned corners ofthe mouth takes on a sad face appearance or an expression of disapproval. A few units of Botox injected into the depressor anguli oris muscle relaxthis downward pull vector. The corners of the mouthreturn to a neutral or even upturned position. Thispositioning also can be assisted with filler materialplaced inferior to the commissures. Despite often beneficial effects, treatment of this muscle occasionally can have inconsistent results. In general, we have obtained good results with botox 5 units per side as the standard starting dose for the treatmentof oral commissures. We tend to administer oneinjection per side. Injections can be made directlyinto the DAO muscle located on the mandibularbody. Reference: Petrus GM, Lewis D, Maas CS. Anatomic considerations for treatment with botulinum toxin. Facial Plast Surg Clin N Am. 2007; 15: 1-9
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,DrC
An easy solution to turning up lips is by using Botox in addition to a dermal fillers like Restylane SILK or Juvederm ULTRA XC. A skilled provider can help with naturally changing the lip borders.#RestylaneSilk #lipborders #Fillinglips
Whether you’ve noticedyour lips thinning over time, or simply want fuller lips, JUVÉDERM® Ultra XC orRESTYLANE SILK can give you natural-looking results that lasts more than9 months. In fact, 78% of people treated experienced improvement insatisfaction with the look and feel of their lips 1 year later!The costof a single 1ml syringe will vary within $50-$100 between competitivepractices. We suggest finding a reputable practice with expert injectors forthe blend of science and artistry!Caution: upturned lips might be the cause of overfilling!#lipenhancement #JuvedermUltra #RestylaneSilk
Dear SuzyAv8trix,A direct lip liftsurgery removes tissue directly from above the upper lip line border. The endresult is a slightly raised effect. A Subnasal Lip Liftis arguably the most popular method of lip lift surgery. This procedure is performed by removing a bitof skin tissue from underneath the nose. When the incision is closed, the removed tissue creates a slight lift inthe upper lip. Thecorner lip lift can help create a more uniform lip line post procedure. Thecorner lip lift uses tiny incisions above the outer corners of the mouth tosubtly raise and even the overall mouth contour. This can prevent lip liftpatients from winding up with a slightly downturned lip line.I suggest you consult with a board certified facial plastic surgeon to receive the best care, treatment, advice and expertise available.