How to Get Up-turned Lips?

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 hyperkinetic
with time, resulting in downturned oral commissures. The individual with downturned corners of
the mouth takes on a sad face appearance or an expression of disapproval. A few units of Botox injected into the depressor anguli oris muscle relax
this downward pull vector. The corners of the mouth
return to a neutral or even upturned position. This
positioning also can be assisted with filler material
placed 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 treatment
of oral commissures. We tend to administer one
injection per side. Injections can be made directly
into the DAO muscle located on the mandibular
body. 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 noticed
your lips thinning over time, or simply want fuller lips, JUVÉDERM® Ultra XC or
RESTYLANE SILK can give you natural-looking results that lasts more than
9 months. In fact, 78% of people treated experienced improvement in
satisfaction with the look and feel of their lips 1 year later!
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

Dear SuzyAv8trix,A direct lip lift
surgery removes tissue directly from above the upper lip line border. The end
result is a slightly raised effect.

A Subnasal Lip Lift
is arguably the most popular method of lip lift surgery. This procedure is performed by removing a bit
of skin tissue from underneath the nose. When the incision is closed, the removed tissue creates a slight lift in
the upper lip. The
corner lip lift can help create a more uniform lip line post procedure. The
corner lip lift uses tiny incisions above the outer corners of the mouth to
subtly raise and even the overall mouth contour. This can prevent lip lift
patients 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.

Downward desend of the lip corners is a common complaint as people age. As many of my colleagues have posted, the best strategies include either a filler such as restylene or juvederm or facelift procedure. The latter will of course correct for other signs of facial ageing too.

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.

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).
Good Luck!

This is a common change our lips can undergo over time.  There are non-surgical and surgical ways to address this. 
Non-surgical includes botox injections or fillers. When using botox, the muscles that pull our lips down or frown (depressor anguli oris) are injected and weakened. By doing this, the corner of the lips can have a more up-turned appearance.  Fillers are another option. In this case, fillers are injected immediately below the corner of the lip. A little goes a long way here, and with a little additional filler at the corner itself, the lips can be up-turned nicely.
Surgically, a lip lift can be performed with an incision just underneath the nose. This is usually done at the time of a facelift or other facial rejuvenation procedure. It addresses the lengthening of the area between the nose and lips which occurs with aging. 
I would recommend seeing a board certified plastic surgeon to understand all of the options and identify the best to address your concerns. 

You can achieve a turned up lip using fillers such as Juvederm, belotero, or Restylane. This can be combined with botox to lengthen the duration that the filler persist and further roll the lip outward.