How does a soof lift help to lift the corners of mouth?

The removal of the Bichats pads is usually performed with patients with
chubby cheeks in an effort to give definition to the mid face. (If you want to envision this, you can mimic the postoperative result by sucking on a straw; it is similar to that.)  The repositioning of the suborbicularius-oculi fat pad, or any other fatty structure for that matter, can lead to subtle problems of symmetry and ptosis (sagging) for complex technical reasons.
 Without having the privilege of examining you, it seems that a simple
vertical lift, making sure to lift the SMAS as well (for longterm support), is
exacting, effective, and would give you the natural appearance you desire.

Hello milliemils9 - Thanks for your question. I recently performed a very effective SOOF lift so can let you in on the power of this particular procedure. SOOF stands for "sub-orbicularis oculi fat". A SOOF lift is performed typically using a subciliary lower eyelid incision just below the eyelash margin. Skin is lifted to expose the orbicularis oculi muscle. A lateral incision is made in the muscle to get below the muscle. Then dissecting inferiorly, you can access the SOOF. When you pull on the SOOF, it is connected to the nasolabial fold. A vertical lift of the tissue lifts and tightens the lateral cheek, smoothing out the nasolabial fold. This can be performed with permanent suture. Your surgeon then tightens the orbicularis muscle, deals with the lower eyelid fat pads, and conservatively removes excess skin. The whole effect is to elevate the cheek mass and get a younger looking eyelid. I hope this helps. Dr. Shah