My face always looks sad. What can I do? (photos)

Question

My face always looks sad. I am 35 years old. Many years ago i had some fat transferred to my nasolabial folds however i do not feel that it looks any better. If anything it may even look worse. My mouth always seems to have a downward turn too and when my face is resting It never looks attractive. Is there anything that I can do that is likely to help me? Also, soon I will undergo orthognathic surgery for an under developed lower jaw as per orthodontists recommendation.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. The downturning of your lips certainly contributes to the feeling that your face always looks sad. I suggest that you move forward with a consultation with a board certified facial plastic surgeon. In your in-person examination, you and your surgeon can explore the combination of lip augmentation with Voluma, which adds volume to the facial contours and your cheeks for a healthful and more youthful appearance.Best wishes,

Jason Emer, MD · Answer

My suggestion is an in person consultation with a laser and filler expert.  I suggest a combination of Botox, fillers (Restylane, Juvederm, Belotero)/Sculptra, or fat. See an expert. Best, Dr. Emer

Steve Laverson, MD, FACS · Answer

We humans are indeed sensitive to unspoken communication by facial expression, as are non-human species.  Wait until healed from orthognathic procedure(s), because your facial features will be changed.  If you're still frowning at rest, consider corner of lip lift, which will produce a more neutral expression, or, if you want, a subtle smile.

Nelson Castillo, MD · Answer

Thank you for your question and photograph.  Though nothing replaces an in-person examination and discussion of your goal results I would advocate for dermal filler placement into your cheeks and conservative placement of dermal filler into your lips to help add volume and improve the downturned appearance of your lips.  If filler alone does improve the corners of your mouth, Bbotox can be added later to help.  Hope this helps.

Michele S. Green, MD · Answer

A small amount of Botox can help turn the DAO's in the lower face and it is best to combine with a filler like Restylane Lyft.  Please consult a specilaist.  Best, Dr. Green

My face always looks sad. What can I do? (photos)

Answers (9)

Answer: My face always looks sad. What can I do

Answer: My face always looks sad. What can I do

Answer: Botox and Face turned down

Answer: Botox and Face turned down

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Everything you need to know about Lip Fillers

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My face always looks sad. What can I do? (photos)

Answers (9)

Answer: My face always looks sad. What can I do

Answer: My face always looks sad. What can I do

Answer: Botox and Face turned down

Answer: Botox and Face turned down

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.