How to make oral commissure look longer and uplifted?

Dermal fillers can subtly increase the overall length of your lips and also help support the corners of the mouth to give them that upturned look. Neuromodulator (like Botox or Dysport) can also help by temporarily relaxing the muscle that pulls the corners of the mouth down.

The only procedure I know of to attempt this is the weaken the muscle the pulse the corner of your mouth down and in. That muscle is called the depressor anguli Oris. (Latin for pulling down the corner of your mouth). Weakening this muscle with Botox causes the opposing muscles to exert force in the opposite direction of the weakened muscle. From first-hand experience it does not have a major impact on static expression but during dynamic facial expression it will widen the corners of the mouth.

In other words with a neutral expression it will not lift the corners of the mouth or widen it but when you speak or smile the corners of the mouth widen. It does not lift the corners of the mouth as much as others claim.

Best,

Mats Hagstrom MD