I would like the corners of my mouth to be upturned. Also like to have more of a v shape to my face. Any suggestion? (photo)

I suggest botox and fillers to reshape these areas.  You need a formal consultation with a facial scuopting expert.  Best, Dr. Emer.

A combination of neurotoxins and fillers will address these concerns and help give you the changes that you want.  Be certain to consult an experienced board certified dermatologist who has a great deal of experience with these facial injections for the best cosmetic results.  Best, Dr. Green

Thanks for your question, and thanks for the photo as well. I always recommend you make a consultation with a board-certified dermatologist or plastic surgeon as we have the most knowledge and skill in providing the results you are looking for with the most sophisticated or with fillers and toxins – where we are the experts. I think with your age and changes that are seen, a combination of facial fillers and a small amount of botulinum toxin can make the changes you are looking for and you will be very happy. I am not sure a surgical procedure at this time is warranted.

Corner of the mouth lifts will upturn the outside of your lips. A More v-shaped face would come from a combined buccal lipectomy, perioral mound liposuction and vertical chin lengthening.

A corner lip lift operation  should give you the change in appearance that you want. It also may make your face look more heart shaped.