It looks like I'm scared/nervous/crying when smiling, what procedures? (Photo)

Hi, You look fine. It just looks like you are trying not to laugh, or you are holding back on your full emotion. Some people will do that if they aren’t happy with their teeth and are afraid to smile with teeth. Perhaps if you are writing from Germany, the culture frowns upon showing too much emotion, so you are afraid to smile with teeth for that reason. Perhaps the reason the corners of the mouth appear to go down is that you are smiling which lifts the cheeks and corners of the mouth, but you are intentionally or unintentionally covering all of your teeth which purses your lower lip and causes a slight indentation at the corners of your mouth. My guess is that this is not the case when you are not smiling and you look fine. Hope this provides you with some value. Good luck. Best, Dr. Yang

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Hi, please feel free to book in for a complimentary consultation with one of our experienced nurses to address your concerns and you can point out the exact things you would like to correct.
Thank you, warm regards, The Absolute Cosmetic Medicine team.

Dear Terrific,
You may try Botox injected below your lips at the chin level. There is a muscle (DOA) which pulls the corners of the lip downward. Botox weakens this muscle allowing the corner of the lips to raise up.
Best wishes.
Dr. Taranow

You don’t need any intervention from an outside agency in order to help your smile. All you have to do is spend some time in front of a mirror and control your smile to the point where you like what you see. Practice is all it takes. Good luck from your city Plastic Surgery