Why are my mouth corners turning down when I smile? (Photos)

Question

When i smile my mouth corners are pointing down but I want them to go upwords. See photos.

Nima Shemirani, MD · Answer

Hi @elena1200, You can inject a few units of Botox into the DAO muscle. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance. You would likely repeat this treatment a few times a year.

Jason Emer, MD · Answer

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Close up photos in repose as well as with smiling would have been very helpful. In general, however, an experienced injector, using an appropriately robust HA in the proper locations at the corners of the mouth, can buttress this area sufficiently to resist the downward folds with smiling. You would be wise to consult with a board certified cosmetic dermatologist. Best of luck.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics especially on young people is primarily based on facial skeletal structure.
Soft tissues tend to be fairly consistent from person to person.
I don’t see the corners of your mouth turning down but see premature development of a marionette lines.
Marionette lines are complex and difficult to treat.
The most common treatment is to use fillers but the problem is not based on a loss of volume so adding fillers often doesn’t give much improvement.
The corners of the mouth are highly complex anatomic areas that are influenced by many different muscles a facial expression which in the end have their origin at different points on the facial skeleton.
Manipulation on this part of the face is very difficult to do.
Some providers try to correct some of these issues by weakening the depressor anguli oris muscle using Botox.
My experience doing this treatment is the smile becomes wider but it does not turn up the corners of the mouth the way some other providers claim.
Best,
Mats Hagstrom MD

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Your smile looks great,  You can try Botox to help a little and the good news is if you don't like it it will go away!  See an expert injector. Best of luck!

Why are my mouth corners turning down when I smile? (Photos)

Answers (5)

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