What are my options for treating sagging around the outer corners of my mouth? (Photo)

You are in the early stages of sagging that really can only be properly addressed with a facelift.  You are a bit young to have a facelift, but other so called quick fixes are usually a dissappointment.  I advise you hold off for a few years  until you feel a faceluft would be worth undergoing.

The depressions between the corner of the mouth in the jaw line can be treated with fillers. There is the development of jowling which would be best addressed by a facelift. The choice of treatment is contingent upon your expectations

Either fillers or fillers plus a very small amount of Botox should be able to improve the appearance. Filler will plump the area that is currently in a shadow to minimize the appearance of sagging. Botox will relax the muscles that pull down the corners of the mouth and minimize the appearance of downturn. For patients with a"chubby" face, sometimes the filler will add a little too much bulk if you try to correct the area fully, and surgery may be the answer. However, it is definitely best to try filler first since you will most likely see major improvement even if it's not fully corrected. Good luck. 

Turning up the corners of the mouth can be achieved by using a combination of fillers and Botox. A small amount of Botox can be injected into the depressor anguli oris, the muscle that turns down the mouth corners. In about a week, the downward pull on the corners relaxes and the upward pull of the smile muscles takes over and essentially turns your frown "upside down!." Fillers like Restylane, Juvederm and Radiesse also can be used to help turn up the corners of the mouth and fill in the pre-jowl areas and marionette lines.

Hi,the first option for your problem would be fillers (Hyaluronic Acid first and then if you like the result, Radiesse after the HA filler has started going away)the second would be a lower face liftwarm regardsprashant

The best treatment for this is a face lift.  The least expensive (initially) is collagen injection.  If you like the collagen injections, consider fat transfer to the area and cheeks.

can be transformed to happy mouths with a variety of surgical procedures and fillers.  See a local plastic surgeon and he/she should be able to provide you a menu from which you can choose from, depending on what your goal and expectations are.  Fillers alone will make your face fuller so understand that before simply injecting away.

The area depicted you the posted photo is known as "marionette lines". Fillers work well in this area. If a more permanent but possible scar have a oral commissure lip lift... 

Down-turned corners of the mouth are a natural result of the aging process when gravity effects the cheek tissue pulling it down. The simplest way to help camouflage this is by adding a filler in the depressions. This is a temporary fix that will last several months.A relatively simple surgery under local anesthesia that I have used is a corner of the mouth lift which hides the incisions on the lip border. This gives a much longer lasting result. 

There can be many reasons for the sagging at the corner of the mouth. Because of this it is one of the more interesting areas of the face. Babies often will have this. It can be due to a relative excess of fat. It can also be caused by loss of soft tissue in the groove (marionette line). A recessed or hypoplastic mentum or chin bone may be a reason. Finally, aging itself can cause a decent of the mid-face and cheek soft tissue and a lifting in a direction perpendicular to the line can be helpful. A photo comparison with your face at a younger age will help with the diagnosis. Fillers in the groove may be helpful and least expensive but I suspect that midface lifting would be more of what you might require.Robin T.W. Yuan, M.D.