Do I need Botox or fillers (or both) for my downturned lips? (photo)

Thank you for your question and your photo. Neurotoxin injections and filler injections
used together have been recommended to lift the corners of the mouth. I recommend that you consult with a certified
injector to discuss your needs and options.
I wish you luck.

I would suggest using a small amount of an HA filler like Juvederm Ultra or Restylane Silk to turn up the corners of your mouth. #restylane   #juevederm   #allergan   #galderma

You have nice skin and beautiful shape to your lips and lower face. Based on your photo I would recommend a small amount of filler to your lateral lips and corners of your mouth. Just adding some filler to these areas should give you a nice, natural result. I would use Juvederm Ultra or Restylane.  Please consult a board certified dermatologist or plastic surgeon experienced in dermal fillers. Best wishes.

Based on your photo, your lower face looks beautiful and by doing too many things it is easy to make it worse. It is already close to being perfect so the treatments would need to be very delicate.Both Botox and fillers could help but in very small doses.Make sure that you see experienced doctor who has done many non-surgical treatments in his/her carrier - clearly, you do not need surgery.I hope that helps and best regards, Dr. Sapijaszko.

I have been using Botox for aesthetic purposes since 1991. On occasion, it is used to treat the depressor muscles in part responsible for giving rise to the downturned angles of the mouth--especially when they are so pronounced as to create marionette (sad) lines, i.e. furrows that extend from the corners of the mouth downward toward the sides of the chin. But, clearly from the photo here, this is not the case.The slight shadowing at the angles of the mouth that is evident here can be easily, quickly and relatively inexpensively treated with a filler. My filler of choice for this purpose in my Upper East Side Manhattan practice would be  Restylane Lyft. In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt for Hyaluronica 2).Be sure to consult with a board certified aesthetic core physician with experience and expertise in the use of fillers and volumizers and be certain to ask to see his/her before and after photos before proceeding.Best of luck.

Thank you for your photos and question. You have very nice volume and shape to your lips. Although both fillers and botox can be used, I would suggest to start with a conservative amount of juvederm in the corners of your mouth to slightly curl the corners up. Be sure to consult an experienced board certified plastic surgeon for this treatment. Hope this is helpful. James Lee

If a lift is what you need Botox is probably best. Filler could be used if you need more lift or would like some volume in the lower lip. Your upper lip has good vertical height. Some shape for the center of the lip may be very pretty. 

I appreciate your concern, you have a very pretty face, so I would recommend conservative lip augmentation with Hyaluronic Acid, like Juvederm plus. Another option is fat transfer which is more permanent. Seek out a board certified plastic surgeon in your area, Good Luck!

Thank you for sharing your question. Both Botox and fillers can elevate the corners of the lips. If you are not looking to add volume to your lips, first try Botox. Good luck,

Both Botox and filler can help raise a down turned mouth.  You do not require a large amount so please consult an experienced cosmetic dermatologist or plastic surgeon for treatment.