Fix a young person's permanent frown? (Photo)

Question

Hi! I have always had full lips that curve down at the ends. It is becoming more severe as I get older, and it makes me look really unhappy or mean when I am not aware of my face. Somethings I think it is muscular because I feel it in my jaw. It's like I am only comfortable frowning. I would love to fix this, as it has also caused an imbalance because the right side of my face is always tenser than the other and it contributes to the frown. Is there a simple solution to this issue? Thank you!

David Hansen, MD · Answer

Adding a little filler in the outer 1/4 of the lower lip on both sides will help a lot in making a sad mouth look better.  It makes the lower lip bigger looking so the over-sized upper lip will be more proportionate.

Jason Emer, MD · Answer

A downturned smile or permanent frown can be improved with a combination approach, including Botox/Dysport, 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.

Anshul Gambhir, MD · Answer

The DAO (depressor anguli oris) muscle is associated with frowning.Botox can be used in the DAO muscle to help reduce your ability to frown therefore improving the resting appearance of your mouth. Typically just a small amount is used and repeated every 3-4 months. The full effects of Botox typically kick in in about 2-10 days!

Shaun Patel, MD · Answer

A small amount of Botox or Dysport could be injected into the DAO (depressor anguli oris) muscle to help with your concern. This muscle pulls down the corners of the mouth.

Leonard Grossman, MD · Answer

I would start with a small amount of Botox in the DAO, it's very effective in most people. If not successful, there are surgical options available. Good luck from New York City.

Alain Michon, MD · Answer

Thank you for your question. Downturned mouth corners can easily be improved with Botox injections at the DAO muscle. This will prevent the muscle from pulling down. Dermal fillers can also be use in conjunction to support lips corners. I recommend seeing and expert in your area. All the best, Dr Michon

Mohammed F. Ahmad, MD · Answer

Hello. Thank you for your question. This can be improved by getting a neuromodulator (Botox/Dysport/Xeomin) injected into your DAO's. By relaxing those muscles it will help keep your smile from pulling down.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! This is typically caused by three factors. Muscle tension (the DAO muscle that runs from the corner of the mouth to the jawline), loss of volume, and increasing skin laxity. I would recommend treating at least two of these contributors for the best result. The DAO can be treated with Botox which will cause a relaxing affect to the muscle pulling your mouth downwards. Loss of volume can be addressed with filler in the cheeks to lift the tissue upwards, as well as in the corner of the mouth to support the tissue there. Increasing skin laxity can be addressed with deep collagen stimulating procedures like Ultherapy or Exilis Ultra. By tightening the tissue you will draw the skin upwards, giving a lifting affect to the corner of the mouth. Good luck to you! Sarah RN BSN

Harrison C. Putman III, MD (retired) · Answer

There are temporary ways to lift the corners of the mouth with fillers that can last 1 to 2 years. There is a surgery called "corner of the mouth lift", but it does require an external incision which is visible on close observation, and the procedure must be done meticulously. Consult a board certified FPS or PS who can advise you.

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Fix a young person's permanent frown? (Photo)

Answers (9)

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