What options do I have for downturned mouth? (Photo)

Question

Am I dealing with the muscle being too tight and pulling my mouth down? Or is the issue volume loss? I’ve also gained weight recently and it seems like the lines are more pronounced now. Looking for treatment options and potential cost. Oh and I’m 34 years old. Thank you!

David Hansen, MD · Answer

Fillers such as versa, or restylane can fill in the grooves which make the mouth look sad and do it for only $650 for 1 syringe and immediately look better.

Jason Emer, MD · Answer

for significant downward turned mouth and lower face and neck sagging you need a face and neck lift. if you want "improvement" ... morpheus, threads, fillers, thermage can all be performed. start at home dermarolling now to build collagen (see link).

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend MTS roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  It appears to be a multifactorial issue of both strong depressor lip musculature and volume loss.  As a result I would recommend small amount of Botox and dermal filler placement for optimal results.

Matt Tahsini, MD · Answer

Hello and thank you for your question. I suggest a combination of fillers and Botox to help with your downturned mouth. The key is to find an experienced injector who will listen to your concerns and give you the look you desire. Bet wishes. 
Dr. T

Camille Cash, MD · Answer

You will find the best results from a combination of treatments.  Botox and fillers can be used to improve the downturned appearance of your mouth that concerns you.  See an expert injector near you for treatment.

Johnson C. Lee, MD · Answer

A downturned mouth can be improved with both filler and botox. The botox will relax the muscles at the corner of the mouth which naturally tether it down. The filler can add some support to the tissues in the corner to prevent further drooping. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Anteneh Roba, MD · Answer

You can have botox injection to the muscle that pulls the sides of your mouth and or add a hyaluronic acid filler. Combination treatments work well.

What options do I have for downturned mouth? (Photo)

Answers (7)

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