Do you recommend Botox around the mouth to prevent corners of the mouth from drooping?

Doctor Answers 14

Botox in the DAO

Thank you for your question maggielage. Botox is a purified protein used to address wrinkles associated with facial expression. A small amount of Botox (2-4 units) can be placed in the DAO muscle in the lower face. This muscle pulls down on the corner of the mouth. When relaxed with Botox, the corners of the mouth can elevate by about one millimeter. It is important to use a very small amount because if it spreads to the nearby DLI muscle it can lead to a temporary asymmetric smile. Fillers such as Juvederm and Voluma can further enhance the area around the lips. Please consult with a doctor for specific recommendations. Good luck!

Encino Physician
5.0 out of 5 stars 4 reviews

Do you recommend Botox around the mouth to prevent corners of the mouth from drooping?

Hello, and thank you for reaching out to us. Treating drooping is relatively common. This can be accomplished but will require a consultation - so that we determine the proper method and treatment plan to get the look you envision. 

Good luck, please let us know how it goes.

-Dr. Constantino Mendieta

Constantino G. Mendieta, MD
Miami Plastic Surgeon
4.5 out of 5 stars 153 reviews

Droopy mouth following Botox

Dear maggielage:

Good question.

Consider the mouth like a bicycle tire with a round set of lip muscle within the tire and spoke like muscles radiating outwardly. The central round muscles purse the lips into a "kiss". The radiating muscles pull the lip circle into its various shapes and openings.

A pair of the radiating muscles called the DAO (depressor anguli oris) pull the mouth / lips toward the 4 o'clock and 8 o'clock direction. When this muscle is relaxed with Botox, it allows the 5 pairs of muscles above the horizontal line of the lip corners to lift upwardly. 

Should too much or too many muscles above the lip be relaxed, the lower lip radiating muscles may pull the oral complex lower, toward the jawline.

The use of Botox is a balancing act. Your injector must understand the dynamics and amounts of Botox to use to achieve your desired appearance. This is an advanced technique and not easily understood by all injectors. Please choose a Board Certified, talented, artful, skillful and experienced Plastic Surgeon to review and perform your injections. 

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 82 reviews

Botox Around Mouth To Help Drooping

Lifting around the mouth can be treated with Botox.  In our practice we combine Botox with other fillers "layered" on top to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Botox for mouth droop

Thank you for asking about your Botox.
  • Yes, Botox can be injected  to raise the corner of the mouth.
  • There are two places where it can be done -
  • The result is usually very pleasing.
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Botox for the corners of the mouth.

Many patients can get very nice results with lifting the corners of the mouth with Botox.  The treatment is given to the muscle called the DAO (depressor anguli oris).  However, this is an advanced treatment and should only be performed by a skilled injector with experience in this area.

A more common treatment for the corners of the mouth is to use a filler like Juvederm.  However depending on your particular anatomy Botox, Fillers, or both might be the best treatment for you.  Your best bet is seeing an experienced cosmetic physician to discuss your treatment options. 

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 24 reviews

Combination BOTOX/FILLER

Without physically seeing you we can't say for certain which treatment would be best but usually a combination of BOTOX with filler would give a nice lift to the area.

James Mirabile, MD, FACOG
Overland Park OB/GYN
5.0 out of 5 stars 6 reviews

Not as good as filler

Thanks for the question.  Botox can definitely help with this area, but in most patients fillers are really what are needed.  Sometimes a combination of Botox and Filler will do the trick.  

"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Brian Arslanian, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 26 reviews

Botox for Drooping Mouth Corners?

Botox in combination with fillers can improve the appearance of drooping mouth corners. Both the filler and Botox must be injected into the correct places anatomically. A surgery called the corner mouth lift can give a more permanent upturned corners of the mouth.

Millicent Odunze-Geers, MD, MPH
Sacramento Physician
4.7 out of 5 stars 6 reviews

Botox into DAO for dropping of corners of mouth

I commonly inject 2-4 units of Botox into each DAO to help upturn the corners of the mouth. It's a very popular treatment at our clinic in the appropriate patient. 

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 60 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.