Poochy downturned smile; what non surgical options do I have to fix this? (photos)

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), 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.

Thank you for your pictures! This is a common question and problem that patients present with.  There are two great, non-surgical ways of dealing with this.  I find that a combination of both is key.  The first is filler.  Depending on the quality of the tissue, laxity, severity at rest, etc - a particular filler over another may be recommended.  This helps support the tissue in the right plane.  In order to eliminate the downturn pull, a small dose of botox to the DAO muscle relaxes it and softens that downturn.  Overall, I find that this combination works great with minimum downtime and maximum results.  Anyways, best of luck! I hope some of this helps.