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

Question

Hi there I'm a 43 yr old woman and have lost some weight (about 20 lbs) in the past couple of years. Since then I've noticed My smile is extremely poochy around the corners of my mouth and also downturned.  Thanks!

Jason Emer, MD · Answer

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.

Miguel Mascaro, MD · Answer

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.

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

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