Would I benefit from a facelift to help downturned mouth? (Photo)

Question

I'm 39 and trans. Would I benefit from a facelift to help my downturned mouth? or would something else help?

Jeffrey H. Spiegel, MD · Answer

You've had a liplift, but you will benefit from a corner lift to get the sides of your mouth elevated.  I do those regularly in the office and they are very effective for this issue.
We could also likely improve some other facial features if desired.

Semih Yildiz, MD, FEPOBRAS · Answer

At 39, a full facelift is not always the first or best answer for downturned mouth corners unless there is clear lower-face laxity. In the photos, there appears to be some downturn at the oral commissures and mild lower-face heaviness, but the images are limited and an in-person exam would be needed to judge skin laxity and facial support.

For this specific concern, non-surgical options are often worth discussing first: a small amount of neuromodulator to the DAO muscle, careful filler around the marionette area or chin support, and sometimes skin tightening if laxity is mild. If the main issue is jowling, loose neck skin, or deeper lower-face descent, then a lower facelift or neck lift may be more appropriate. The right plan depends on whether the downturn is caused mostly by muscle pull, volume loss, dental/chin support, or skin laxity, so a consultation with a facial plastic surgeon who can assess you dynamically while speaking and smiling would be most useful.

Zoran Potparic, MD · Answer

Based on these photos, you do not seem to be a strong candidate for face lift. Downturned mouth corners can be corrected with a simple surgery where scar is placed in the lip and commissure border and is barely visible. In person consultation with a board certified plastic surgeon with expertise in this procedure is recommended. Good luck.

Matt Novak, MD · Answer

A facelift is typically performed to address signs of aging in the lower half of the face and neck, such as sagging skin, wrinkles, and jowls. While a facelift can provide a more youthful appearance to the overall face, it may not be the primary solution for correcting a downturned mouth.
If you are specifically concerned about the appearance of a downturned mouth, you might want to consider other procedures that are designed to address this issue more directly. Here are a few options to discuss with a board-certified plastic surgeon or facial plastic surgeon:
1. **Corner Lip Lift**: This surgical procedure involves making small incisions at the corners of the mouth to lift and reposition the lips, creating a more youthful and upward orientation. It can help improve the appearance of a downturned mouth.
2. **Fillers or Fat Transfer**: Dermal fillers or a fat transfer procedure can be used to add volume to the area around the mouth and lift the corners of the lips. This can create a more balanced and youthful appearance.
3. **Botox**: In some cases, Botox injections can be strategically placed around the mouth to relax the muscles that pull the corners of the mouth downward. This can provide a temporary lift to the mouth area.
4. **Combination Procedures**: Depending on your specific facial anatomy and goals, a combination of procedures, such as a facelift along with lip lift or filler injections, may be recommended to achieve the best results.
It's crucial to consult with a skilled and experienced plastic surgeon who can assess your individual facial anatomy, discuss your goals, and recommend the most appropriate procedures to address your concerns. They will work with you to create a customized treatment plan that targets the downturned mouth and provides the rejuvenation you desire while maintaining natural-looking results.

Would I benefit from a facelift to help downturned mouth? (Photo)

Answers (4)

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