What is the best thing to turn my upside down smile up? (Photo)

Hi, from what I can see from the pictures, you would be a great candidate for a short scar lower face and neck lift and some fat grafting to have a more youthful face. The wrinkle that you are lifting with your finger does not get better with surgery but with a filler after the foundation of the area has been improved with fat grafting. Those wrinkles on the sides of then chin are a combination of loose skin, fat atrophy and skin thinning.

Thank you for your question and sharing your photographs.

If you would like to evaluate what a deep plane facelift can do for the appearance of your lower face and mid-face, I suggest that you lie down completely flat without a pillow and examine the appearance of the lower face, jawline, and corners of the mouth. I suspect that you will find it produces the type of change that you wish to achieve.

A strong complement to the appearance of the face is the contour of the neck, and I believe that in your situation, the combination of deep plane facelift and deep plane neck lift is more likely to lead to an overall effect that is both softer and flattering, with a natural look.

The treatment that will work most effectively and for the longest duration is a deep plane facelift. This will address the midface, the lower face including the jowl, marionatte lines, corners of the mouth, and neck comprehensively.