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It's difficult to say without the benefit of a formal evaluation. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.
I encourage you to visit with an expert injector near you to discuss your concerns. Often times a combination of Botox and fillers can help improve asymmetry and contours of multiple facial areas. Your expert injector will guide you on what is best for you based on your goals for treatment.
First of all, you have a beautiful smile but if you are not happy with the slight downturn corners, injecting a small amount of botox to the depressor muscles can certainly relax the position of your corners. You may be able to achieve a more neutral position of the corners of your smile with botox. Hopefully you can try this treatment.Keep smiling!
I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...
The effects of Botox are temporary, typically lasting three to four months. Consistent Botox use may lead to muscle atrophy so you may get more longevity long term. Many patients use Botox for years, even decades because they are so satisfied with the results.
Thank you for including a photo along with your question. Based on the photo provided, you may benefit from masseter Botox. Botox to the masseter muscle will soften your jawline and create a slimming effect. I recommend scheduling an in-person consultation with a reputable board-certified facial...