Had a facelift 12/22 to rid myself of the downturned corners of my mouth. It didn't work. Does the skin need to be tighter?

For one thing, we could do a lip lift with corner lift which will get rid of that to a large extent. Then, for any additional skin issues we could do some localized energy skin tightening or ellacor.
All of these are office procedures. Start with a video consult and we go from there.

Firstly, it's important to understand that a facelift will not correct a downturned mouth. While it can address the jowl area, the downturned mouth is influenced by the Depressor Anguli Oris (DAO) muscle. With a facelift procedure, a portion of the DAO can be excised. Additionally, skilled injectors can use Botox to address this issue, as can skilled facelift surgeons. Correcting a downturned mouth is quite complex and may involve a combination of techniques, such as adding volume to the area, including the commissure.

You may still have some skin laxity but it’s easier to tell in person by feeling the area then in photos. I recommend asking your plastic surgeon if the area along your jawline can be tightened any

Pullin on the mouth with a facelift may not always correct the downturn mouth. Sometimes, the corners need to be addressed specifically, and the corners removed. This will leave small scars by your lips.