Downturned mouth when talking and smiling - Can Botox help? Are there other options? (photos)

Question

Whenever my mouth is moving while talking or unconsciously smiling, it gets downturned like the attached photos. I’m not doing it intentionally and it really bugs me. I heard DAO Botox might help but im curious if there are permanent solutions as well.

Nima Shemirani, MD · Answer

Hi @Calm700774. You can inject a few units of Botox into the DAO muscle. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance. You would repeat this treatment a few times a year.

Edward Buckingham, MD · Answer

Neuromodulators such as Botox may be helpful with down turning at the corner of the mouth. Intradermal fillers may also improve this area if volume loss is a factor. An in office examination with you provider to discussion treatment options is recommended.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. It is possible that dermal filler injections would produce favorable results for lifting the downturned corners of the mouth. These hyaluronic acid formulas can offer a powerful, yet subtle lift by adding volume to targeted areas of the face. Results from dermal filler injections can last for up to a year or more. 
For a more long-term solution, a corner lip lift can raise persistently downturned corners of the mouth. This surgical approach involves removing a small sliver of skin at both oral commissures, or mouth corners, for an enhanced, long-lasting result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to determine the best approach to help you achieve your aesthetic goals.

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.

Camille Cash, MD · Answer

You may notice improvement with injections in DAO.  The final results are seen two weeks after injection and the effects will wear off gradually over three to four months.  Meet with an experienced injector to learn more.

Downturned mouth when talking and smiling - Can Botox help? Are there other options? (photos)

Answers (9)

Answer: Downturned Smile / Permanent Frown -- Combination of Fillers, Botox/Dysport/Jeuveau, RF Treatments (Thermage, Venus Legacy)

Answer: Downturned Smile / Permanent Frown -- Combination of Fillers, Botox/Dysport/Jeuveau, RF Treatments (Thermage, Venus Legacy)

Answer: Downturned mouth

Answer: Downturned mouth

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Downturned mouth when talking and smiling - Can Botox help? Are there other options? (photos)

Answers (9)

Answer: Downturned Smile / Permanent Frown -- Combination of Fillers, Botox/Dysport/Jeuveau, RF Treatments (Thermage, Venus Legacy)

Answer: Downturned Smile / Permanent Frown -- Combination of Fillers, Botox/Dysport/Jeuveau, RF Treatments (Thermage, Venus Legacy)

Answer: Downturned mouth

Answer: Downturned mouth

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.