I have a very sad mouth that when relaxed my lips don’t meet and never have. Options? (photo)

Hello anon2242934There various procedures available, i would advice you schedule a consultation with  board certified plastic surgeon.

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.

Your down-turned mouth corners and hollow cheeks can be corrected with a liquid lift, a strategic combination of injectable treatments. To start, I would use Voluma to contour and lift your cheeks, and Botox to relax the muscles that are pulling down the corners of your mouth.Good luck!

It appears that you need volume. There are many ways to accomplish this goal, from fillers to fat transfer, and it will make a modest improvement. Ultimately we cannot change anatomy with these treatments, but can augment what you have. A small amount in the lips, some at the corner of the mouth, and then enough in the cheeks for a slight lift would look nice. 
Hope this helps.
Best of luck,
DrC

from the photos you have provided I would recommend some Botox to relax the mentalis and depressor anguli oris muscles. This would help but honestly, if you were my patient I would not operate until you were ready for a facelift. The opinion that a facelift doesn't correct a sad mouth doesn't make sense. If a sad mouth is becoause of the downturned mouth and jowling, then a face and neck lift is exaclty the answer. The lips not touching can be from other skeletal deficiency such as small chin or receded lower jaw. But I can not comment on that as I don't have that info. Best of luck Dr M