Drooping Corners of the Mouth Treatment in Surat

Downturned corners of the mouth make a resting face look sad or disapproving. A few units of Botox into the depressor anguli oris, the muscle that pulls the mouth corner down, release that pull so the corner sits more neutral. Filler is often added to support the corner. At Elegance Clinic in Surat this takes about 10 minutes with no downtime.

Why the Corners of the Mouth Turn Down

Two things happen with age. The depressor anguli oris, a small triangular muscle running from the corner of the mouth down to the jawline, keeps its strength and shortens with years of use. At the same time the fat and skin that support the corner of the mouth lose volume and descend. The corner is pulled down and no longer supported from below, so it settles into a permanent slight frown.

The effect on how you are perceived is out of proportion to the millimetres involved. A corner that sits two millimetres low reads as sadness, tiredness or disapproval to everyone who looks at you, regardless of your actual mood. This is one of the most common reasons patients say they look unhappy in photographs when they felt fine.

How the Treatment Works

Botox to the depressor anguli oris. Two to four units are placed low, near the jawline where the muscle is well away from the muscles of the smile. Releasing the downward pull lets the levator muscles lift the corner slightly. Placement matters enormously here, because the depressor labii inferioris sits nearby and treating it by mistake causes a temporary crooked smile.

Filler to the oral commissure and marionette line. A small amount of hyaluronic acid placed just below and lateral to the mouth corner rebuilds the support the corner has lost. This treats the descent rather than the muscle.

Used together they address both causes, and this combination gives a better result than either alone in most patients over forty.

The Treatment, Step by Step

1. Assessment of the mouth corner at rest and while you pull the corners down deliberately, so the muscle can be identified precisely.
2. The plan agreed, including whether filler is used at the same visit.
3. Numbing cream for comfort.
4. One or two very small injections per side, taking about 10 minutes, plus filler if planned.
5. Review at two weeks.

Results, Downtime and How Long It Lasts

There is no downtime. The Botox effect begins at 3 to 5 days and completes at about 2 weeks, lasting 3 to 4 months. Filler placed at the corner is visible immediately, settles over two weeks and lasts 9 to 12 months.

For 24 hours avoid rubbing the area, heavy exercise, saunas and steam. If filler was used, also avoid dental treatment and very hot drinks for 48 hours.

Risks and Who Should Not Have It

The main risk is a temporary asymmetry of the smile if the injection is placed too high or too medially and affects a neighbouring muscle. It resolves as the effect wears off, and it is avoided by injecting low and laterally with a small dose. This area is not suitable for a generous or approximate technique.

Treatment is postponed or avoided in pregnancy and breastfeeding, active skin infection or cold sore at the site, certain neuromuscular disorders, and known allergy to a component of the product.

Cost in Surat

Few units are needed for the Botox component, so it is inexpensive on its own and often added to another area in the same appointment. Adding filler increases the cost. A price is quoted after your face to face assessment, before anything is injected, and EMI options are available.

Frequently Asked Questions

How much lift can I expect at the mouth corner?

A subtle one, usually one to two millimetres. It is enough to remove the sad resting expression, not enough to change the shape of your smile.

Will it change how I smile?

No, at a correct dose and placement. The injection is deliberately kept low and lateral, away from the smile muscles.

Do I need filler as well?

Often yes, if the corner has also lost volume and support. Dr. Shah will tell you at the consultation whether muscle, volume or both are causing your downturn.

How long before I see the result?

Botox at 3 to 5 days with the full effect at two weeks. Filler is immediate.

What else is usually treated at the same time?

Most commonly marionette lines, lines around the mouth and chin dimpling, which are all part of the same lower face pattern.

How long does treatment for downturned mouth corners last?

The Botox effect begins at 3 to 5 days, completes at about 2 weeks and lasts 3 to 4 months. Filler placed at the corner is visible immediately, settles over two weeks and lasts 9 to 12 months. There is no downtime.

Is treatment for downturned mouth corners safe, and who should avoid it?

The main risk is a temporary asymmetry of the smile if the injection is placed too high or too medially and affects a neighbouring muscle. It resolves as the effect wears off, and it is avoided by injecting low and laterally with a small dose. Treatment is postponed or avoided in pregnancy and breastfeeding, active skin infection or cold sore at the site, certain neuromuscular disorders, and known allergy to a component of the product.

How much does it cost in Surat to lift downturned mouth corners?

Few units are needed for the Botox component, so it is inexpensive on its own and often added to another area in the same appointment. Adding filler increases the cost. Elegance Clinic quotes a price after your face to face assessment, before anything is injected, and EMI options are available.

Book a Lower Face Consultation in Surat

Treatment for drooping mouth corners at Elegance Clinic is performed by Dr. Ashutosh Shah, M.B.B.S., M.S., M.Ch., D.N.B., a board certified plastic, cosmetic and reconstructive surgeon with over 22 years of surgical experience, at our Adajan clinic in Surat. Book an appointment or browse all Botox treatments in Surat.