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Three Part InjectionTechnique To Lift Droopy Mouth Corners

Posted: 6:59 p.m. Friday, April 3, 2015

By Anita Mandal, M.D.
Question: I have droopy mouth corners but do not want surgery. I’ve had Restylane® and Juvederm® but they don’t work very well. Is there a better filler?

Answer: Finding a qualified Facial Plastic Surgeon who is familiar with the complexities of facial anatomy in order to identify the true cause of your mouth corner aging is the first step. The appearance of droopy mouth corners (MC) can be due to heavy jowls pushing down on the MC, loss of tone and support of the MC itself, volume loss with a deepening groove between the MC and jawline or a combination of any of the above.

When sagging jowls push down on the MC, the jowls should be tightened and lifted. This can be achieved with the no downtime Infini Radiofrequency “Laser.” Ultherapy is an alternative but is typically not as effective as Infini. In mature patients, facelift surgery may be needed.

When there is volume loss or diminished support of the MC, my three-angle injection technique can effectively improve some of the most difficult to treat MC’s. I typically place a horizontal injection entering just lateral to the MC and injecting a stream of filler along the lower lip edge. A second vertical injection starting below the MC and directed upward to deposit an “invisible” shelf of filler can maintain the lifted MC. A third injection angled 45 degrees towards the MC to lift and restore volume can give the finishing touch.

In addition to mastery of injection technique, the correct choice of filler is key. In your case, Restylane or Juvederm may not be heavy enough or placed deep enough to give the desired results. A more suitable filler such as Radiesse or Bellafill placed deeper within the tissues can give a more effective MC lift. The advantage of Bellafill is that it lasts a long time, unlike Radiesse which typically lasts a year. Bellafill is more costly than temporary fillers due to its “added value” benefits, making it the “Bentley” of injectable facial fillers.

Careful consultation with a Board Certified Facial Plastic Surgeon to determine the best approach for your droopy mouth corners is the first step.


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