Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Tuesday, April 8, 2008

Mouth Corners / Marionette Lines

My mouth droops at corners....kinda makes me look like a am frowning all the time Crying or Very sad
Top lip is thin, I am OK with fullness of bottom lip and dont really want to mess with that.
Any ideas that will make the corners turn up some?? Someone suggested Botox,but I would think that would make it worse
Would a filler on top lip only accentuate the problem?
THANKS!

hi
sorry for the delay
i think that botox would be a very good idea - the corner of the mouth is pulled down by a muscle called the dao muscle.
weakening it will raise the corner of the mouth. this should only be done by an experienced injector, however, since too much will cause problems.
i would put 4 units per side, divided into an upper point and a lower point.
the other option is filler.
a bit of juvederm or restylane in the marionette lines will also go a long way toward smoothing out that area. filler on top should be a good idea, just not too much.

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