What Causes Downturned Mouth Corners?
Mouth corner descent is rarely caused by a single factor. Common contributors include:
- Muscle imbalance:Overactive depressor anguli oris (DAO) pulling corners down
- Volume loss:Mid-face fat depletion reducing support for mouth corners
- Skin laxity:Collagen loss around the mouth reducing elasticity
- Bone resorption:Maxillary retrusion altering lower face proportions
At Rappoel Dermatology Clinic (77 Seocho-daero, Seocho-gu, Seoul), the director identifies the root cause of your downturned corners and selects the optimal treatment or combination approach.
Three Treatment Approaches
Option 1: Botox DAO Adjustment
Botox injected into the DAO muscle weakens the downward pull, allowing corners to rest in a more neutral or slightly upturned position. The quickest and least invasive option.
- Results: Visible in 1–2 weeks, lasts 3–4 months
- Pros: No downtime, natural appearance, combinable with other treatments
- Best for: Mild downturned corners or asymmetry
Option 2: HA Filler Volume Restoration
The Chaeum fillers placed around the mouth corners and nasolabial area rebuild the support structure, physically lifting the corners. Simultaneously smooths nasolabial folds.
- Results: Immediate, lasts 12–18 months
- Pros: Dramatic improvement, addresses nasolabial folds simultaneously
- Best for: Moderate downturn with volume loss
Option 3: Thread Lift Physical Support
APTOS fine threads create upward mechanical support around the mouth. Threads also stimulate collagen production for lasting results.
- Results: Immediate lift + long-term collagen stimulation, lasts 1.5–2 years
- Pros: Most durable, best for significant laxity
- Best for: Moderate to severe downturned corners with general facial sagging
How Does Rappoel Plan Mouth Corner Treatment?
The director observes both your resting and animated expressions to identify the primary cause. Many patients have both muscular and volume issues. Rappoel most commonly recommends the Botox + filler combination to address both layers simultaneously.
Post-Treatment Care
- Avoid lying down or vigorous exercise for 4 hours after treatment
- No pressing on mouth corners or wide mouth opening for 1 week
- Avoid saunas and hot environments for 2 weeks
- Slight stiffness in expressions is normal and resolves in 1–2 weeks
Frequently Asked Questions
Book a Mouth Corner Lift Consultation
📍 77, Seocho-daero, Seocho-gu, Seoul, South Korea
🕐 Mon–Fri 10:00–19:00 · Sat 10:00–17:00
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