Which do you use to correct a downward turn to the corners of the mouth, Botox or Juvederm?

Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Silhouette InstaLift

Q. My mouth has a downward turn, which makes me looks upset when I am not. I’m trying to determine if it’s Botox I need or Juvederm to put the corners in a straighter, or ever upward, position. Any answers would be greatly appreciated!

A. Botox relaxes muscles so the opposing muscle will pull more efficiently in the opposite direction. Use of Botox in the DAO muscle may lift the corner of the mouth but not the entire nasolabial fold or cheek.

Fillers like implants increase volume and push outwardly. Placed into the nasolabial fold, there is equal “fill and push” toward the cheek and the lip. 

I might suggest the use of the Silhouette InstaLift (SIL). This updated minimally invasive suture lift technique has in my hands provided the directional lifting at the unique points you desire. The sutures themselves are made of a collagen stimulating molecule to maintain the positioning without surgery.

The SIL is a relatively new device, new technique and should be placed with those skilled, artsy and talented, Board Certified Plastic Surgeons with the most experience.

Good luck!

This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

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