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Treatment / Procedure

Botulinum Toxin for Downturned Mouth Corners

In selected individuals where the activity of the muscle pulling down the mouth corner is predominant, a more balanced dynamic appearance may be targeted.

Short answerIn selected individuals where muscle activity pulling the corners of the mouth downward is dominant, a more balanced dynamic appearance can be aimed for.

What is Botulinum Toxin for Drooping Mouth Corners?

The goal in botulinum toxin applications is to temporarily and in a controlled manner modulate target muscle or gland activity. The outcome varies according to personal anatomy, muscle strength, application area, and clinical goal.

Who can it be evaluated for?

Because the lower facial muscles work together during speech and smiling, a detailed evaluation in terms of asymmetry and functional effects is required.

Pre-procedure evaluation

Our approach in our clinic is to evaluate history, dynamic examination, facial or functional anatomy, asymmetry, previous procedures, and the individual’s goals together, rather than applying a standard point pattern. In the evaluation, the individual’s medical history, anatomical characteristics, previous procedures, and treatment expectations are addressed together.

Scientific evidence

The use of botulinum toxin in this field is addressed within the framework of clinical research and expert assessments. Appropriate patient selection, a well-defined goal, and personalized evaluation are the foundation of treatment.

When does the effect start and how long does it last?

The effect usually begins to emerge within the first few days and becomes more pronounced in subsequent days. The duration can vary according to the application area, muscle activity, and individual biological differences. The timing of the follow-up examination is planned according to the type of application.

Possible side effects

Pain, tenderness, bruising, or headache may occur at the injection site. Region-specific effects such as temporary asymmetry, unintended weakness in adjacent muscles, changes in eyelid/eyebrow position, changes in oral functions, or difficulty swallowing may develop. Rare but serious generalized muscle weakness, swallowing, or breathing difficulties require emergency medical evaluation.

Who might it not be suitable for?

Active infection in the application area, known hypersensitivity to botulinum toxin components, and certain neuromuscular diseases require special caution. Pregnancy/breastfeeding, anticoagulant use, aminoglycosides or medications that can affect neuromuscular transmission, and previous botulinum toxin procedures should be shared with the physician.

Post-procedure considerations

It is appropriate not to rub or heavily manipulate the application area unnecessarily on the same day. Short-term redness, tenderness, or small bruises may be observed at the injection sites. Daily life can often be resumed in a short time; if heavy exercise, intense heat exposure, or another facial procedure is planned, follow your physician’s recommendation based on your personal situation. Since the effect is not immediately complete, early decisions regarding symmetry should not be made in the first hours or first days. If noticeable changes in mouth movements, difficulty swallowing, unexpected marked muscle weakness, or any other symptom that concerns you develops, contact our clinic. Serious symptoms such as breathing difficulty or marked difficulty swallowing require emergency medical evaluation.

Our approach in our Bodrum clinic

Our goal is not to standardize facial expression, but to create a personalized plan that preserves the individual’s natural facial expressions, facial proportions, and opposing muscle balance.

Frequently asked questions

Is the effect permanent?

No. Neuromuscular or neuroglandular communication is re-established over time, and the effect diminishes.

Is the procedure planned the same way for everyone?

No. The plan is personalized taking into account clinical findings, anatomy, functional goals, and previous procedure experiences.

Why is the follow-up evaluation important?

The effect develops gradually. The follow-up evaluation helps review clinical response, function, and treatment goals together.

References

Peer-reviewed botulinum toxin studies, systematic reviews, expert consensuses, and relevant clinical guidelines have been taken as a basis.

This page is for general informational purposes; it does not replace personalized diagnosis or treatment advice.

Related botulinum toxin guides

Medical editorial information

This content has been medically reviewed and approved by Dr. Kerem Çağlayan. It is intended for general education and does not replace an individual diagnosis or treatment plan.