Turn That Frown Upside Down With A Corner TuckUp

As the mouth ages, the corners will frequently turn down causing a sad or unhappy look. When combined with thinning lips and the development of upper lip lines, the mouth area can really look old.

The use of any of the injectable fillers can be done to not only increase the size of the lips and puff out some of the fine wrinkles, but can be used to temporarily lift the corners of the mouth as well. While injectable filler treatments are not permanent, they are quick and easy to do.

The corner of the mouth lift is a surgical option that has lasting effects. It is an old procedure that has been around for many decades. The corner of the mouth lift can be performed in the office under local anesthesia as a stand alone procedure or as part of any number of other facial rejuvenation procedures such as lip injections, lip wrinkle reduction by laser resurfacing or as part of a larger facelift operation. By taking a small triangle of skin from just above the drooping mouth corner, the downhanging mouth corner can be turned up quickly and easily. It is a very powerful procedure for such a small removal of skin and one must be careful not to overdo it by raising the corner of the mouth too far up and having too long of a scar. It does create a very small scar at the corner of the mouth but it is nearly indetectable if done right.

The delicate corner of the mouth lift must be done so that the corners are raised to a near level position and the resultant scar to do so is kept very small and well placed. Many facelift patients mistakenly think that the facelift will pull up the corner which is a misunderstanding. That is why some facelift patients with 'frowns' needs a concurrent corner of the mouth lift procedure.

Women really love this procedure and are delighted that something so simple can make such a difference. When done in the office under local anesthesia, other rejuvenating lip procedures can be done simultaneously. The frown that runs down into the 'marionette lines' will usually need filling of the deeper marionette line with injectable synthetic fillers, fat grafts, or a soft gore-tex implant, depending upon whether the procedure is done in the office or the oeprating room. For those patients with chronic irritation due to salivary overflow (a condition known as angular cheilitis), a corner of the mouth may even be curative as it rearranges the angulation of the 'spout' and creating a more competent lip dam effect.

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Dr Barry Eppley, board-certified plastic surgeon of Indianapolis, operates a private practice at Clarian North and West Medical Centers in suburban Indianapolis. He writes a daily blogs on topics and trends in plastic surgery at www.exploreplasticsurgery.com

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