Many people develop this deformity as they age. The cause is due mostly to hereditary and some of it is sun exposure. It is not improved with a face lift. It appears that the corners of the mouth have been “slashed” with a cutting instrument. Fillers such as Juvederm and Restylane can not improve this problem by themselves and many times make it look worse. A one hour surgery under local anesthesia can result in a dramatic improvement.
Same 73 year old patient following lip lift and fillers. (Dr. F. D. Parsa M.D.)