Downturned Mouth Corners Treatment in South London

Downturned Mouth Corners Treatment in Streatham & Sydenham

Soften a “sad mouth” appearance with a tailored, doctor-led plan for downturned mouth corners at Dr Mirali Aesthetics. We offer treatment in Streatham and Sydenham, combining appropriate modalities—such as hyaluronic acid micro-filler at the oral commissures/marionette area, wrinkle-relaxing injections for overactive depressor muscles (POM; suitability assessed in consultation), and skin-quality boosters (e.g., skin boosters, microneedling, polynucleotides)—to gently lift and smooth the mouth corners while keeping expression natural. Your plan is designed by a GMC-registered doctor, with clear aftercare and realistic timelines at our trusted South London clinics.

Treatment Snapshot

  • Procedure time: ~20–40 minutes (depends on modality)

  • Anaesthetic: Topical numbing where required

  • Downtime: Low (pin-prick swelling/bruising 24–72h)

  • Results:

    • Filler: immediate softening/lift; settles in 1–2 weeks

    • Movement-modulating injections: onset in days; review at ~2 weeks

    • Skin-quality treatments: progressive over 4–8+ weeks

  • Longevity: Filler typically 6–12+ months; movement-modulating effects 3–4 months (varies)

  • Areas: Oral commissures, marionette region; plan tailored to anatomy

AFTER
BEFORE

What causes downturned mouth corners?

Corners can turn downward due to volume loss near the oral commissures, overactivity of depressor anguli oris (DAO) muscles, skin laxity, and etched marionette lines. Effective care often addresses both support (volume/skin quality) and muscle pull to improve corner position and reduce shadows.

Common tools we may combine

  • Hyaluronic acid micro-filler (supports corners, softens marionette shadows)

  • Wrinkle-relaxing injections (POM; consultation required) to reduce downward pull

  • Skin boosters / Profhilo for hydration and elasticity

  • Microneedling / Polynucleotides to improve skin texture and resilience

  • Peels/medical skincare for tone and fine lines

(Dr Mirali will recommend the safest, most suitable combination.)


Benefits

  • Gentle lift of mouth corners; reduced “sad” appearance

  • Softens marionette shadows and perioral lines

  • Improves skin quality (hydration, elasticity, texture)

  • Doctor-led, conservative dosing for natural movement

  • Modular plan that can be staged over time

Frequently Asked Questions

Procedure

The appointment duration is 30 mins. We use very fine needles to administer the Botox into the desired muscle area which are relatively painless and no numbing required.

Duration & Longevity

Optimum results will be experienced within two weeks following the treatment. Botox on average lasts around 3-4 months after which the muscles resume their normal activity.

Downtime

There is no downtime needed and can return to normal activities. You may have small raised blebs on the skin but these settle within 30 mins. Common side effects are slight bruising, mild headache/tenderness in the injection sites but this is all temporary. Post treatment- stay upright for 4-6hours so that botox doesn’t migrate and no facials/massages for 2 weeks.

Common misconceptions

Clients often become concerned with botox and the ‘frozen’ look. I will adjust the dosing appropriate for the type of look the client wants.

Botox treatment is best done preventatively and the most people assume botox should be done when the lines are present at rest. It’s best to start earlier before the lines on the forehead become fixed at rest in order to maintain a smoother youthful appearing skin.

Where can I get Downturned Mouth Corners treatment near me?

At our Streatham and Sydenham clinics in South London:

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Our Clinics

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Our Aesthetic Treatments

At Dr Mirali Aesthetics, we provide a complete range of doctor-led skin and injectable treatments across our Streatham and Sydenham clinics. From anti-wrinkle injections and dermal fillers to skin boosters, mesotherapy and microneedling, explore our services designed to deliver safe, natural and effective results.

Skin Treatment Insights & Guides

Explore expert advice, treatment benefits and real results from our Streatham and Sydenham aesthetics clinics. From Face Mesotherapy to Microneedling and Profhilo, discover how our doctor-led skin treatments can help you achieve healthy, glowing skin.

What Our Patients Say

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Gloria S.
09:05 12 Jul 25
Dr Mirali was very professional informative and friendly . I had Botox with no bruising and very natural effect. I’m very happy with the result . Highly recommend her.
Saeeda C.
19:18 07 Jul 25
My first experience was excellent explanation was brilliant I m really happy looking forward to see again.
Bijal P.
12:08 07 Jul 25
I was recommended to Dr. Mirali through my sister. She was extremely helpful and very friendly. She offered a variety of treatments, and I decided to try polynucleotides. Very reasonable priced and competitive with others. I've noticed a huge difference in the quality of my under eye bags. We did discuss all suitable options, she was very knowledgeable and steered me in the right direction. Would definitely recommend
Louise H.
15:39 05 Jul 25
I went to Dr Mirali when my dentist thought it might help with my jaw pain. I was willing to give it a go because my jaw ached all the time and it was limiting what I could eat. I found Dr Mirali to be calm and professional - she explained the botox procedure clearly. Although the actual injections were quite painful, it was over very quickly. My jaw felt much more comfortable within a few days and I've now been pain-free for 3 months. Botox injections are quite expensive, and I don't know when I'll need more - but I definitely would spend the money with Dr Mirali again. Very happy with the service and the results! 🤩
kajal P.
13:12 09 Jun 25
I had a virtual appointment and face to face appointment with Dr Mirali and she was so welcoming and easy to talk to. She listened to what support I wanted and explained each process, including how to use the products she recommended. Within 2 weeks of being consistent I have already noticed a change to my skin. I would definitely recommend using Dr Mirali and using her simple but effective treatment plan.
Kumari T.
06:21 08 Apr 25
The skin consultation was really good! The way she communicated with both me and my mum was impressive. She did a deep dive into my skin issues and explained how to take care of my skin in a straightforward manner. I appreciated that she focused on a routine instead of jumping straight to chemical peels, which is often what other consultations do. It’s so important for clients to understand the basics first, and I feel like she did a great job at implementing a routine that suits my needs and my mum needs. I’ve always wanted rejuvenated skin but was often confused about the right steps to take. Overall, she really helped simplify things for me And my mum!
Alexandra J.
08:53 07 Mar 25
Dr Mirali is fabulous - had a great consultation ahead of getting masseter botox. I was really keen to book her because of her GP background, and I felt in safe hands the whole way. She took the time to learn about my medical history and background before we even got to the skin/treatment consultation. She was fantastic in the treatment appointment too, answered my many (and usually silly) questions and has stayed in touch to see how the treatment has settled. Would definitely recommend.
Sophia N
10:48 14 Oct 24
Dr Mirali was very knowledgable about my treatment and helped in answering all of my questions both before and after the masseter injections. Thank you!
muna D.
12:05 07 Oct 24
Dr. Mirali has been a godsend. I saw her last winter and again in the summer. She uses a very individual and personalized approach to coming up with a plan for her every client. Her conservative yet effective approach to aesthetics is exactly what I was looking for. She takes a holistic view of treating your skin through a comprehensive regime as well as treatments.She is very thorough and explains every step and every procedure. Her hands very light and as such I did not feel much pain during any of my procedures. She follows up regular and is always available for any question or concerns post treatment. I have recommended Dr. Mirali to my friends and would encourage anyone to book with her. You will mot be sorry.
Dee S
16:57 11 Sep 24
Dr Mirali is fantastic, and takes the time to explain every part of the process in a professional manner. In less than 6 months she has helped to improve the qualify of my skin significantly (I had lots of hyperpigmentation from acne scaring), without damaging the integrity of my skin. She is enthusiastic about what she does and it shows with how much care and effort she puts in. My skin has always been something I was self conscious of without make up, but she’s helped me restore my confidence.