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
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Procedure time: ~20–40 minutes (depends on modality)
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Anaesthetic: Topical numbing where required
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Downtime: Low (pin-prick swelling/bruising 24–72h)
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Results:
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Filler: immediate softening/lift; settles in 1–2 weeks
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Movement-modulating injections: onset in days; review at ~2 weeks
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Skin-quality treatments: progressive over 4–8+ weeks
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Longevity: Filler typically 6–12+ months; movement-modulating effects 3–4 months (varies)
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Areas: Oral commissures, marionette region; plan tailored to anatomy


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
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Hyaluronic acid micro-filler (supports corners, softens marionette shadows)
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Wrinkle-relaxing injections (POM; consultation required) to reduce downward pull
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Skin boosters / Profhilo for hydration and elasticity
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Microneedling / Polynucleotides to improve skin texture and resilience
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Peels/medical skincare for tone and fine lines
(Dr Mirali will recommend the safest, most suitable combination.)
Benefits
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Gentle lift of mouth corners; reduced “sad” appearance
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Softens marionette shadows and perioral lines
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Improves skin quality (hydration, elasticity, texture)
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Doctor-led, conservative dosing for natural movement
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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: