Drooping mouth corners.
A small muscle and a little lost volume are enough to make a mouth look 'sad'. Both can be treated specifically – with small amounts.
Downturned mouth corners make a face look sad or dissatisfied. Causes (muscle pull, volume loss, marionette lines) and treatments: botulinum toxin into the…
What is behind it.
What is behind it: the depressor anguli oris muscle pulls the mouth corners down – in some people constantly. Add volume loss in the chin and mouth-corner area and the marionette lines running from mouth corner to chin. Together they create the impression of a dissatisfied or tired mouth, even at rest.
What helps: a few units of botulinum toxin into the depressor remove the downward pull – the mouth corners lift slightly. Hyaluronic acid supports mouth corners and chin and cushions the marionette lines. Often the combination is most natural: relaxation first, then a small volume correction.
What it cannot do: lift strongly slackened jowls – that needs cheek support or a surgical lift. And: too much hyaluronic acid at the mouth corner looks heavy, not cheerful.
Special note: the depressor treatment is dose-sensitive; too much can affect smiling or speaking. Hence start small and check after two weeks.
Is this for me?
A treatment can make sense if …
- your mouth corners point down at rest
- you are asked whether something is wrong
- marionette lines from mouth corner to chin are visible
- chin and mouth corners look hollow
Rather not suitable if …
- the jowls are very pronounced (rather surgery)
- you have swallowing or speech disorders
- you are pregnant or breastfeeding
- you want a markedly 'pulled-up' smile (unnatural)
These notes replace no examination. Whether and which treatment is an option is clarified in the consultation under § 630e BGB – sometimes the answer is: none.
A question about Drooping mouth corners? Send us a short WhatsApp message – we usually reply the same working day.
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Important note.
This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.
Frequently asked questions.
What does treating the mouth corners cost?
Botulinum toxin as an additional zone from €30 (alone from €190); hyaluronic acid from €250 per ml.
Can I smile normally afterwards?
Yes. Correctly dosed, the smile stays complete; only the downward pull is gone.
Sources and further reading.
- NHS: non-surgical cosmetic procedures
- Medical Association North Rhine – patient information
- § 630e BGB – duty to inform before treatment (German Civil Code)
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
- AWMF – German clinical practice guidelines
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)