What Is a Downturned Smile?

A downturned smile occurs when the corners of the mouth turn downward even at rest, creating a sad, tired, or displeased expression that may not reflect how you feel.

This can result from a combination of aging and muscle activity. As we age, collagen decreases and skin loses elasticity, and overactive depressor anguli oris (DAO) muscles can pull the corners of the mouth downward. Together with the natural pull of gravity, these factors can cause sagging and the appearance of a permanent frown.

Injecting a muscle relaxant, such as botulinum toxin, into the DAO muscles, causes a net upward lift of the corners of the mouth softening the appearance of a downward smile.

Frequently Asked Questions

To promote healing and reduce risks of complications; avoid the following for at least 24 hours before your procedure.

  • Avoid smoking and alcohol for at least 24 hours before
  • Avoid aspirin or ibuprofen or herbal treatments as may increase bruising
  • Arrive with a clean face, free from makeup or skincare products
  • Avoid hair removal on treatment areas
  • Avoid using strong skincare products (topical retinoid, steroid and glycolic acid) for at least 1 week before your treatment

Discomfort is usually minimal. A very fine needle is used for the injections, and we use a topical numbing cream to ensure you are comfortable.

The procedure itself only takes about 15 minutes, but the entire consultation can last up to 45 minutes. During this time, we will discuss all your options and create a customized plan just for you.

The initial effect may start anywhere between 2 and 7 days. Allow up to 2 weeks for the maximum effect of the injections.

The effects are temporary, typically lasting between 3 to 4 months. To maintain the results, follow-up treatments are recommended.

Common side effects are mild and short-lived. These may include slight redness, swelling, small bumps at the injection sites and bruising.

A precise and conservative approach will be used to preserve your natural expressions. The aim is to create a relaxed, neutral look at rest without affecting your ability to smile or speak.

To reduce swelling, bruising and for optimal results, avoid the following for the first 24 hours after treatment:

  • Makeup to treated area(s),
  • UV exposure, extreme temperatures (like saunas and hot showers),
  • Strenuous activity or exercise, swimming,
  • Alcohol and smoking
  • Touching/rubbing the treated area (including pressure from clothing/accessories).
  • Avoid facial treatments/ massages for 2 weeks

You will receive detailed aftercare advice and a leaflet following your treatment. If you have any questions, contact the clinic for further guidance.