
Initial consultation
We review the concern, medical history, medicines, muscle movement and treatment goals.

NATURAL. SUBTLE. YOU.
Ease the downward pull at your mouth corners for a softer expression.
A downward pull at the mouth corners can give your face a serious expression even when you feel at ease. Treatment softens that muscular pull, bringing a gentler look to the lower face while respecting the natural movement of your lips and the character of your smile.

This treatment uses botulinum toxin to reduce the action of muscles pulling the mouth corners downwards. Assessment distinguishes muscular pull from changes in skin support or volume around the lips.

Consider treatment when muscle activity pulls the corners of your mouth downwards. It is suited to a muscle-related downturn, with the lips and surrounding lower face assessed together.

Botulinum toxin treatment starts with a medical assessment of your health, medicines and the area being treated. Temporary bruising, tenderness or unwanted weakness can occur. Seek urgent medical attention for difficulty swallowing or breathing, or weakness beyond the treated area.
Here’s what to expect at each stage, from your consultation to your follow-up.

We review the concern, medical history, medicines, muscle movement and treatment goals.

The skin is cleaned, the treatment points are marked and the planned dose is confirmed.

Targeted botulinum toxin injections relax the muscles that pull the corners of your mouth downwards.

Aftercare is explained and a review is arranged if the indication or response requires it.
Share your medical history, allergies, medicines and previous procedures, and do not stop prescribed medicine unless the prescribing clinician advises it. Avoid treatment during active infection and tell the clinician about pregnancy, breastfeeding or neuromuscular conditions.
Keep the area clean, avoid rubbing or pressing it, and follow the clinician’s advice about exercise, heat and other facial treatments. Contact the clinic if symptoms become severe or unusual.
The downward pull at the mouth corners begins to ease within 3-7 days, helping your resting expression look softer and less downturned. The result is assessed after 10-14 days and commonly lasts about 3-4 months.
Download the key preparation and aftercare guidance as a PDF.
Exact treatment planning and pricing are confirmed during consultation.
Prices may vary depending on product, amount, and treatment combination.
Find direct answers about Downturned Mouth Corners, suitability, results, and aftercare.
It addresses the downward pull of the muscles. Deeper marionette lines can also involve skin laxity or volume loss, which your clinician assesses before recommending a treatment plan.
Appointments usually take 15-30 minutes. Early changes are usually seen within 3-7 days. The final cosmetic result is usually assessed after 10-14 days. The effect commonly lasts about 3-4 months, but individual duration varies. Your prescriber plans repeat treatment around returning movement or symptoms and the appropriate treatment interval.
Discomfort is typically rated 2-3 out of 10. Topical numbing is available when appropriate. Downtime is minimal, and most people return to normal daily activity the same day. Small raised injection marks or mild swelling may last a few hours and occasionally up to 1-2 days.
Keep the area clean, avoid rubbing or pressing it, and follow the clinician’s advice about exercise, heat and other facial treatments. Contact the clinic if symptoms become severe or unusual.

Downtime is minimal, and most people return to normal daily activity the same day. Small raised injection marks or mild swelling may last a few hours and occasionally up to 1-2 days.

Temporary redness, tenderness, small bruises, headache or a feeling of tightness can occur.

Treatment can be coordinated with fillers, skin-quality injections or laser treatments when each procedure is medically suitable and correctly timed.

At DIVINE Medica, our doctors and aesthetic specialists take time to listen and help you make informed choices. You’ll find clear advice, a plan built around your needs and personal support throughout your care at our Munich clinic.

During your consultation, we discuss your goals, medical history and suitable treatment options. We explain what to expect, possible risks and aftercare, and take time to answer your questions.
A 30-minute consultation costs €75.
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