Some individuals may have a dowturned smile at rest. This gives a sad or frowned appearance in one who is often a ‘happy’ individual. The muscle responsible for pulling the corners of the mouth down and grimacing is the depressor angular oris. It is a triangular muscle with the base along the border of the jaw and the apex near the commissural corner.

Selective and precise infiltration with Botox can result in a relaxation of these muscles and a slight upturn of the commissure, giving a more ‘happier’ appearance. The procedure is normally combined with dermal fillers such as restylane, juverderm or perlane to add additional support in this area and to accentuate the natural curve of the lateral lower lip upwards.


A thorough analysis to assess prior treatments, skin mobility, skin tone, skin laxity and underlying muscular action is undertaken. The areas to be injected are then marked precisely using Dr Bharat Patels extensive knowledge in head and neck anatomy and his extensive practical experience with Botox and dermal fillers. A small dose of Botox is administered into the marked area normally targeting the depressor angular oris. At the next visit dermal filler may be used to curve the lateral lip upwards. The procedure takes 10-15 using ultra fine gauged needles for your comfort.

Young or Older Patients are suitable of both genders. A thorough assessment is undertaken to ascertain the aetiology and suitability for treatment. All options will be explained to allow you to make an informed decision on what is the best method of correction.

Botox is a brand name for Botulinum Toxin Type A, a purified natural protein chemically derived from bacteria that can be injected to cause muscular relaxation of the depressor angular oris and therefore an upturning of the commissure. It has been used for many decades and its popularity for cosmetic interventions makes Botox the number one non-surgical cosmetic procedure in the world. Botox blocks the signals to specific muscles at the point of injection.

You are encouraged to book in a thorough consultation with Dr Bharat Patel. He will undergo a detailed examination to ascertain whether you are a good candidate. Various options may be available and they will be discussed with you at your consultation. The treatment takes 10-15 minutes and is well-tolerated.

Results normally takes from 3 days to have effect though in some patients this is more. Maximal effect is seen within 14 days and this is checked at your review appointment when necessary. Results can be maintained with regular repeat treatments and most patients become accustomed to a routine of topups.

From £199, though a treatment plan will be given before treatment with an exact quote.