How Can I Fix My Frowning Appearance?

Q: Dr. Eppley, Recently I lost some weight, and a family member was wondering why I am frowning, was I in a bad mood etc… On a side profile picture, I have a frown, like a hollow in my forehead. I have sent some photos for you to see. What can be done to improve this look? Thanks in advance.

A:Thank you for sending your pictures. Given that this frowning appears to have resulted from weight loss this is undoubtably due to the laxity of the soft tissues which is now falling forward driving down the corners of the mouth. Very likely your mouth corners were slightly turned down anyway but the dissent of the facial soft tissues behind it has exaggerated that effect. Given the origin of the problem this would really require a lower facelift (aka neck-jowl lift) to pull back the following tissues along with a direct corner of the mouth lift. When heavy tissues behind the downturn mouth corner exists at corner of the mouth lift alone is not going to be particularly successful.

Dr. Barry Eppley

World-Renowned Plastic Surgeon