Remedies for skin tightening and face lift #downturned mouth corners

You look in the mirror and catch yourself thinking: why are the corners of my mouth turning downward? Even if you’re getting enough sleep, not feeling tired, and overall feel great—your face doesn’t seem to know it. It looks sad and tired. Drooping corners of the mouth can weigh down your face, make you look older, and distort your natural expression. Today, we’re going to dive into why this happens and what you can do about it. I’ll share two effective solutions for lifting and tightening the lower third of the face, including the corners of the mouth.

My name is Maria, I’m an aesthetic expert and a licensed medical esthetician at Metodica Med Spa. This video will help you understand which solution is right for your facial structure and what kind of results to expect from each treatment.

We’ll look at the issue through the lens of two aging types: fine-line (atrophic) and gravitational (heavy or sagging). These are two completely different scenarios, and each one requires its own approach. That’s because the reason behind downturned corners of the mouth is different for each type.

In the fine-line aging type, the face is usually slim, with thin skin and pronounced wrinkles. The main causes of drooping corners in this case are ligament laxity, loss of fat pads, and bone resorption due to aging. These processes cause the soft tissues to sag downward, and the mouth corners start to fall. On top of that, collagen production decreases, skin loses elasticity, and smile lines and fine wrinkles around the mouth become more visible.

With gravitational aging, the face tends to be fuller with thicker skin and more pronounced fat pads. Here, the corners of the mouth drop because of fat shifting and ligament weakening over time. These heavy tissues weigh the face down, creating a tired and heavy look.

What helps with the fine-line aging type?

The goal here is to firm the skin and boost collagen production. The following treatments are great options:

SkinVive by Allergan — the first FDA-approved injectable skin booster for deep hydration. It contains stabilized hyaluronic acid that improves texture, adds glow and firmness. It’s a quick, no-downtime treatment, with results that last up to 6 months. One session is usually enough, though it can be repeated 1–2 times a year to maintain results.

Sculptra injections — a collagen-stimulating injectable made with poly-L-lactic acid. It works by activating fibroblasts and triggering your body’s natural collagen production. Perfect for treating skin laxity, crepiness, and wrinkles. The results appear gradually and become noticeable within 2–3 months, continuing to improve for up to 6 months. A series of 2–3 sessions spaced 6–8 weeks apart is recommended.

Radiesse — a calcium hydroxylapatite-based injectable that not only stimulates collagen but also provides immediate volume. Great for improving skin quality and restoring volume in areas like the chin, smile lines, and marionette lines. Often combined with Sculptra for comprehensive results.

What works for gravitational aging?

If you have fuller cheeks, prominent fat pads, and heavier tissues, the most effective solution is facial plastic surgery with liposuction of the lower face. But if surgery isn’t something you’re ready for, Ultherapy is a powerful non-invasive alternative.

Ultherapy is an FDA-approved SMAS-lifting technology that uses focused ultrasound to reach the deeper layers of the skin and muscle system—the same layers targeted during surgical facelifts. The ultrasound energy creates micro-thermal injuries that trigger new collagen production. Over time, the tissues lift, skin becomes firmer, and fat pads in the chin area tighten and compact. The result: a more defined, youthful jawline.

Ultherapy is especially effective for those with skin laxity, loss of jawline definition, and moderate fat accumulation. The procedure is done once, and the result builds over 3–6 months, lasting up to 12–18 months. It’s especially beneficial for gravitational aging types and works well when combined with other treatments.

You can also consider a course of RF microneedling — radiofrequency energy delivered through tiny needles that create micro-wounds to stimulate collagen, reduce pores, firm the skin, and smooth out fine lines. Typically done as a series of 3–4 sessions spaced a month apart.

Can you fix downturned mouth corners at home?

Unfortunately, no. Topical skincare can’t lift tissues or restore anatomical structure. You may hear advice like “use more nourishing serums” or “do daily facial massages,” but these methods can’t deliver real lifting results. Skincare works on the surface; it doesn’t affect deeper layers like ligaments, muscles, or fat pads. So while creams and tools can help improve tone and texture, they can’t reverse tissue sagging.

However, good skincare is still essential for maintaining skin quality. It improves texture, minimizes pores, and slows down the aging process.

What ingredients should you include in your skincare routine?

Retinol (0.5–1%) — boosts cell turnover, stimulates collagen, improves skin texture
Peptides — improve skin firmness and density
Antioxidants — protect from oxidative stress and environmental damage (Vitamin C, ferulic acid, coenzyme Q10)

Here are some recommended products, especially for those aged 30–35+ who are noticing signs of aging, such as sagging, loss of firmness, or tired-looking skin—especially in the lower third of the face.

From ZO Skin Health – Growth Factor Serum, Firming Serum, Recovery Creme, and Retinol 0.5 or 1.0.
From SkinCeuticals – I recommend C E Ferulic Serum and Retinol 0.5 or 1.0.
From Medik8 – Crystal Retinal Serum and Liquid Peptides Serum.
From Sesderma – two great products: Retises 0.5% cream and C-Vit Serum.
From HydroPeptide – I recommend Power Serum and Nimni Cream.
From Paula’s Choice – I really like the effect of Pro-Collagen Peptide Booster.

And my final recommendation: the antioxidant Sérum A-Glyca and Crème ADN Métamorphique from Biologique Recherche.

These products should be used consistently. You may start seeing improvements in 1–2 months, but long-term results take about 4–6 months to fully show.

Don’t forget the basics: gentle cleansing, daily sun protection with SPF 50, nighttime actives, and morning hydration with antioxidants.

I hope this video helped you understand why the corners of the mouth may droop and what you can do about it. Remember: there’s always a solution. The key is identifying the cause and choosing the right approach for your face.

If this video was helpful, hit the like button, subscribe to Metodica Med Spa’s channel, and check out our other videos. I especially recommend the ones on Ultherapy and SkinVive. See you next time!