
Downturned Mouth
A downturned mouth can create a tired, sad, or stern appearance, often caused by overactivity of the depressor anguli oris muscle. Botulinum toxin injections can gently relax this muscle, lifting the mouth corners for a more refreshed and approachable look. This quick, non-surgical treatment offers subtle, natural-looking enhancement.
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A downturned mouth, often referred to as marionette lines or a resting sad expression, occurs when the corners of the mouth naturally pull downward, creating a perpetual frown-like appearance. This can be caused by the overactivity of the Depressor Anguli Oris (DAO) muscles, which pull the mouth downward when speaking, eating, or expressing emotion. Over time, this repetitive movement can lead to permanent static lines and contribute to an aged or tired look.
At Haus of Ästhetik, we offer a non-surgical treatment using botulinum toxin (commonly known as Botox®) to relax the DAO muscles, reducing the downward pull and restoring a more neutral, lifted mouth position. This subtle yet effective adjustment helps create a softer, more refreshed expression, preventing the appearance of sadness or tension when the face is at rest.


How Does the Treatment Work?
The Depressor Anguli Oris (DAO) muscle extends from the corners of the mouth down to the jawline and is responsible for pulling the mouth downward. When this muscle is overactive, it can cause the corners of the mouth to remain pulled down even when the face is at rest, giving an appearance of sadness or dissatisfaction.
By carefully injecting botulinum toxin into the DAO muscle, we can:
• Reduce the downward pull at the corners of the mouth.
• Allow the natural lifting muscles (Zygomaticus Major and Minor) to work more effectively, creating a subtly lifted and relaxed expression.
• Prevent deep marionette lines from forming over time.
• Restore a more balanced, youthful mouth shape without affecting speech or facial expressions.
This treatment is often combined with dermal fillers to address volume loss around the mouth and further enhance results.

What Does the Procedure Involve?
• Precise botulinum toxin injections are placed into the DAO muscles on each side of the mouth.
• The procedure takes approximately 10–15 minutes to complete.
• Minimal discomfort, as the injections are placed with fine needles for precision.
• No anaesthesia is required, and normal activities can be resumed immediately.
What to expect from your procedure:
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Treatment Time:
10 - 15 minutes
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Pain Level:
Minimal to None
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Downtime:
There is no downtime, though mild redness or swelling at the injection sites may occur temporarily.
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Results Seen:
Initial results become noticeable within 5–7 days, with full effects visible at 10–14 days.
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Longevity:
The effects typically last 3–4 months, after which repeat treatments may be required to maintain results.
Who is Suitable for This Treatment?
This treatment is ideal for individuals who:
• Experience a natural downward pull at the corners of the mouth, creating a sad or tired appearance.
• Have noticed increased drooping with age due to muscle overactivity.
• Want a non-surgical solution to improve facial balance and expression.
• Would like to prevent marionette lines and deep wrinkles from forming around the mouth.
During a consultation, our expert practitioners will assess your facial structure, muscle movement, and aesthetic goalsto determine if botulinum toxin is the best solution for you.
Benefits of Downturned Mouth Improvement with Botulinum Toxin
• Non-surgical and minimally invasive – No downtime or lengthy recovery period.
• Quick and effective – Takes just 10–15 minutes, with natural-looking results.
• Softens the appearance of marionette lines – Prevents further deepening of wrinkles.
• Restores a balanced, neutral expression – Reduces the appearance of sadness or tiredness at rest.
• Safe and MHRA-approved treatment – Performed by Save Face & JCCP-aligned practitioners at Haus of Ästhetik.
Frequently Asked Questions
How to Prepare for Your Anti-Wrinkle Treatment?
To ensure the best results from your anti-wrinkle injections at Haus of Ästhetik, follow these simple preparation steps:
• Avoid blood thinners (aspirin, ibuprofen) for 24 hours before treatment to reduce bruising.
• Stay hydrated and avoid alcohol for at least 24 hours before your appointment.
• Discuss any medical conditions or previous reactions to botulinum toxin with your practitioner.
• Arrive with a clean face, free from makeup, skincare, or SPF.
Benefits of Anti-Wrinkle Injections
• Smooths fine lines and wrinkles for a refreshed, youthful look.
• Prevents further wrinkle formation by relaxing targeted muscles.
• Non-surgical and minimally invasive with no downtime.
• Quick treatment (10–15 minutes) with visible results in a few days.
• Results last 3-4 months, maintaining a natural appearance.
Who is an Ideal Candidate for Anti-Wrinkle Treatment?
A one-area anti-wrinkle treatment is suitable for those who:
• Want to soften existing fine lines and prevent deep wrinkles.
• Prefer a natural-looking, subtle enhancement.
• Are looking for a non-invasive, quick, and effective anti-ageing solution.
• Want a preventative approach to skin ageing.
• Are not pregnant or breastfeeding and have no contraindications.
What to Expect During Your Treatment?
Consultation:
• Your specialist at Haus of Ästhetik will assess your facial muscles and discuss your concerns.
• A personalised treatment plan will be created for optimal results.
Treatment Process:
• A series of small Botox injections are placed into the targeted muscle.
• The procedure takes 10–15 minutes with minimal discomfort.
Post-Treatment:
• Slight redness or swelling may occur but resolves within hours.
• Results develop over 3–7 days, with full effects visible by two weeks.
Before & After Care for Anti-Wrinkle Injections
Before Treatment:
• Avoid alcohol and caffeine 24 hours prior.
• Do not take aspirin or ibuprofen unless prescribed.
• Ensure your skin is makeup-free and clean.
• Ensure you have filled out all your paperwork you recieved when booking, or you can fill out in clinic with a short delay.
After Treatment:
• Do not rub, touch, or massage the area for 24 hours.
• Avoid lying down or bending over for at least 4 hours.
• Do not apply makeup for 12 hours post-treatment.
• Avoid heat exposure (saunas, sunbeds, intense exercise) for 48 hours.
• Please follow the guidance that you will receive regarding aftercare information sent to your email.
Why Choose Haus of Ästhetik?
At Haus of Ästhetik, we prioritise expertise, precision, and client satisfaction. Our treatments are carried out by highly trained practitioners, ensuring natural-looking results with a safety-first approach. We provide bespoke, medically led treatments tailored to your individual goals, so you can feel confident in the results.
Long-Term Benefits of Regular Botulinum Toxin Treatments
• Muscle Fatigue & Reduction in Bulk – With repeated treatments, the targeted muscle becomes weaker over time due to reduced activity, leading to a gradual slimming effect in areas such as the jawline, trapezius, and masseter muscles.
• Prevention of Deep Static Lines – Regular use of botulinum toxin reduces repetitive muscle contractions, preventing wrinkles from becoming permanently etched into the skin and resulting in a smoother, more youthful appearance.
• Increased Longevity of Results – As the underlying muscles adapt to reduced movement, many clients find that they require fewer units over time or that results last longer between treatments.
• Gradual Muscle Wastage (Atrophy) – Over time, the muscle experiences atrophy (a decrease in size and strength), leading to longer-lasting results and a reduced need for frequent treatments in some cases.
• Enhanced Facial and Body Contouring – In areas like the jawline, trapezius, or masseter muscles, consistent treatments reduce bulk and refine the contour, creating a naturally sculpted and balanced aesthetic.
Book your consultation today and experience the confidence-boosting benefits of anti-wrinkle injections at Haus of Ästhetik.