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Fillers in the corners of the mouth

Would you like to reduce deep lines around your mouth, restore lost volume or lift drooping corners of your mouth? At The Faculty, you’ll meet qualified injection specialists who will guide you through aesthetic treatments with the highest standards of medical safety, extreme precision and an objective approach.

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What does treatment for mouth corners and marionette lines involve?

Med åldern förändras ansiktets volym och hudens elasticitet minskar. Samtidigt kan en överaktiv muskel i hakpartiet dra mungiporna nedåt. Resultatet blir ofta att en så kallad mungipa pekar ner, vilket skapar skuggor och veck som löper från munnen ner mot hakan. Dessa anatomiska veck kallas marionettlinjer (eller marionette linjer). En medicinsk injektionsbehandling innebär att man antingen använder muskelavslappnande läkemedel för att tillfälligt få muskeln att slappna av, eller syntetisk hyaluronsyra (fillers) för att återskapa hudens volym och därmed släta ut vecken och ge ett subtilt lyft.

Our approach to fillers for the corners of the mouth

One of the most common questions we are asked during a consultation is which method is best suited: muscle-relaxing injections or fillers for downturned mouth corners. The answer depends on your individual anatomy, and the methods are often combined to achieve the best possible result.

Muscle relaxant injections

If your drooping mouth corners are primarily caused by a strong muscle (Depressor Anguli Oris) pulling the corner of your mouth downwards, we use muscle relaxants. The treatment causes the muscle to relax, which mechanically allows the corner of the mouth to rest in a more neutral and horizontal position.

Fillers for the corners of the mouth (Volume-enhancing)

If the main issue is a deep anatomical crease or loss of volume beneath the corners of the mouth, fillers are used to treat marionette lines. By injecting hyaluronic acid, we build up the skin from within, which smooths out wrinkles at the corners of the mouth and provides support. This is often referred to as fillers for sagging corners of the mouth or fillers for marionette lines.

Gentle technology and medical precision

Oavsett om vi applicerar muskelavslappnande läkemedel eller utför en volymbehandling med fillers sura mungipor, arbetar våra injektionsspecialister med förfinade tekniker. I detta kärlrika område använder vi mycket tunna nålar eller trubbiga kanyler. Ett djupt och precist tillvägagångssätt är helt avgörande för att reducera blödning, säkerställa rätt vävnadsdjup och därmed garantera din medicinska säkerhet och ett symmetriskt resultat.

Närbild av två personers läppar och hakor, fokus på hudens textur.

A clinic full of expertise

Administering injections into the mobile area of the lower third of the face requires an in-depth understanding of muscle interaction and vascular anatomy. At The Faculty, your medical safety is always our top priority. Our practice is characterised by clinical expertise, sterile environments and an open, honest dialogue about what injections can and cannot achieve. You can feel completely at ease when undergoing your treatment with us.

Price of fillers for the corners of the mouth

Your exact price will be determined during your consultation and depends on whether your anatomy requires muscle relaxants, volume-restoring fillers, or a combination of both.

Muscle relaxant (Sour mouth corners/DAO)

2 500

Fillers (marionette lines/nasolabial folds, 1 ml)

4 500

Consultation

500

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Pre-treatment consultation

The first step is a consultation with one of our injection specialists. You can choose whether to book a virtual appointment or meet us in person at the clinic. During the appointment, you will receive medical information about risks, current waiting times, and which techniques and volumes are best suited to you. You will receive a specific treatment proposal based on your facial anatomy.

After the consultation, you have a statutory cooling-off period of at least 48 hours (which applies to aesthetic injection treatments) to allow you to decide in your own time whether you wish to give your consent.

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The Evolution of You

Injection into the corners of the mouth
Step by step

To ensure you feel completely at ease and know exactly what to expect, we have a strict and safe procedure in place for our injection treatments

Consultation

Medical assessment and choice of method

Your practitioner will carry out a thorough clinical assessment of the muscle activity around your mouth and the condition of your skin. We will determine the dosage and method (muscle relaxants, fillers or both) and go through your health declaration.

Preparations

Preparing for a safe operation

We will check that you have not taken any blood-thinning medication in the last few days. The lower part of your face will then be thoroughly cleaned and disinfected with chlorhexidine.

The treatment

Safe care at the clinic

When administering muscle relaxants, an extremely fine needle is used to deliver 1–2 quick, virtually painless injections into the DAO muscle. For fillers, a blunt cannula is often used to gently distribute the hyaluronic acid deep beneath the marionette line. The procedure rarely takes more than 15–30 minutes.

After treatment

Awakening and initial rest

During a filler treatment, the area is gently massaged to ensure an even result. You will be able to look in a mirror, and we will go through the upcoming healing process with you.

Recovery & healing

Self-care and convalescence guidelines

Avoid touching the injection sites and do not wear any make-up for the first 12 hours. If you have had fillers, avoid strenuous exercise and heat for the first 48 hours. If you have had muscle relaxants, avoid massaging the area or lying flat for the first 4 hours.

Monitoring & results

Medical check-up and final assessment

Vid fillers är volymen synlig direkt men kräver 14 dagar för att integreras fullt ut. Vid muskelavslappnande behandling tar det normalt 4 till 10 dagar innan läkemedlet blockerar nervsignalerna och muskeln slappnar av. Det slutgiltiga resultatet utvärderas vid ett återbesök.

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Results following treatment

The results depend on the method chosen. With volume-restoring treatment using fillers, the effect is visible immediately, although some swelling and tenderness are normal in the very first few days. With treatment using muscle relaxants, it normally takes 4 to 10 days for the muscle to relax and the effect to be achieved. The final, anatomically integrated result for both methods is fully assessed after 14 days.

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Our specialists in injections

At The Faculty, all treatments are carried out exclusively by qualified doctors and qualified injection nurses. The area around the mouth contains several muscles that control speech and facial expressions. Our specialists possess in-depth anatomical knowledge, which is absolutely crucial to ensuring that the medication only affects the downward-pulling muscle and not the muscles that control your smile.

Who can undergo the treatment?

To undergo medical injection treatments, you must be over 18 years of age. We do not perform treatments on people who are pregnant, breastfeeding or suffering from specific neurological muscle disorders. The ideal candidate either experiences a functional downward pull at the corners of the mouth due to muscle activity or has creases (marionette lines) caused by volume loss.

Närbild av en kvinnas axel och hand, fokus på hudens textur och naturliga färg.

Complications and risks

As with all injections, there are medical risks. Harmless, temporary side effects include temporary swelling, a feeling of tightness and minor bruising around the mouth. A specific risk associated with muscle relaxants in this area is that the substance may spread to the wrong muscle, which can cause temporary asymmetry when you smile (however, this effect subsides completely once the medication leaves the body). With fillers, there is a risk of unevenness or the filler affecting a superficial blood vessel. Through a high level of clinical expertise and strict safety procedures, we minimise these risks.

Närbild av en äldre kvinnas ansikte med fokus på hudens textur och rynkor.

Other treatments for profile balancing

For patients with a significant amount of excess skin, or where ageing has radically altered the anatomy around the mouth, injections may have limited effectiveness. In such cases, surgery may be an option. A downturned mouth corner correction (often called a corner of the mouth lift) is a minor surgical procedure in which a small triangular piece of skin above the corner of the mouth is physically removed to create a permanent lift (which can be seen in before-and-after photos of corner of the mouth lifts). It is also very common to combine marionette line treatment with lip augmentation to improve facial balance.

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Our clinics at Hanko Road and Humlegårdsgatan

Our clinics

Hos The Faculty möter medicinsk expertis en omhändertagande atmosfär. På Hangövägen 20 finner du vår specialistanpassade klinik, utformad för att möta mycket stränga kliniska krav på hygien och säkerhet. För injektionsbehandlingar och hudvård tar vi emot dig på vår walk-in-klinik på Humlegårdsgatan 14 på Östermalm. Vår verksamhet genomsyras av ett vetenskapligt förhållningssätt och lång erfarenhet, vilket skapar en säker och transparent behandlingsresa.

Payment guarantee and insurance

Att välja att genomgå ett estetiskt kirurgiskt ingrepp eller en injektionsbehandling är ett personligt beslut, och på The Faculty värdesätter vi fullständig transparens genom att alltid erbjuda en tydlig och specificerad prisuppgift vid din konsultation. För din trygghet omfattas du av en omfattande patientförsäkring samt en förlängd garantitid under läkningsperioden, och för de som önskar erbjuder vi även finansiell vägledning kring delbetalning som ett valbart alternativ helt separerat från den medicinska bedömningen.

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Why consider injections around the mouth?

Many patients come to us because they feel they constantly look unhappy or tired due to a frown or a sad expression, even though they don’t actually feel that way. When the corners of the mouth droop, or when one develops clearly drooping corners of the mouth, it often affects the entire expression of the face. A common question is whether you can train away a sour mouth with facial yoga, but to achieve an actual, clinical change in skin folds or overactive muscles, medical treatments are usually required to remove a sour mouth. The approach is highly individualised, and we create a treatment plan based entirely on your unique anatomy.

Frequently asked questions about fillers

Here we have compiled some frequently asked questions about sagging corners of the mouth and marionette lines

Which treatment is best for cracked corners of the mouth?

It depends on the cause of the problem. If an overactive muscle (DAO) is pulling the corners of your mouth downwards, muscle-relaxing injections are the most effective way to stop this. If the problem is caused by deep skin folds (marionette lines) and lost volume from sagging cheeks, marionette line fillers are the best choice to provide mechanical support from within.

Can you exercise away a downturned mouth?

Facial exercises, or "face yoga", lack scientific and clinical evidence to support the claim that they can bring about a permanent change in drooping corners of the mouth or significant loss of volume. Medical treatments are generally required to achieve a measurable, anatomical result.

How does a muscle-relaxing treatment for the corners of the mouth work?

Läkemedlet injiceras i mycket små, exakta doser i muskeln Depressor Anguli Oris, vars funktion är att dra mungipan nedåt. När muskeln tillfälligt slappnar av tar uppåtdragande muskler över, vilket låter mungipan vila i ett mer neutralt, horisontellt läge.

What are marionette lines?

Marionette lines are the vertical lines or creases that run from the corners of the mouth straight down towards the jawline. They resemble the lines on a ventriloquist’s puppet and occur when the fat pads in the mid-face lose volume and sag with age.

Does it hurt to treat marionette lines with fillers?

The area around the mouth is sensitive, but the treatment is usually perceived as very gentle. We sometimes apply a numbing cream beforehand, and the filler itself always contains a local anaesthetic (lidocaine) which numbs the area from within during the treatment.

How long do the results last?

The effects of muscle-relaxing injections usually last for 3 to 4 months before muscle activity gradually returns. A volume treatment for marionette lines using hyaluronic acid fillers lasts considerably longer, usually between 9 and 12 months, depending on your metabolism.

What does a procedure to correct downturned mouth corners involve?

Surgery (commissuroplasty) is a surgical option in which a plastic surgeon removes a small amount of skin just above the corner of the mouth to lift the tissue. This is usually considered for older patients where drooping corners of the mouth are caused by extremely loose skin and where injections no longer provide a sufficient anatomical effect.

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