Cosmetic Surgery Tips

How Much Botox for Smile Lift

The smile lift is one of the most popular procedures in the world. It is a surgical procedure that can be done with or without anesthesia, and it is performed by a plastic surgeon or a maxillofacial surgeon. The smile lift can also be performed independently or as part of another procedure such as a face-lift or rhytidectomy.

The goal of this procedure is to lift the corners of the mouth and produce an upward movement along with dimpling around the lips. This will improve your overall smile, making it more youthful and attractive.

The amount of botox needed for this procedure depends on many factors including:

  • Your age
  • How much excess skin you have on your face
  • If your teeth are crooked or not aligned properly
  • If you have any other conditions that affect your appearance (such as weight loss surgery, etc.)

How Much Botox for Smile Lift

Advice from a beauty-conscious friend to smile less may sound ridiculous in our early 20s. We shouldn’t suppress laughter. However, the friend’s advice starts to make sense in our late 20s, with the appearance of smile lines and other aging signs. Especially unpleasant are the droopy corners of the mouth that give a person an angry, frowning look even when they are in a great mood.

Luckily, there is a quick and painless fix for smile lines and droopy mouth corners: the Botox smile lift. Here, we explain how it works and what to expect from the treatment. 

Botox smile lift

What Is a Botox Smile Lift?

Botox smile lift is a nonsurgical, minimally invasive cosmetic procedure that lifts the corners of the mouth and smooths the lines and wrinkles at the sides of the mouth. The procedure involves a quick injection of the neurotoxin popularly called Botox.

What Areas Can Be Treated?

Botox smile lift treats the area around the mouth. The treatment lifts the corners of the mouth, reduces the appearance of a persistent frown, and smooths smile lines on both sides of the mouth.

Who Is a Good Candidate for the Botox Smile Lift Procedure?

Anyone unhappy with droopy mouth corners due to aging is a good candidate for a Botox smile lift. This treatment is a good choice for people who don’t want to undergo surgery or who are contemplating a surgical smile lift but want to preview the results first.

If you are pregnant, breastfeeding, have an infection at the treatment site, or have bleeding issues, you are not a good candidate for Botox.

What Does the Botox Smile Lift Procedure Look Like?

Botox smile lift starts with a consultation with your chosen Botox injector. Make sure they are a board-certified medical provider with plenty of experience injecting Botox. After discussing your expectations and medical history, the medical provider determines how many Botox units you need and tells you how to prepare for the procedure.

On the day of the procedure, your medical provider injects 3 to 6 units of Botox in each corner of your lower lip. The targeted muscle is called Depressor Anguli Oris, and it’s responsible for pulling the corners of your mouth downward. The Botox temporarily paralyzes the muscle, lifting the corners of the mouth.

How to Prepare for the Procedure

Your medical provider will give you clear instructions on what to do before the procedure. The preparations typically include avoiding certain products for up to two weeks, such as:

  • Blood-thinning medication
  • Supplements that affect blood clotting
  • Alcohol
  • Nicotine
  • Caffeine
  • Certain antioxidant-rich foods

Procedure Aftercare

To prevent bruising and other potential side effects from Botox, avoid:

  • Lying down for four hours after the procedure.
  • Exercise for 24 hours after the procedure.
  • Alcohol and nicotine for 24 hours after the procedure.
  • Sugar and salt intake for 24 hours after the procedure.
  • Rubbing the treatment area for 24 hours after the procedure.
  • Direct exposure to the sun.

If you experience bruising, swelling, or pain at the injection site after the procedure, apply ice packs and use pain killers as recommended by your doctor to speed up recovery.

When Are the First Results Visible and How Long Do They Last?

The first results of a Botox smile lift typically appear within three to five days of the procedure. Full effects are visible after about two weeks.

The Botox smile lift is a temporary treatment that lasts three to six months. For continued results, Botox specialists recommend repeated sessions every three to four months.

Before and After Botox Smile Lift Treatment

After a Botox smile lift, the corners of the mouth stop curving downward, and the facial expression is softened and rejuvenated.

Possible Side Effects

Botox treatments are safe and usually painless. Potential side effects are mild and resolve quickly without medical attention.

The most common side effects include:

  • Bruising
  • Swelling
  • Pain
  • Numbness
  • Redness

Rare side effects include:

  • Nausea
  • Headache
  • Blurred or double vision
  • Difficulty breathing
  • Difficulty swallowing
  • Allergic reaction

If you experience severe side effects, contact your medical provider immediately.

The Botox smile lift is a popular, nonsurgical treatment for droopy mouth corners and smile lines. In under half an hour, it transforms your expression from cranky to pleasant. It also smooths smile lines at the corners of the mouth, giving you a more youthful appearance. If you want to align your facial expression with your positive mood, Botox is the best solution.

Botox Smile Lift Before and After

Fast facts


  • Botox is a nonsurgical procedure that’s used to smooth wrinkles by temporarily relaxing muscles.
  • It can be done around the mouth to reduce the appearance of smile lines.
  • The effects of the procedure typically last about 3 to 6 months.


  • Botox is generally considered safe with little downtime.
  • Certain side effects can occur, and the procedure should always be performed by a board certified dermatologist or plastic surgeon.
  • Side effects may include:
    • redness
    • swelling
    • bruising
    • pain in the mouth area
    • numbness
  • Always see a doctor if these side effects don’t resolve within a week.


  • Botox is a quick procedure with little downtime needed.
  • You should be able to drive yourself home and possibly even return to work the same day, though you will need to avoid makeup and strenuous activity for 24 hours.
  • Always be sure to find a reputable medical professional to perform the procedure. In some states, aestheticians aren’t allowed to administer Botox.


  • The cost of Botox will vary depending on how many units you need and where you live.
  • Typically, you can expect the procedure to cost anywhere between $400 to $900 per session.
  • Be wary of Botox treatments that seem inexpensive, as the technician may not be medically trained.


  • Botox is an effective way to temporarily treat the appearance of smile lines, though it’s not a permanent solution.
  • The results of the treatment will typically last 3 to 6 months.
  • To continue to see results, you’ll need to get additional treatments every few months.

What is Botox for smile lines?

It’s great to laugh a lot, but you may not find the accompanying wrinkles, sometimes called laugh or smile lines, very funny.

Botox is used to smooth wrinkles and injections can be done around the mouth to reduce the appearance of smile lines.

Botulinum toxin (aka Botox) is injected in small amounts around the mouth to freeze and relax the muscles. This smooths the look of wrinkles, since certain lines, known as dynamic wrinkles, are often caused by repeated muscle movement.

The effects of the procedure typically last about 3 to 6 months.

You can get Botox anywhere on your face. Anyone with smile lines or who wants to slow the appearance of smile lines, barring pregnant people or those with certain conditions, is a good candidate.

Botox Smile Lift Cost

How much does Botox for smile lines cost?

The price of Botox will depend on exactly how many units you need, and in what location you’re getting the procedure done.

In most cases, it will cost anywhere from $300 to $600, and you’ll need to have this process repeated every 3 to 6 months to see the best results.

Because Botox is generally considered a cosmetic procedure, it’s not likely to be covered by insurance.

How does Botox for smile lines work?

Smile lines, which can be caused by sun exposure, smoking, or just as part of the natural course of aging, are wrinkles of varying depths that appear around the corners of the mouth. As the name suggests, they may be more visible when you smile.

Botox is a nonsurgical treatment that temporarily freezes or weakens the injected muscle. Your dermatologist or plastic surgeon will use a small needle to inject the substance into the facial muscles below your skin, and your wrinkles should be less visible within a few days.

In some cases, Botox can be also used along with surgery to reduce the look of a gummy smileTrusted Source.

Procedure for Botox for smile lines

The procedure for Botox for smile lines will typically go as follows:

  1. You’ll arrive at your appointment and fill out some basic medical paperwork.
  2. Since Botox will be injected in the face area, you should be able to keep your clothes on. For sanitary reasons, you may be given a gown to put over your clothes.
  3. The doctor will clean off your face and take off any makeup. They may apply a topical numbing cream or ice to the area.
  4. Using a very narrow needle, the practitioner will inject the Botox directly into the muscles surrounding your mouth. You’ll feel a prick and possibly tingling sensation.
  5. The practitioner should go over aftercare instructions with you, and you can ask any questions.

Targeted areas

Botox has been tested and approved by the Food and Drug Administration (FDA) for use in the forehead and for crow’s feet. In the lower face, the use of Botox is considered off label.

Botox for smile lines will treat the wrinkles around the mouth that can sometimes give it a downturned or frown appearance.

Are there any risks or side effects?

Botox is generally considered a safe procedure with minimal side effects, though they can occur.

There’s a slight risk of botulinum toxicity which can occur in the rare case that the injection fluid spreads. If you have any breathing difficulty or trouble speaking, contact your doctor immediately.

Minor side effects usually resolve themselves and can include:

  • redness
  • swelling
  • bruising
  • pain in the mouth area
  • numbness
  • headache
  • drooling
  • minor speech differences

What to expect after Botox for smile lines

Recovery for this procedure is generally pretty minimal. Here’s what to expect after getting Botox for smile lines:

  • You’ll be able to resume most normal activities after the procedure and you can drive yourself home or even return to work.
  • Don’t lie down on your face or touch the area for at least 4 hours after the procedure.
  • Wait a full 24 hours before exercising or doing other strenuous activity.
  • You may feel a slight stinging or tingling sensation that should subside within a few days.
  • You’ll start to see results within 3 to 6 days with maximum results occurring about 14 days after the procedure.
  • Results aren’t permanent and you’ll need to continue to get Botox treatments every 3 to 6 months for best results.

Preparing for Botox for smile lines

Before getting Botox for smile lines, make sure you prepare accordingly by:

  • meeting with your practitioner to discuss the procedure and exactly what they will do and what look you are trying to achieve
  • sharing your medical history, any medications, and if you are pregnant or planning to be with your practitioner
  • asking your practitioner what to avoid in the week before your appointment, which may include blood thinning medication, alcohol, caffeine, smoking, and even certain antioxidant-rich food which may make it more difficult for blood to clot
  • wearing as little makeup as possible, and planning to avoid makeup and exercise after your appointment

Filler or Botox for Smile Lines

Botox and fillers are both injectables used to treat facial wrinkles. While Botox relaxes the muscles, fillers are used to fill and plump the skin. Botox is typically used for dynamic wrinkles created by muscle movement like smile lines, crow’s feet, or lines on the forehead.

Fillers can be used to make the face plumper in areas where there are static wrinkles caused by a loss of collagen. Fillers also last longer, with some lasting up to 2 years before you’ll need to get another treatment.

Both procedures have risks, though fillers may be riskier and in rare cases can cause an allergic reaction.

Can Botox Help a Downturned Mouth?

Age and gravity can cause the mouth to turn downwards. In addition, the muscles responsible for tooth grinding can also cause premature drooping at the corners of the mouth. Fortunately, there is a safe and non-surgical solution to this common aesthetic concern– Botox. When injected into the Depressor Anguli Oris muscle, Botox lifts the corners of the mouth for a more neutral and pleasing “resting expression.”

Here at Dallas Dermatology Partners, we personalize Botox treatments to help patients achieve subtle, natural results. Restore your confidence along with the youthfulness of a cheerful lower face with high-quality dermatological care.

Downward Smile Botox Before and After

Botox injections may be appropriate for people whose mouth corners naturally drawdown at rest. This can also happen in younger patients with overactive Depressor Anguli Oris (DAO) muscles. If you want to address this, Botox can work wonders. The neuromodulator works by temporarily relaxing the downward pulling action of the DAO muscle.

This simple outpatient procedure has no downtime and lasts less than 15 minutes. The injections are not particularly painful, but patients can request a topical numbing cream if they are anxious.

Your dermatologist will inject the DAO muscles on either side of the mouth using a very fine needle and then apply firm pressure with a gauze pad to stop bleeding.

What to expect after the procedure

Botox around the mouth is a lunch-hour treatment with little risk of adverse side effects or complications. Most of our patients return to work or normal activities with nothing more than some mild redness. Bruising may develop but is easily concealed with mineral powder. We ask that patients avoid lying down for 4 hours after the treatment.

A mouth corner lift with Botox is a surprisingly quick procedure, but the results aren’t immediate. Instead, expect to see subtle improvements over the following seven days, with maximum effect after two weeks. During your follow-up appointment, our Botox Dallas dermatologists will determine if additional injections are needed.

How long do results last?

Botox for a downturned mouth can last up to five months, but this is dependent on your age, metabolism, and the dosage given. The majority of patients find that Botox results tend to wear off after three or four months.
Depending on your concerns, Botox may be combined with complementary treatments like dermal fillers for optimal results—for example, Juvederm and Restylane. These may be used along with Botox to elevate the corners of your mouth.

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