Downward smile treatment in Birmingham
Lift the corners of a downward-turning mouth with expert anti-wrinkle treatment at our Jewellery Quarter clinic — subtle, natural-looking results in around 15 minutes, with no downtime.
- Procedure time15 minutes
- Treatment areaBelow the mouth
- DowntimeNone
- Side effectsRedness & bruising
- Results last3–4 months
Anti-wrinkle for a downward smile
Some people naturally have a mouth that turns down at the corners, which can make you look unhappy or tired even when you're not. A small, precise anti-wrinkle treatment relaxes the muscle below the mouth that pulls those corners down — so your smile sits a little higher and more relaxed.
In as little as 15 minutes you can have your treatment and head straight back to your day. Every treatment is carried out by a trained, insured professional at our clinic in the heart of Birmingham's Jewellery Quarter, just 10 minutes from the city centre.
A subtle lift — and a smile that better reflects how you feel.
What is a downward smile, and what causes it?
If the corners of your mouth naturally point downwards, you have what's often called a downward or "sad" smile. For some people it's simply their natural anatomy; for others it becomes more pronounced with age as the skin and muscles around the mouth lose support.
A muscle below the mouth (the depressor anguli oris) pulls the corners down. A small dose of botulinum toxin relaxes that muscle so it stops tugging the corners downward, allowing the mouth to settle into a softer, slightly lifted position.
Who is downward smile treatment for?
This treatment suits adults in good general health who feel the corners of their mouth turn down and want a subtle, natural lift rather than a dramatic change. It's a great option if you'd prefer a quick, non-surgical treatment with no downtime.
It isn't suitable during pregnancy or breastfeeding, or if certain medical conditions apply (the full list is further down the page). That's why every treatment starts with a consultation — so we can check it's right for you, answer your questions and set realistic expectations before anything goes ahead.
Looking after your results
- Stay upright for around 4 hours after your treatment.
- Avoid touching, rubbing or massaging the area for 24 hours.
- Skip strenuous exercise for 24 hours.
- Avoid alcohol for 24 hours.
- Avoid heat treatments — saunas, steam rooms and sunbeds — for about 2 weeks.
- Hold off on makeup over the area for a few hours.
- Results develop over 3–14 days, so be patient at first.
- We can arrange a review to check you're happy.
Before & after your treatment
What to expect
After your treatment you may notice some stinging or slight bruising where the needle was placed. These effects are temporary and settle quickly.
Anti-wrinkle injections take several days to take full effect, so don't worry if you don't see a change in the first few days — this is normal.
How to prepare
- Avoid alcohol for 48 hours before your treatment.
- Let us know about any prescribed or non-prescribed medication you're taking.
- Avoid over-the-counter anti-inflammatories such as ibuprofen for 48 hours beforehand.
Who shouldn't have this treatment
This treatment isn't suitable if any of the following apply. If unsure, please ask during your consultation:
- Pregnancy or breastfeeding
- Hypertrophic or keloid scarring
- Bleeding abnormalities (e.g. anticoagulant use or thrombocytopenia)
- Active skin condition in the area (e.g. eczema or psoriasis)
- Active infection in the area (e.g. herpes simplex or pustular acne)
- Impaired healing (e.g. due to immunosuppression)
- Skin atrophy (e.g. chronic oral steroid use, or syndromes such as Ehlers-Danlos)
- Sensitivity or allergy to botulinum toxin or its constituents, or a milk allergy with certain products
- Neuromuscular disorders (e.g. ALS, Lambert-Eaton syndrome, myasthenia gravis or myopathies)
- Gross motor weakness in the area (e.g. Bell's palsy or stroke)
- Uncontrolled systemic conditions
- Medications that may potentiate the effect (e.g. aminoglycosides, quinine, calcium-channel blockers, penicillamine)
- Unrealistic expectations or body dysmorphic disorder
- Periocular or ocular surgery in the last 6 months
Downward smile treatment in the Jewellery Quarter
The Glam Fairies is an aesthetic and skincare clinic in the heart of Birmingham's Jewellery Quarter (B18 6EX), just 10 minutes from the city centre, with every treatment carried out by a trained, insured professional. We focus on subtle, natural-looking results and take time to understand what you want.
We welcome clients from across Birmingham and the West Midlands.
Explore our other anti-wrinkle treatments in Birmingham, including the lip flip and gummy smile.
Downward smile — your questions answered
Downward smile treatment in Birmingham
Ready to lift those corners? Book a consultation with The Glam Fairies at our Jewellery Quarter clinic, or get in touch with any questions.
Lines open Mon–Fri, 9am–5.30pm · Appointments 7 days a week