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Sad Mouth Getting You Down? We Have The Fix!

If, even in your happiest moments, you’re still being told to ‘cheer up’ asked ‘why so glum?’, you may well have a condition known as ‘sad mouth’. 

Sad mouth, also called marionette lines, is the name given to the horizontal lines that appear at the corners of your mouth. These lines tend to turn downwards, giving the impression of being sad, cross or tired – even if you’re not!

These lines can really affect your confidence and self-esteem, but a solution doesn’t have to be painful or invasive – in fact, you can get immediate results pretty much painlessly. If you want to know how we can turn that frown upside down, then read on…

Sad Mouth Lines

The Main Causes Of Sad Mouth


Unfortunately, sad mouth lines are one of those unwanted effects of the ageing process. As you age, collagen production in your body slows down. Collagen is the plumping protein that keeps your skin smooth and firm, so, as that depletes your skin starts to loosen and sag. 

Think of collagen as the scaffolding that provides strength and support to your skin. Without it, wrinkles and lines appear and skin feels more papery. You’ve probably noticed this more in areas like your neck, the back of your hands and on your face – all the places that get seen the most!

As well as losing the firmness that collagen gives, skin also loses elastin, which is the protein responsible for the tautness of your skin. It’s elastin that gives your skin the ability to snap back when pinched or moved. If you gently pinch the skin on the back of your hand, you can see it takes a moment to settle back into position – the longer it takes, the less skin elasticity you have.

And to top it all off, loss of both collagen and elastin is commonly associated with menopause. As if there isn’t enough to think about with ‘the change’!

Face Aging


Marionette lines and sad mouth tend to run in the family – so if your mum, dad, or other blood relation has them, then it’s likely you inherited them.


It’s no secret that UV rays are really, really bad for skin. While overexposure to UVB rays puts you at risk of skin cancer and actinic keratosis, UVA rays penetrate the skin more deeply, affecting the dermis layer. 

This harmful UVA radiation encourages the production of free radicals which can lead to DNA damage in your skin. 

It’s these free radicals that are responsible for the breakdown of your collagen. Sun damage can affect you at any age, so prolonged exposure can result in the premature ageing (photoaging) of your skin. That’s why sunscreen is vital, even on overcast days.

As well as damage caused by the sun, our skin is exposed to the dangers of pollution on a daily basis. Soot and nitrogen dioxide are both common in urban environments and both create more free radicals, which just adds to the ageing of your skin.


Smoking worsens the look of sad mouth lines in two ways. Firstly, the toxic chemicals found in cigarettes lead to the production of, you guessed it, free radicals. As with sun damage and pollution, these free radicals play a large role in the destruction of your collagen, giving skin a sunken look. 

Secondly, the constant pursing of your lips creates lines all around your lips. You can read more about smokers lines and treatment here.

face injection administration

How To Banish Sad Mouth

Fortunately, there are plenty of simple and non-invasive solutions to the facial lines that create sad mouth. At Elite Aesthetics we offer you a variety of treatments that best suit your individual needs.

Dermal Fillers

Like the name suggests, dermal fillers ‘fill’ the dermal layer of the skin. The fillers are made from hyaluronic acid, which naturally occurs in the body. Hyaluronic acid is found in skin, joints and in the eyes, where it lubricates and maintains moisture, so is readily accepted by your body – this means it’s one of the most popular treatments we offer.

Dermal fillers are injected into the affected area and immediately plump out the skin, making the lines that define your sad mouth disappear. This treatment is highly effective at smoothing out both fine lines and even deep wrinkles, giving skin a rejuvenated look.

Click here to learn more about our dermal fillers…

Nose injections

Botulinum Toxin

Another option available for the treatment of sad mouth is botulinum toxin, often referred to as “Botox”. These simple and relatively painless injections take moments, offering you a simple, easy and effective solution. 

In a nutshell, botulinum toxin is a muscle relaxer. The toxin is injected into the affected area and blocks the nerve’s signal to the muscles. This relaxes the muscles that pull the mouth corners downwards, leading to a reduction in the visibility of the sad mouth lines that make you look grumpy or unhappy – and a smoother, more youthful appearance. 

Click here to learn more about botulinum toxin for sad mouth…

PDO Thread Lift

This revolutionary treatment is fast becoming one of our most popular solutions to ageing, sagging skin. Until recently, if you wanted to address your loose facial skin, you would need to consider invasive and expensive facelift surgery but now, with the development of thread lifts, there’s a quick solution that is far less painful and much, much less invasive. 

The thread lift works in two stages; the immediate repositioning of the skin and then the regeneration of collagen. 

In stage one, a suture is threaded along the subdermis using a fine needle, so there’s no need for uncomfortable incisions. The thread is tightened, physically lifting the skin and creating a smooth appearance straight away. 

Stage two happens gradually. The thread used is made from PDO (Polydioxanone) which is fully dissolvable over a long period of time and therefore well tolerated by the body. The threads stimulate collagen production, leading to naturally firmer skin in the area.

With treatments taking just half an hour, it’s easy to see why thread lifts are the preferred choice for treating conditions like sad mouth.

Click here to learn more about thread lifts…

Neck Thread Lift BeforeNeck Thread Lift After

Where Are We Located?

Our professional clinic is easy to find; we’re located in Greenhithe, Kent which is just 10 minutes from both Dartford and Gravesend stations, 15 minutes from Maidstone and just 20 minutes from London. 

We welcome the opportunity to talk to you about how we can help you transform your sad mouth into a smile. Our highly qualified clinicians have all the answers to your questions, and can help you decide which treatments best suit your problem, lifestyle and desired outcome.

If you want to banish those lines that give the impression of a sad mouth, then please just get in touch.


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What Our Clients Say...

4.97/5 from 1229 reviews

Dr. Shirin is a fully-trained and highly-experienced aesthetic physician, who works diligently to ensure a 5 star quality service, and brings an honest and ethical approach to every one of our clients. With over 20 years of experience in the medical field, including several years as a GP and a sub-speciality in anaesthetics, Dr. Shirin is fascinated by the harmony between medicine and aesthetics, and with her expertise, Elite Aesthetics is able to offer effective, doctor-led treatments to vastly improve the lives of our clients.

To find out more about how we’ve put a smile on customers faces in the past, read our testimonials below for first-hand accounts of a variety of our treatments. You can also find out more about what we think at Elite on our blog, as well as reading more about what the press says about us. Our delighted clients hail from areas including Greenhithe, Dartford, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Read How I Improved My Lichen Sclerosus

Had a consultation with Elite yesterday, I must say I was a bit nervous, but Dr Shirin was so friendly and helpful.
I was given lots of advice and was given treatment options that were within my budget.
A few weeks after the P Shot I've really started to see a difference and have gained my confidence back.

Thank You!



Elite is an outstanding professional clinic with high standard treatments. All the staff members are friendly and offer you honest opinions when it comes to products and treatments. This is a welcoming clinic that I can 100% recommend. Treatments are spoken through and explained in detail, also aftercare. I have been going nearly a year now and am happy with all the treatments I’ve had, wouldn't go anywhere else. The Bocox treatment started to work within a few days, which I was surprised about. So glad I went to Elite for treatment.



Thank you Dr Shirin, the O Shot has really helped me with my Lichen Sclerosus. I'd heard about the treatment on the LS Facebook Groups and message a few people that had treatment with Dr Shirin. I was like many in the group who had run out of treatment options and using creams on a daily basis. I have to say a few months after treatment, I can see a real positive change and I'm hoping my LS will continue to improve. Dr Shirin did say that I might have to have a second treatment given how severe my case is.




A great discovery in the neighbourhood ! There is no need to go up to London for a beauty treatment of any kind. You'll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more. I love the results of the Thread Lift I had.


Great service as always, skin is glowing very happy


Very happy with the result of my recent visit. For sure will continue with Elite in future

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We have extensive knowledge and experience in the medical and aesthetics industries, but we know that above all, the results matter! All of our treatments are vigorously tested in-house before we offer them to our clients to ensure they are safe, effective and will give you, our wonderful clients, the results you want. Your happiness, well-being and satisfaction are at the very core of everything we do here at Elite Aesthetics, and as a result we will never over-treat or carry out a procedure that Dr. Shirin, deems inappropriate or unsafe. Ethical treatment guides our practice, and we aim to become an industry leader in this respect. This means you can always feel confident that you are in safe hands when you choose Elite Aesthetics.

Our practice is led by our founder, Dr. Shirin Lakhani, who is an advocate for greater regulation in the aesthetics industry. Dr. Shirin and Elite Aesthetics believe greater regulation is vital to the development of aesthetics industry as a whole, and as such, our clinic’s philosophy is based on providing doctor-led care to the highest, medically approved standards. We adhere to stringent ethical and medical principles ensuring all the procedures we offer are safe and effective. Dr. Shirin is also fully registered with the GMC (reference number 4634863), and Elite Aesthetics is Save Face accredited, an endorsement recognised by the UK Government, The Department of Health, NHS England and the CQC (Care Quality Commission).

Elite Aesthetics has been awarded Thread Lift Certification by MINT Threads.

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Elite Aesthetics
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17:16 05 Jun 23
Hi, Alex here,Just had my Lichen treatment today with Dr Shirin,The whole team at elite are very friendly, comforting and understanding, and did everything they could to give me a wonderful and welcoming experience. They are all so kind, friendly and knowledgeable, world experts at what they do. I am lucky to have them near London. They are also super responsive on the phone and email, so I know they care about thier patients, and I'm very well taken care of, (as with other clinics I have been to, its often difficult to get them to respond to questions), but this clinic is the most responsive I have ever seen!This is a beautiful and wonderful place and I highly recommend it, and I will be recommending it to all my friends as well. They definitely deserve the super high reviews they are getting, so I'm happy to add another one! A Big thank you from me and my family for all you have done for us during this journey!

Margaret QuirkeMargaret Quirke

19:44 11 Apr 23
Great team, friendly and professional. Made me feel very comfortable. They explain everything in detail.very welcoming upon arrival too.I've been going now for a number f weeks and the attitude and cleanliness is consistent. The reception area is always spotless no matter the weather.The staff attitude is always friendly and they put me at great ease

Salima CharifSalima Charif

09:34 30 Mar 23
Good service, honesty and excellent customer service as always 👍

Valerie LambValerie Lamb

08:40 15 Mar 23
Yesterday I had a 'body sculpt' session, to help lymphatic drainage. I was zipped into a suit up to my waist. This massaged and lightly squeezed my feet, ankles, calves, thighs and abdomen. I was breathing oxygen rich air via nasal tubes. It was very relaxing and I slept really well last night. Thank you Elite Aesthetics.

Izzy ChaplinIzzy Chaplin

20:11 09 Mar 23
Today was the first time I visited Elite. The staff were all so friendly and accommodating. Dr. Shirin is so knowledgeable and really helped me understand all the concerns I had. I will definitely be returning. I highly recommend Elite to everyone, especially those concerned with the menopause !


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