Patients may notice that as they age, they are unable to prevent the corners of their mouths from drooping, often resulting in their expressions making them look sad or angry even if this is not the case. The mouth starts to droop when connective tissues within the skin weaken, causing lines, wrinkling, and sagging. This is due to the production of collagen and elastin, important proteins that repair the skin and keep it looking youthful, decreasing with age, and the reserves already in the skin beginning to deplete.

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