Botox battle: which injection site lifts drooping mouth corners best?
NCT ID NCT07646886
First seen Jun 24, 2026 · Last updated Jul 08, 2026 · Updated 4 times
Summary
This study compares two injection sites for Botox to treat drooping mouth corners, a common sign of aging. 266 adults aged 18-60 will receive a single injection either in the upper or lower part of a specific mouth muscle. The goal is to see which spot works better and safer, and to create standard guidelines for doctors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Botulinum toxin type A (Botox)
- What this could lead to
- If successful, this trial could establish the best injection site for treating drooping mouth corners with Botox, providing clear guidelines for doctors.
- What could go wrong
- This is a phase 4 trial, so the treatment is already approved for other uses. However, results may vary by individual, and there is a risk of temporary weakness in nearby muscles or asymmetry.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 266 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 18 to 60 years, any gender * Meet the diagnostic criteria for oral commissure ptosis: bilateral oral commissure ptosis angle (angle between the oral commissure point and the horizontal line of the ipsilateral vermilion border) \> 1° at rest * Have clear aesthetic demand for oral commissure ptosis improvement and can complete full-cycle follow-up * No redness, swelling, ulcer, scar, deformity or active infection in the perioral and mental regions * Have not participated in other interventional clinical trials within 3 months before enrollment Exclusion Criteria: * Hypersensitivity to botulinum toxin type A, lidocaine or excipients of injection preparations; or contraindications to botulinum toxin injection (myasthenia gravis, Lambert-Eaton syndrome, motor neuron disease, severe liver and kidney dysfunction, coagulation disorders, uncontrolled autoimmune diseases, malignant tumors) * History of mid-lower facial botulinum toxin type A injection, soft tissue filling, laser/radiofrequency rejuvenation, perioral surgery or orthognathic treatment within 6 months before enrollment * Planned perioral treatment within 6 months after enrollment that may affect efficacy evaluation * Pregnant or lactating women, or those planning to become pregnant within 6 months * Acquired oral commissure ptosis caused by facial nerve palsy/sequelae, perioral scar traction, severe jaw deformity or severe alveolar bone resorption * Severe facial asymmetry (difference in bilateral oral commissure ptosis angle \> 2°) * History of botulinum toxin allergy or severe adverse reactions after previous botulinum toxin injection * Currently using aminoglycoside antibiotics, quinine, calcium channel blockers, anticoagulants or other drugs that may affect botulinum toxin efficacy or increase bleeding risk and cannot discontinue * History of mental illness, drug/alcohol abuse, or poor compliance unable to complete follow-up * Other conditions deemed unsuitable for enrollment by the investigator
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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