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I'm 23, Sharp Nose, Big Cheeks, and Wrinkles After I Smile. What Can I Do?

asked 11 months ago by AlyssaMarguerite in Washington, DC
Latest answer by Daniel J. Ladd Jr., DO
Question viewed 275 times
Tags: marionette lines, nasolabial folds, options

It bothers me that when I smile I get multiple pucker lines around my lips, deep dimples, and fine "parentheses" wrinkles which last for hours after. These are noticeable no matter what primer/foundation I'm wearing. As you can see, I have a sharp nose, large cheeks, and an overbite- are these contributing to the wrinkles? Would it require surgery to fix, or fillers, or both over time?

3 answers to I'm 23, Sharp Nose, Big Cheeks, and Wrinkles After I Smile. What Can I Do?

+1

Do nothing!

Alyssa, This photo shows a perfectly healthy youthful looking face. I would give strong consideration to doing nothing at all except daily SPF 30 that offers protection from UVA and UVB rays. Avoid tanning. Your skin looks great, just do the above to maintain it. However, if you must do something, do fillers. The photo looks as though you have a little less facial volume on your left. This is asymmetry and we all have it to some extent, so it is normal. However, we tend... more
Daniel J. Ladd Jr., DO

Austin Dermatologist
+1

Reducing Wrinkles Around the Mouth

Wrinkles occur because: contraction of an underlying muscle (the muscles of facial expression) corrugate the overlying skin (dynamic wrinkles) As we age: the dermis thins and loses elasticity; there is a loss of facial fat (a gliding and padding layer between the muscle and skin; facial muscles get thinner and may lose tone some loss of facial bones contributes to the loss of facial volume There are multiple... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon
+1

Fillers are a simple solution for facial creases...

You are young and have a very pretty smile. The creases you are describing are moderately related to the features you suggest but more specifically related to your face muscles and the overlying skin. To improve upon these, a combination of great skin care (moisturization and sun-protection) combined with the use of soft-tissue fillers may be able to give you the results you desire. If you are uncertain, starting with a soft-tissue filler with a shorter life-span (i.e.... more
Michael G. Brandt, MD

Toronto Facial Plastic Surgeon

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