Can smile lines be treated with Botox?

Smile lines can be treated with Botox. However, they often respond best to a combination of modalities. Laser, Dermal Fillers and Botox. Combination therapy can provide the most optimal results dependants upon each individual client. Keep in mind that Botox and Fillers should simply provide a natural more rested and refreshed appearance. As a nationally recognized trainer for Botox and Dermal Fillers I recommend that the person you choose to provide these treatments injects on a regular basis. Having an M.D. behind ones name does not mean expertise. Botox can treat smile lines around the eyes as well as along the cheek. However, when treating the cheek lines complications that can occur are asymmetry, upper lip ptosis and muscle excursion impairment if the injections are too deep. Do your homework before going for a consultation. The more educated you are the better choices you can make when seeking a provider.

Can Botox be used to decrease “smile lines?” Yes. Is this a good idea? Usually not. Botox is used to decrease lines in motion, most commonly on the upper face. “Smile lines,” which most of my patients refer to as "the lines between the corners of the nose and corners of the mouth," are normally filled with “skin fillers.” Fillers include collagen, Restylane, Juvederm, Radiesse, and Artefill. If Botox is injected to decrease “smile lines,” it will decrease “smile lines” in motion due to muscle contraction. The muscle injected on both sides is the LLSAN (levator labii superioris alaque nasii). When the LLSAN contracts, it causes a deeper “smile line.” A small dose is used to relax this muscle. Now, is this a good idea? In general, I usually do not inject the LLSAN to soften the “smile lines”. The biggest potential problem is uneven mouth movements. Asymmetry is often the enemy of Cosmetic Medicine. Worst case scenario: you could look like you’ve had a stroke. I’ve seen good results with injection of the “smile lines” in well selected patients, including less prominent “smile lines” and a lessened “gummy smile.” Many physicians will feel uncomfortable with injecting this area, and with good reason. Usually, patients can get great results with fillers alone. Remember- It’s Your Face! Make sure an experienced Medical Doctor treats you with Botox for best results!