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Can Smile Lines Be Treated with Botox?

the smile lines are really pronounced on my face. the lines really bother me. can you share how i can best get rid of smile lines, botox for example works well?

Doctor Answers (22)

Smile Lines and Botox

+3
Patients will often ask me if I can "get rid of this line" in regards to facial lines and wrinkles that may not necessarily contribute to the appearance of age or fatigue.
My strong feeling about the softening of facial lines and wrinkles is this:
  • if it doesn't 'age' you, and it doesn't make you look tired or worried, then don't spend your hard-earned money trying to make it go away.
  • Some lines actually do add warmth and character to the face, and an older face with NO lines usually looks a bit odd.
  • Some smiles that may add age to the face can be treated conservatively with Botox.


Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 37 reviews

Smile lines around the eyes, also known as "crow's feet"...

+3

Smile lines around the eyes, also known as "crow's feet", are among the best areas treated by Botox. Approximately 10 to 12 units of Botox per side are required for good correction of the smile lines.

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Fillers are best for treating smile lines

+2

Since Botox relaxes muscles, it is not good to use for smile lines because it would affect your ability to smile!  So, fillers are usually the best solution for these lines, like Restylane or Juvederm.  Lasers may also be utilized in some cases. 

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

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Treating smile lines

+2

Smile lines ("crows feet") around the eyes may respond very well to Botox. Other smile lines such as the ones over the cheek/midface area and nasolabial line don't usually respond very well to Botox. In many patients, a filling material with hyaluronic acid works better in those areas, instead. A discussion with your surgeon will help you figure out what would be best for your face.

Deason Dunagan, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 4 reviews

Botox for Smile Lines

+2

The answer to your question depends on how you define smile lines. Two practitioners that answered this question focused on different areas, one the mouth and the other the crow's feet (sides of eyes). The crow's feet (the wrinkles on the sides of the eyes that are accentuated when we smile) are excellent candidates for Botox and in most cases, we can achieve complete resolution of these lines using Botox.

But if the smile lines you are referring to are the creases that exist between the sides of the nose and the corners of the mouth, then Botox is not an option and dermal fillers like Restylane would be a great choice.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Smile lines and Botox: Crow's feet but not Nasolabial folds

+1
Botox is used only to weaken muscles that pull underneath the skin and fold it to create wrinkles and lines of facial expression. It works well to soften crow's feet, the lines that form on the sides of your eyes when you smile. Botox is not helpful for the "smile lines" on the sides of your mouth that go from your nose to your mouth (nasolabial folds or melolabial folds). Those lines are only softened by injecting filler such as Restylane, Juvederm, or Perlane underneath to fill in the deep hollow. Very tiny amounts of Botox may be carefully used around the lip area to soften some lines on the lips themselves, but using too much there can make it impossible to speak or eat properly for up to 6 months! The safer way to get rid of lip wrinkes: Smile all the time.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
5.0 out of 5 stars 39 reviews

Can Smile Lines Be Treated with Botox

+1
Smile lines  or crows feet are very effectively treated with Botox
You will need about 8- 10 units per side repeated every 3 - 4 months.

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 24 reviews

Botox for her smile line treatment

+1
Botox is an excellent treatment for smile lines also known as crows feet. 20-25 units total split between both  sides is the appropriate amount of Botox needed to effectively treat the crow's feet. The really pronounced smile lines on the face cannot be treated with Botox, since it will interfere with your smiling  muscle function

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 54 reviews

All depends on what you mean by smile lines...

+1

if you're referring to the crow's feet...then the answer is yes...but if you mean the lines that form on your mid or lower cheek then you're probably looking at a filler...and some lines will not respond to any therapy...and that's okay too...you want to show signs of life...joy, happiness, some emotions...after all that's only human

Ken Landow, MD
Las Vegas Dermatologist
5.0 out of 5 stars 7 reviews

Smile Lines and Botox

+1

It really depends on the reason the smile lines developed in the first place. BOTOX® Cosmetic works by freezing the muscle at the injection site, making it the perfect solution for dynamic wrinkles, or wrinkles that are caused by repeated facial muscle movements. The vertical furrows between your brows are a great example of dynamic wrinkles.

However, other types of wrinkles are caused not just by your regular facial expressions, but also by the loss of volume in the facial tissues that’s part of growing older. For these wrinkles, an injectable filler is your best option. The parentheses lines around the mouth are good examples of wrinkles that can be improved with injectable fillers.

Joseph J. Castellano, MD
Tampa General Surgeon
4.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.