How to Treat Deep Smile Lines?

I have deep smile lines on my face. Is a facelift or plastic surgery my only option? Are dermal fillers a possible solution?

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+3

Improve Deep Smile Lines With a Midface Lift / Cheek Lift

The primary aging change in the cheek area consists of a combination of deflation and descent of the cheek fat pads, creating a hollowed appearance below the lower lids and deepened nasolabial folds (oblique lines which extend from each side of the nose to the area beside the corners of the mouth). Descent of the midface/cheek fat pad can also contribute to the exaggeration of marionette lines and downturning of the corner of the mouth. This aging change is significant, but is... more
Michael Law, MD
Raleigh-Durham Plastic Surgeon
+3

Fillers are usually the easiest way to treat smile lines...

Fillers are usually the easiest way to treat smile lines.  Sometimes surgical excisions can be performed in very specific cases to remove these lines.  Of course, face lift surgery may improve some "smile lines" as well.
Steven Wallach, MD
Manhattan Plastic Surgeon
+3

Keep on Smiling - How to Treat Smile Lines

It has been said that the best form of plastic surgery is smiling, so by all means keep on smiling. Smile lines are usually the result of the loss of volume in the face that occurs along with the aging process. I believe that replacement of your facial volume is the best treatment for smile lines (naso-labial folds). Radiesse, used to build up the submalar (cheek) area, is excellent at restoring volume to the face in a safe and dependable fashion when injected by an experienced physician.... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+3

How to correct deep smile lines

There are many different ways to treat deep smile lines. Injectable filler materials (e.g., Restylane, Juvederm) may be used to temporarily fill the smile lines BOTOX Cosmetic may be used to prevent a wrinkle caused by repetitive muscle movement from getting deeper Lasers (e.g., carbon dioxide, erbium:YAG) and chemical peels may be used to resurface the skin An evaluation by a physician is necessary to determine which treatments are best for a given patient.
Adam D. Schaffner, MD
New York Facial Plastic Surgeon
+3

Deep smile lines: Filler up please!

Smile lines (nasolabial folds) are a natural consequence of facial movement - particularly the most pleasant animation, smiling. The changes that occur under the skin and within the skin result from numerous factors. These factors include the condition and/or thickness of the dermis (deep layer of skin), the epidermis (superficial layer of skin), and the subcutaneous tissue (layers of fat, muscle and connective tissue under the skin). The compound effects of repetitive folding of the skin... more
Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
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Smile lines: Causes and treatments

Smile lines are medically referred to as nasolabial folds. The development of these lines represents several of the aging processes acting at once. Depending on the severity and contribution of each problem, different treatments may be best. The most common treatment involves dermal fillers. These products, such as Restylane, Juvederm, and Radiesse, are used to give extra volume to the area just next to the fold. This causes a smoother transition from the cheek into the upper lip, creating a... more
Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
+2

There are several treatment options depending on where...

There are several treatment options depending on where the smile lines are: For smile lines around the eyes, Botox or even laser resurfacing can be a good option. For smile lines in other parts of the face, dermal fillers such as hyaluronic acid or even Sculptra can be used to soften the lines. Again, laser resurfacing may help if the lines are rather superficial. For a more permanent solution for some smile lines, consider fat injection. In this procedure, fat is taken from the... more
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+2

Deep Smile Lines: One Step at a Time

For patients with deep smile lines, a variety of factors will determine the proper treatment approach. Younger patients with isolated smile lines or "nasolabial folds" most often benefit from an injectable filler. The most popular of these fillers are the hyaluronic acid (HA) products and their varients, such as Restylane, Juvederm, Prevelle, etc. In the nasolabial fold area, the cross-linked forms of these fillers (Perlane, Juvederm Ultra) are longer-lasting and generally... more
Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
+2

Treating deep smile lines

Although fillers are the most common solution to deep smile lines, many times we can boost the volume of the UPPER face by restoring contour, cheekbone definition and upper cheeks, which in turn diminishes the look of deep smile lines without even directly injecting into them!! Patients are usually surprised and pleased with this approach. You see, as we age, the cheek fat pad descends due to gravity, and when we replace the 'fallen' area with new volume, you can see a more youthful and... more
Laurie Polis, MD
Manhattan Dermatologic Surgeon
+2

The deep smile lines appear for several reasons. One,...

The deep smile lines appear for several reasons. One, as we age and lose collagen and soft tissue, the face gets flatter and sags with gravity. This sagging and loss of volume emphasizes the lines that run from the nose to the corners of the mouth. The fat pads that give the "apple" of the cheek soften and sag. Fine lines also appear around the mouth and lips from years of repetitive movements. To reduce these lines I use injectable fillers, like Restylane, Perlane, Juvederm,... more
Jordana Gilman, MD
New York Dermatologic Surgeon
+1

Smile Lines, Radiesse, Juvederm, Peels

Before considering surgery I would suggest a technique such as the one I use in my office when a patient is faced with deep wrinkles whom is interested in fillers. I think the best solution for DEEP smile lines would be to use Radiesse Dermal filler ( because it goes deeper then the other HA fillers such as Juvederm and Restylane) and after the Radiesse has added volume to the area; use Juvederm or Restylane to layer on top of the Radiesse for the superficial wrinkles. Juvederm and... more
Sofia Rubbani, MD
Manhattan Oculoplastic Surgeon
+1

Options to treat deep smile lines

There are several different treatment options, and all work in different ways and treat different aspects. The best bet is to schedule an exam with your doctor, and let him or her assess the issue in person to help you decide on a course of action. Make sure they are Board Certified. For many patients though, a filler works well to treat the lines between the nose and the mouth, resulting in a more youthful appearance. Long lasting fillers like Radiesse, or permanent fillers such as... more
Scott W. Mosser, MD
San Francisco Plastic Surgeon
+1

Treatment of Nasolabial Folds with Facial Fillers: Juvederm, Radiesse, Restylane

Patients are choosing less invasive options for correction of nasolabial (smile or laugh lines) folds. The options are numerious and include Radiesse, Juvederm, Restylane, Perlane, and Fat Grafting. Plastic surgeons and dermatologists each have their preferences so a full discussion should be made with your practitioner. Your discussion should focus on the risks of each particular filler, method of injection, technique of injection, quantity of injection, and postprocedural follow-up.... more
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Options for Treating Smile Lines.

You may have deep smile lines around the eyes or around the mouth, and the treatment for each is quite different. Smile lines around the eyes, which are also called crow's feet, are very effectively treated with Botox injections. The Botox relaxes the orbicularis muscle which causes the skin to crease into the smile lines. When the muscle is relaxed, the surface of the skin becomes smoother. The results of Botox treatment of the crow's feet typically last for four months. Laugh lines or... more
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Correct deep smile lines with long-lasting fat injections

Injectables are a great temporary solution, lasting up to 9 months, but fat Injections are even a better solution and last longer, up to 7 years.
Kimberly A. Henry, MD
Greenbrae Plastic Surgeon
+1

Treatment options for deep smile lines

Smile lines, commonly called nasolabial folds and marionette lines, vary in depth and appearance. Dermal fillers (Collagen, Juvederm, Restylane, Radiesse, Silikon, and Artefill) offer softening and filling of these lines and wrinkles. All dermal fillers are available at Skin Speaks Spa M.D because the characteristics of these fillers vary and what may be best for one patient may not be the best choice for the next. Juvederm, Restylane, Radiesse, and Collagen products offer temporary... more
Patrick S. Carney, MD
Minneapolis Dermatologist
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