How To Avoid A Joker Smile After Fillers?

I noticed on women who get facial fillers such as Radiesse or Restalyn around the mouth area seem to sometimes have a "joker smile" look....how do I avoid this? I have had fillers in the past but i didn't experience this effect, maybe because I didn't have too much injected??? If I go to a different doctor I want to make sure I don't end up with joker smile....first person that comes to mind is Meg Ryan. (Sorry I love her but she's got too much work done, in my opinion)

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9 Doctor Answers | Asked by Leah99 in Silicon Valley, CA

Doctor Answers (9)
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Joker Smile Causes

The Joker Smile is the sign of an inexperienced injector. As a physician gains knowledge and critically evaluates their results, they avoid the tell tale signs of filler placement. Stay with a physician who's main career is aesthetic medicine and avoid the fly-by-night spas. You will happy that you did.

Joker smiles from fillers

Please ignore advice, such as that below, from plastic surgeons suggesting you only see a plastic surgeon. Because filler injections are an art as much as it is a science, it is especially important to remember that the experience and technique of your physician injector, not their specialty, is the most critical part to your achieving a beautiful, natural result. Albert Einstein is quoted as saying, “The only source of knowledge is experience”. It's best to communicate... more

How To Avoid A Joker Smile After Fillers?

I have used fillers to augment and shape the face for 25 years. The Joker smile is caused by over-filling the "Marionette Lines" in front of the Jowls, especially when using a thick filler like Radiesse. A reasonable amount of Perlane to soften the area work great IMHO. This look can also be the result of too much Botox to the Depressor muscles, of the lower lip.

Fillers

Make sure you have a board certified plastic surgeon perform the treatment, injectable fillers look best when not over done.

Fillers

Most people are taken back by the over filled and incorrectly injected appearance. The jokers smile is usually created by injecting to much filler in the lower outer corners of the lip/chin. As we age our lips start to turn down at the corners. The judgement of your doctor as to how much filler injected should resolve the issue. Many times patients can become obsessed with fillers and insist on more, that's where a good doctor simply says no more.

David Alessi, MD

6 reviews

Beverly Hills Facial Plastic Surgeon

www.facialinstitute.com

What you are describing is inartful lip fill.

I tell my patients that there are basically two lip fill styles: Executive lips and adult entertainment lips. It is important that the doctor not confuse these two styles. Too much fill as you have discerned looks ridiculous. Honestly even my patients who are in the adult entertainment business don't want this look. It is typified by overfill of the upper lip so that this lip is disproportionate to the lower lip. The lower lip should always be stronger than... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Avoiding Joker Smile After Fillers

In my opinion, the best way to avoid a bad appearance following soft-tissue fillers is to have the treatment performed by a board-certified dermatologist or plastic surgeon who has extensive experience in the use of soft-tissue fillers (e.g. Juvederm and Restylane) and neurotoxins (e.g. Botox and Dysport). Communicate with the doctor what you would like to improve upon and communicate what you want to avoid. I think that people get in trouble when too much product or products are used. Some... more

How To Avoid A Joker Smile After Fillers?

You want to make sure your injector is experienced in this area. Everyone has different facial anatomy. Your results generally will be different than another persons, even though the product is injected in a similar fashion.

Avoid a Joker Smile after Fillers

The only way to avoid this problem is to select an experienced physician whose results you have seen. That surgeon should provide multiple examples of their work.