Laser / Radiesse Treatment for Dynamic Lines Around Mouth?

asked 1 year ago by sarahdr in New York, NY
Latest answer by Darryl J. Blinski, MD
Question viewed 386 times
Tags: lines, mouth, dynamic

I'm going in for a consult with a facial plastic surgeon regarding the harsh dynamic lines that have developed on both sides of my mouth when I smile. I would like opinions on CO2 resurfacing vs Radiesse or both before going in. On the left side is a small static line that has been there since HS because I used to sleep with Clearasil all over, but it has gotten deeper and is now causing a 2nd comma line behind it. There are no other static lines;I feel the lines add years to my face...

6 answers to Laser / Radiesse Treatment for Dynamic Lines Around Mouth?

Treatment for deep lines around the mouth

Before deciding what is the best treatment for lines around the mouth, what is needed is a global assessment of the soft tissues of the face. The paradigm of treating the symptom (that is, the lines around the mouth) is being replaced by diagnosing and addressing the problem. The problem may be an overall loss of soft tissue in the upper face. Starting with age 30, we lose approximately 5 cc of facial soft tissue every year. It is primarily lost from the upper face:... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Laser / Radiesse Treatment for Dynamic Lines Around Mouth

You appear very young and please consider ALL the risks. Fillers are easier to correct vs ablative lasers. Seek in person opinions MANY before considering an invasive action. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

Don't fix it if it isn't broken!

From the photograph you provided, you appear quite young! You don't appear to have much in the way of sun damage or strong lines, either. When we look at a face, we divide a patent's concerns into dynamic and static features. Treating lines that are visible at rest (static) is much more likely to make doctor and patient happy. I warn patients about "chasing" lines that are only visible in activity (dynamic). These treatments almost always result in outcomes that wont... more

Barry Resnik, MD
Miami Dermatologist

Dynamic smile lines defy a long-term result

The dynamic smile lines to which you refer are difficult problems to treat in terms of getting a good long-term result. They are a natural result of those who have a wide smile (which is actually a well received expression) and skin that is thinner. Because they are dynamic, there is not a good way to stop them from forming. For certain, there are two potential treatments that I wouldn't do, botox or laser resurfacing. They will not be effective. The only good treatment would be... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Paraconcentric smile folds

Please be very careful not to rush into any treatment! These dynamic lines are related to the muscle pulling on the skin. If Botox were used, it would interfere with your speech and eating and you would look unnatural as if you had a stroke. Fillers used to make it look good with motion, might make the skin look lumpy or too full at rest if they are injected under those paraconcentric smile folds. Generlized cheek volume may help. Also if there were any recent dental work /... more

Ronald Shelton, MD
Manhattan Dermatologist

Facial lines and options

Deep facial lines like those around the nasolabial crease can be sometimes treated with facial fillers. Radiesse is one option but another is a hyaluronic acid like perlane or juvederm. As for ablatve lasers like CO2 it would be hard to say without an exam. Facelifts also help with early jowling and nasolabial thickening.

Steven Wallach, MD
Manhattan Plastic Surgeon

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