Michelle A. Radeka, DMD

Hello and thank you for your question.  A little botox can help a down turned smile but will not last long unfortunately.  I personally love using PDO Threads to help with this area.  They can be used to build volume and lift.  Typically two to three lifting threads (not cogs) per side/area would be needed for the jowl area for someone as young as you appear to be.  They can also be used at the margins of your lips to build volume thus causing an upturned lip.  They are a relatively easy treatment with little to no down time.  Hope this answer helps and best of luck for the Art of Ageless Aesthetics.  

Hello and thank you for your question.  There will be many answers to your questions as there are many options available today that can help.  Some fairly simple to outright surgery.  To make life more interesting, I am going to recommend another option.  One that I am particularly fond of and what I consider to be fairly simple with little to no downtime.  The use of PDO Threads for both volume and lifting have the ability to produce amazing results, especially for someone as young as you appear to be in your photos. I hope this answer helps and best of luck from the Art of Ageless Aesthetics.  

Hello and thank you for your question.  One option for you to consider is the use of PDO threads for both volume and lifting.  The process may take you a little longer and you may not have that instant gratification but in the end the results are worth waiting for.  Hope this helps and best of luck from the Art of Ageless Aesthetics

Hello and thank you for your question.  An option you may want to consider is the use of PDO Threads for that area.  There have been advances with PDO Threads that now include one from Miracu that is a meshfill made for the tear trough area.  It can also be used with filler and it acts as a guide for filler to prevent migration of the filler.  Hope this helps and best of luck from the Art of Ageless Aesthetics.  

Hello and thank you for your question.  The use of fillers will not cause the skin to stretch or the wrinkle to get worse, but it truly won't help the skin and only temporarily makes the wrinkle look better.  An option you might want to consider is the use of PDO Threads for both volume and lifting to help with your smile lines. PDO Threads can be used for nasolabial folds, marionette lines, cheeks to provide both volume and lifting to those areas with minimal downtime.  Hope this answer helps and best of luck from the Art of Ageless Aesthetics.