47. Static accordion lines - what is the best treatment option? (Photo)

I have been treating this kind of problem for years with very gratifying results using a fanning injection technique for injecting a low viscosity, malleable, cohesive HA filler. Properly injected, this approach not only improves the static, I.e. at-rest, appearance of these type of lower face accordion lines (aka "parallel laugh lines"), but also serves to minimize their deepening with smiling.
Although usually not necessary, this treatment can be followed by a series of superficial peels treatments for any residual static crinkling component using high concentrations of glycolic or salicylic acid, Jessner's Solution, or low concentrations of TCA. You would be wise to consult with a board certified cosmetic dermatologist filler expert. Best of luck.

The lines you see in your face are there because your face has lost the great deal of volume. As a rule, the Laser will not do enough unless it is performed in a very aggressive manner. Just like a deflated balloon will smooth out when you fill it up, your face will do the same with fat grafting. When fat grafting is done properly, it should make you look 20 to 30 years younger without any scars and practically no signs of having had anything done. I hope this helps and good luck from Leonard Grossman, M.D. organic Plastic Surgery NyYC