What are my options to minimize the appearance of folds below my nostrils? (photos)

Question

Hello! I've had these folds below my nostrils when I smile for all of my life. I recently tried botox to address them, but it didn't work. I was injected right at the folds, and since that is usually done to address gummy smile I was given a lip flip as well so that my smile wouldn't droop too much. My lips are fuller but there was no change to the folds. Could plastic surgery or some other treatment help? Is there any term for these folds?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Since you didn’t notice a difference after Botox injections, properly placed filler may be a solution to minimizing the folds you’re referring to. These hyaluronic acid formulas restore volume to hollow areas to smooth the skin and balance facial features and are often used to treat wrinkles, lines, and folds.

I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to review your treatment history, assess your concern, and determine the best course of action.

I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to review your treatment history, assess your concern, and determine the best course of action.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. Those folds will be difficult to treat, but you might find improvement with proper placement of fillers. See an experienced oculofacial surgeon for evaluation. Good luck!

Camille Cash, MD · Answer

If the folds are related to muscle activity then some improvement could be expected from Botox.  Since you didn't notice any change from treatment I encourage you to visit with a board certified plastic surgeon for an evaluation and to discuss options.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

What are my options to minimize the appearance of folds below my nostrils? (photos)

Answers (4)