Botox or more permanent options? (photos)

Thank you for your question and photographs.  Unfortunately there aren't more permanent options and we are instead limited to the 3-4 months of activity that Botox, Dysport, or Xeomin afford.  Be sure to see a board certified plastic surgeon in consultation to have the best treatment option recommended.  

There are lots of options such as botox/dysport/xeomin, fillers like belotero or juvederm to improve this area. I suggest you see an expert.  Best, Dr. Emer.