What's best for smile lines Botox or filler and will it help in the long run?

Smile folds, the creases that go from the side of the nostrils to the corners of the mouth, are best treated by fillers. Sometimes fillers are needed first in the upper outer and mid cheek to support sagging structures that contribute to the smile folds. I commonly do this with Voluma.  After that filler is done, the smile fold is observed for any improvement. If it is still desired to fill the smile fold, then it can be done at the same visit. I usually use Juvederm Ultra, or Juvederm UltraPlus or Vollure for these folds. Some smile creases are very thin and narrow and may benefit by more superficial fillers such as Belotero

Thank you for your question.  Without a photograph it is difficult to comment on what procedure to suggest for your particular circumstances. Botox cosmetic interacts with muscle contracture.  Done regularly, Botox will decrease creasing and therefore prohibit deep lines from forming.  Dermal filler is an excellent option for augmenting depressed areas.  My advice is to seek a consultation with an experienced injector who will guide you through options best suited for your needs.  Good luck.

Hi Beam.  If you are referring to the laugh lines around the mouth, then dermal fillers would be the product you are looking for.  Botox is great for the upper face (frown lines and crow's feet), but dermal fillers are best below the eyes in the cheeks and around the mouth.