What can cause the lines all down the side of my face when I smile? And what can be done to improve it? (photos)
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Doctor Answers 8
Treatment of expression lines in a younger patient.
Having changes in the contour of the skin is a normal part of facial expression. I see no indication for treatment based on the one photograph provided.
Facelift #faceliftrecovery #fatgrafting #beauty #tmbcosmeticsurgery #woundhealing
Thank you for your question and photo! It is difficult to tell exactly what is happening with the one photo. You are still healing from your surgery. Please review your results with your surgeon- as they would be best to guide you in what can be done.
With Warm Regards
Trevor M Born MD
Face lift -
Thank you for asking about your face lift.
- I am sorry you are disappointed with your face lift.
- The face lift will tighten the middle of the face but the lines in your photos are expression lines -
- These are lines that form naturally when you smile, like crows feet.
- Except in the mid-face, Botox can't help because it will make your face flat, as though you had a stroke.
- Filler might help and Botox around the crows feet might soften the pull a bit.
- I see no need in the photos for buccal fat removal or liposuction.
- What does your surgeon say? It might be wise to wait a year from surgery before having anything done - you still look a bit swollen.
Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
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Lines appearing when you smile
From your photo and the description you provided it sounds like the lines that are bothering you are dynamic in nature. These lines are not responsive to surgery as they are caused by skin wrinkling over contracting muscle. They may be improved is some cases by volume addition of improving skin tone and quality with products or skin resurfacing procedures.
How to improve lines on side of face after lower facelift?
It would be helpful to see pictures of you when you are not smiling to give you the best advice as to possible treatment of the lines you see on the side of your face after your lower facelift. From the picture that you did provide, your neck appears good after your procedure. Wrinkles that form with facial movement would not respond to surgery. If there are some lines while your face is at rest, it is possible that procedures that target the surface of the skin could help. These would be treatments such as laser resurfacing, chemical peels or Fractora RF. Other recommendations cannot be made without further evaluation of your face.
Thanks for sharing your question. I can appreciate your concern.
An important component to determine what to do is based on the animation pattern of your wrinkles. If the wrinkles are present when you smile, and not in resting position, it is unlikely that more surgery may help the process. sometimes volume may help with the problem.
Finally, make sure that your doctor is aware of your process. He should be able to guide you best in your care.
Wishing you the best in your journey
Expression lines, treatment options
Based on the photo you provided, it doesn't look to me as if you need any additional work. Expression lines are always going to be present. If you try to remove them all, you will look like a mask.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.