Skin around mouth is getting looser - How can I improve my smile lines? (photos)

Question

I feel like the skin around my mouth is getting looser. How can I improve this? It wrinkles when I smile

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

Thanks for sharing your question and photos. The combination of fillers and erbium laser resurfacing would diminish shadows, improve elasticity and generate collagen. Make an appointment with an experienced oculofacial surgeon for proper guidance. Good luck.

Nima Shemirani, MD · Answer

Hi @breezemarch! You can help smoothen the smile lines with dermal fillers. Restylane Defyne and Refyne work great in that area! Another great option is Morpheus 8 for skin tightening. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Jason Emer, MD · Answer

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer.

Marc Polacco, MD · Answer

Thank you for your question. There are a few treatments which would lead to improvements. Small doses of botox would be able to weaken the muscles slightly to reduce the lines; however, this would have to be balanced carefully to avoid weakening your smile. There are in-office tightening procedures such as Ultherapy and Thermitight. Lastly, a facelift would also be effective but would carry the most downtime. 
Best,
Dr. P

Laura Lewman, ND · Answer

As we age, we lose collagen in our skin and volume. Sculptra is a natural treatment that stimulates your body's own collagen production. Results are achieved slowly over 3 treatments and 6-12 months, however last 2+ years! Dermal fillers can have similar, but more instant and shorter-lasting results to bring back volume and structure to that area. I also notice the corners of your mouth turn down a little at rest, and a neuromodulator (like Botox or Dysport) could help by relaxing the muscle that pulls the corners of the mouth down.

Darryl J. Blinski, MD · Answer

HA fillers, Sculptra bio stimulators, ? PDO threading, mini facelift. are all options. best to see in person or virtually a boarded surgeon.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

It appears that you are experiencing some volume loss.  Have an evaluation with a board certified injector and discuss fillers in this area.

Best of luck!

Skin around mouth is getting looser - How can I improve my smile lines? (photos)

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