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

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

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.