Will Botox help minimize the appearance of my nasolabial folds / crease? (photos)

Thank you for your question and photos. While dermal fillers do add volume, the nasolabial folds you’re referring to can be directly targeted to volumize the creases without adding unnecessary fullness to the rest of your face. If you’re unsure about filler, you can also consider RF microneedling treatments to smooth the fine lines and tighten the skin by increasing the body’s natural collagen production. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your concern with you and suggest the best treatment option.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Although, in general, sophisticated, experienced filler injectors no longer "chase wrinkles" by simply direcrtly filling them up (and instead use fillers in the appropriate anatomical locations to achieve the most optimal results), there are instances where it is still best to address the wrinkle or fold directly. True, for the most part a robust HA filler in the cheeks will not only create a more desirable oval, heart-shaped face, but secondarily soften the smile lines. However, as apparently is the case here, where augmenting the cheeks with a robust HA filler risks making the face too wide or full-looking, it would be more prudent to use a cohesive, low viscosity HA filler directly injected into the smile lines to soften their appearance. The use of Botox in this area is not generally recommended for this location, since it may affect the ability to smile normally. You would be wise to consult an experienced, board certified cosmetic dermatologist. Best of luck.