38, female - How can I get rid of these frown lines? (Photos)

Question

I am a 38 year old femae and have recently gotten these depressions at the bottom corners of my mouth. I really hate them because not only do i look grumpy, but they really age me! People much older than me dont seem to have them. I reallywant a solution on how to get rid of thsese. I am 5'5 135 lbs

Anna Chacon, MD, FAAD · Answer

Hi,

I completely understand your concern—those lines at the corners of the mouth can feel frustrating, especially when they make you look older or more serious than you feel inside. These lines, often called marionette lines, are usually caused by a combination of loss of volume in the mid-face, muscle activity, and skin elasticity.

There are a few approaches that can help:

Dermal fillers: Adding volume with fillers like hyaluronic acid or Radiesse in the area around the corners of the mouth and cheeks can lift the corners and soften the depressions, giving a more youthful appearance.

Botox or neuromodulators: Small, targeted injections can relax the downward-pulling muscles around the mouth, which can help reduce the “grumpy” look.

Skin treatments: Laser resurfacing, microneedling, or chemical peels can improve skin texture and stimulate collagen, which may soften fine lines.

Combination approach: Often, the best results come from combining filler to restore volume and Botox to relax the muscles that pull the corners down.

It’s normal for these lines to appear earlier in some people depending on genetics, facial expressions, and facial structure, so you’re not alone. With the right approach, these lines can be significantly softened, helping your face look more balanced and refreshed.

38, female - How can I get rid of these frown lines? (Photos)

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