Botox and/or fillers for frown lines
Thank you for your question. The frown lines between the brows can be address two different ways:
1) Botox or Dysport can be used to soften the deepening of the frown lines when making a frown expression. The treatment may even soften the lines that are present at rest.
2) Restylane or Juvederm can be used to soften the frown lines that are present even when you don't make an expression.
For someone who has concerns with both the static lines (without expression) and the dynamic lines (with expression), then using both products would work well together.
I often find that patients who return after a Botox or Dysport treatment in the frown areas complaining it didn't work, is due to the confusion between the static and dynamic frown lines. They continue to see the static lines even though the dynamic lines have softened considerably.
Fillers for nasolabial folds
From the looks of your photo, I take it you are referring to the folds around your mouth area known as the nasolabial folds. For these, soft tissue fillers work very well. If you are very bothered by them it is reasonable to have a little filler such as Juvederm or Restylane used. I would not use something like Radiesse at this point. Since this is a new procedure for you, it is best to have something placed that is not as long lasting or bulky as Radiesse.
Another good example would be maybe prevelle silk, because it has lidocaine pre-mixed and only lasts 4 months. It is generally more affodable too. I think it is best to get your feet wet something like this since this would be a new experience. Also, from the photo, your folds appear to be more moderate. When we think of frown lines, we typically refer to the lines between your brows and forehead when we frown. For this, Botox is necessary.
I actually do recommend that women in their late 20's to early 30's get Botox as a preventative measure even if they are not yet borrowed by the few wrinkles they may already have. If you are unable to move those muscles to frown, you are unable to deepen you wrinkles and form new ones. Of course, everyone is different and one person may have deeper lines and wrinkles at age 27 than another person has at age 32.
Hope this helps!
BOTOX is the treatment of choice for frown lines in a 25 year old woman.
Your photos do not demonstrate frown lines: the vertical "number 11" that can form between your eyebrows. Since these wrinkles are early, you'll likely benefit from a BOTOX treatment. I typically do not recommend Injectable Fillers to correct frown lines in women your age.
Facial wrinkles usually do not become more pronounced with weight gain. In fact, wrinkles usually become more noticeable with weight loss. You should certainly eat a healthful diet, exercise, get to your ideal weight, and keep smiling.
I'm really pleased that you obtained a great Rhinoplasty result with the help of my RealSelf colleagues. Cheers!
Frown lines and laugh lines treatment with facial fillers
Frown lines refer to those skin wrinkles that appear between the eyebrows on or above the root of the nose. Laugh lines or nasolabial folds run from the outer edges of the nose to the corners of the mouth.
From the photo I gather you are referring to the nasolabial folds. The current methods of treating nasolabial folds include use of fillers (such as free fat grafts, injection of restylene, Juvederm, Radiesse, or others, placement of human collagen sheets or insertion of goretex threads) or mid-face lifting.
Certainly in a 25 year old today virtually every doctor would recommend a filler. Most of my patients opt for Radiesse because it gives instant results with almost no down time/recovery time and it lasts longer than other injectable fillers.