Will I be able to get fillers in smile lines again without stretching out the wrinkles? (Photo)

Question

I want to get fillers in my smile lines again but I am worried that long term use will stretch out the wrinkle and make it worse. Here is a photo for reference.

Nima Shemirani, MD · Answer

Hi @Reneer88!  I recommend a combination of dermal fillers to the cheeks and directly into the nasolabial folds to soften your smile lines. Dermal fillers will not stretch the skin. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

Thank you for your question.A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

John Tang, MD · Answer

Long term use of fillers in the skin will not stretch out the skin to make it the affected area look worse.  If you are getting fillers for this concerns seen on the photos, I would recommend that you consider injecting fillers in the cheeks (to lift the smile lines) as well as inject along the smile lines to soften the indentations and smooth out the valleys..

Michael P. Morrissette, DDS, FACS · Answer

The use of fillers will not cause long term changes to the skin. Once a filler has resorbed, the skin and underlying structures return to their baseline appearance. Based on the photos, you might want to consider facial skin resurfacing with a CO2 lase, chemical peels, or mocroneedling.

Ramandeep Sidhu, MD · Answer

Thank you for the question and picture. Looking at the picture I would recommend stimulating your collagen, elastin and hyaluronic acid with more natural treatment like profound RF so you get the results you want. Fillers will do the trick but you will have to do regular treatments and will not change the quality of the skin.

Gordon Andan, MD · Answer

Hello, and thank you for sharing your question and photos. There is no evidence that long-term use of fillers will stretch out your skin or make wrinkles worse. Many women and men choose to get fillers regularly in order to smooth away wrinkles and maintain a more youthful-looking complexion. But you can combine various treatments with your fillers to help enhance and even prolong their results. Talk to your cosmetic surgeon about the best skincare products to use to help give your skin a boost from the inside out. Other treatments like microneedling may also be beneficial.

Michelle A. Radeka, DMD · Answer

Hello and thank you for your question.  The use of fillers will not cause the skin to stretch or the wrinkle to get worse, but it truly won't help the skin and only temporarily makes the wrinkle look better.  An option you might want to consider is the use of PDO Threads for both volume and lifting to help with your smile lines. PDO Threads can be used for nasolabial folds, marionette lines, cheeks to provide both volume and lifting to those areas with minimal downtime.  Hope this answer helps and best of luck from the Art of Ageless Aesthetics.

Shaun Patel, MD · Answer

A combination of fillers to the cheeks (to address volume loss and lift the face) and into the folds directly will soften your smile lines. Filler will not stretch the skin.

Shelin Tkatch, MD, FRCSC · Answer

Thanks for the photos. Long term use of hyaluronic acid fillers will not stretch out skin or cause it to lose elasticity. Hyaluronic acid is a natural component of healthy skin, production drops as we age and we can enhance hyaluronic acid levels in our skin with most commonly available fillers. Your injector will likely start with revolumizing your cheeks, which will lift the smile lines and then may choose to place a little filler in the region of the smile lines themselves. If you want to improve skin texture in the future, I would suggest C02 laser or microneedling treatments would work well for you. Best, Dr. Tkatch

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
      I actually would not use filler to address this area. I would instead use a laser or micro needling treatment to address the skin itself. This should stimulate collagen in this area, softening the fine line without using filler. It also will address textural issues/scarring with the skin, stimulate collagen and elastin, address any hyperpigmentation, and soften pores. I hope this helps. 
Sarah RN BSN

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