Fillers in parenthesis lines - safe?

Question

I have seen two different doctors. A board certified dermatologist, and a plastic surgeon. Both doctors told me that putting fillers in the lines around the mouth, (parentheses lines which have happened from smiling) is unsafe because of a blood vessel in that area. They both said the risk outweighs the outcome. I just saw an aesthetician, who is under the guidance of a board-certified dermatologist, who said she had never heard of that being a problem. Is it risky to put fillers in that area?

Matthew Richardson, MD · Answer

Fillers around the mouth can be safely injected with proper technique. In my practice, I commonly perform filler injections to the parentheses lines around the mouth. Any procedure does have some risk, but this can be minimized through proper knowledge and technique. Adding filler around the parentheses lines might also be helpful (to add volume to the cheeks for example), but every patient is different. There are also many different products that can be used safely in this area, depending on the anatomy and problem areas in each particular patient.Be sure to see an expert physician injector, preferably one who specializes in facial aesthetics.All the best,

Jason Emer, MD · Answer

You can have filler to this area. I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Shaun Patel, MD · Answer

The lines immediately lateral to the corners of the mouth are difficult to treat with filler. Yes, the facial artery tend of be superficial at this point on the face but the injections can be placed very superficial to avoid it. The problem is not the artery but the fact that these lines are related to muscle activity and any filler placed there just doesn't last.

Fillers in parenthesis lines - safe?

Answers (3)

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Fillers in parenthesis lines - safe?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.