How to get rid of strange lines that appear when I smile only? (Photos)

Question

Hi so when I smile upwards with my teeth I get these awkward lines around my nose and the back of my cheeks. There’s two that are just on the smile line area and then like two right above those. They make my smile super awkward and have made me not want to smile for years. Is there any way to fix this my frost thought was that maybe Botox is an option but I’m open to any other opinions My smile looks good when I smile with a closed mouth and outwardly just when I try to smile with my teeth and upward is the issue

Nick Slenkovich, MD · Answer

Hello! I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center.  When it comes to addressing nasolabial folds, both dermal fillers and PRP injections are options, but they work in very different ways. Dermal fillers, most commonly hyaluronic acid-based, are designed to add immediate volume to the treated area. They're ideal for softening deeper folds, enhancing facial contours, and providing a more youthful appearance.  PRP (Platelet-Rich Plasma) involves using your own blood, which is processed to concentrate platelets and growth factors. If your primary concern is volume loss or deeper lines, dermal filler is typically the more effective option. If you're looking to improve skin quality and support collagen production, PRP can be a great complementary or preventive treatment.

Anna Chacon, MD, FAAD · Answer

The lines you describe, often referred to as dynamic wrinkles, appear due to muscle movement when smiling. Here are some potential treatment options to consider:

Botox: This is a popular choice for reducing the appearance of dynamic wrinkles. Botox works by temporarily relaxing the muscles responsible for creating these lines, leading to a smoother appearance when you smile.

Dermal Fillers: Fillers can be used to add volume to the areas around the smile lines, helping to smooth out the skin and reduce the appearance of lines.

Laser Resurfacing: This treatment can improve skin texture and reduce fine lines by promoting collagen production.

Microneedling: This procedure can also stimulate collagen production, improving skin elasticity and reducing the appearance of lines over time.

Chemical Peels: These can help improve skin texture and reduce fine lines by removing the outer layer of skin, promoting new skin growth.

Each option has its benefits and considerations, and the best choice depends on your specific needs and desired outcomes. Consulting with a dermatologist or cosmetic specialist can help determine the most suitable approach for your situation.

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