I have lines around the lower bottom sides of my mouth when i smile. What fillers will work to get rid of these lines? (Photo)

Question

Im thin, and I have loss of volume in my face, im only in my early 30's...i dont want to look older in my face because i am on the thin side. What fillers will work best in these areas? How long will they last? How much do i Need? Where should these fillers be injected? The photos i added are similar to the lines im discribing. They are there when I smile and I really do not like them

Andrew P. Trussler, MD · Answer

Lines and creases around the mouth can be smoothed with volumetric fillers. Typically, if the lines are present at repose (non-smilling) and then accentuated with smiling, there is a good chance that a volumetric filler would be appropriate. Fillers for this area, are typically hyaluronic acid based gels, such as Juvederm and Restylane. For fine lines, Restylane is softer and more forgiving. Both last about 1 year and usually one to two syringes are necessary. Lines outside of this area, can be addressed with biostimulators like Sculptra, which helps to promote collagen deposition in larger areas, especially in the thin face. Neuromodualtors, like Botox and Dysport, can be combined with fillers to help uplift and smooth the corners of the mouth.

Tim Neavin, MD · Answer

Thank you for your question. Without photos provided, it is rather difficult to give you advice. I would advise you to schedule a consultation with a board certified expert injector for a detailed examination to discuss all possible treatment options and what your expectations are.

Nissan Pilest, MD · Answer

Without a picture of your face when smiling it is
difficult to say what you might need.

However, generally speaking the lines around the mouth
are referred to as Naso Labial folds; they come from the nose down to the mouth
like a parenthesis (). If you are speaking about lines that come from the
corner of the mouth down the chin that is referred to as marionette lines.

Our
facial aging is due to changes in several types of tissue including skin, fat,
muscle and bone. As we age we lose elasticity in the skin making our skin more
likely to wrinkle or sag, we also lose fat and bone in the cheeks causing
noticeable changes in our appearance.

When
treating these signs of aging it is best to add lost volume in the mid cheek
area to improve the lower portion of the face, if the lines and folds are
severe then additional filler may need to be added to those lines and fold as
well.

For
improvement in the mid cheek area I find that Voluma is currently the best
filler available. Voluma
is the first and only FDA-approved filler to instantly add volume to contour
the mid cheek creating a subtle lift and a more youthful appearance in patients
over 21. This filler can last up to 2 years with full correction.

It is
important to consult with a Board Certified Dermatologist with plenty of
experience injecting filler to see which ones are most appropriate for your
facial anatomy. At the consultation they will let you know which ones you need
and what the cost would be.For more information on Juvederm Voluma click on link below:

Daniel P. Friedmann, MD · Answer

Obviously it is difficult to say what you need without seeing you in person, but what you're describing may benefit from a purely volumizing filler such as Radiesse (which lasts 1 to 1.5 years) and a hyaluronic acid filler for more superficial volumization such as Restylane (which lasts over a year). The amount that people need varies tremendously. Someone in their early 30s would likely only require 1 syringe of each to start, with reevaluation 2 weeks later to assess improvement and the potential need for more filler treatment.

I have lines around the lower bottom sides of my mouth when i smile. What fillers will work to get rid of these lines? (Photo)

Answers (4)

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