How do I get rid of these lines? (Photo)

Thank you for sharing your photo — you look great, and the lines you’re referring to appear to be mild facial expression lines and early skin-texture creases, which are very common. These can form from smiling, sun exposure, normal aging, and natural volume changes in the mid-face.

Here are the options most patients consider, depending on the exact cause of the lines:

1. Dynamic lines (from facial movement)

If the lines appear mainly when you smile or animate:

Botox/Dysport/Jeuveau can soften repetitive muscle movement

This helps prevent the lines from deepening over time

Results last ~3–4 months

This is usually the first-line option for early expression lines.

2. Static lines (visible even at rest)

If the lines remain visible even when your face is relaxed, they may benefit from:

Hyaluronic acid fillers (placed lightly and conservatively)

Helps smooth etched-in lines

Restores subtle volume

Skin boosters (very light fillers) for skin hydration and fine-texture improvement

These options look natural when performed properly.

3. Skin quality improvement

To smooth and brighten the surface of the skin:

Microneedling

Laser resurfacing (like fractional or non-ablative options)

Chemical peels

Medical-grade skincare with retinoids and antioxidants

These treatments help with texture, fine lines, and overall luminosity.

4. Preventive care

Daily habits make a big difference:

Sunscreen every day (lines deepen faster with UV exposure)

Topical retinoids

Consistent hydration and barrier support

Which treatment is best for you?

Based on your photo, it looks like a combination of mild expression lines + early surface creasing, which typically responds very well to:

A small amount of Botox, plus

Skin-quality treatments (microneedling or gentle laser) if you want a smoother, more refreshed look.

A personalized in-office evaluation would help determine whether you’d benefit from Botox alone or a combination approach.

If you’d like, I can also guide you on what to expect from each option or help you decide which is best for your goals.

In general, when people have mid-face depressions, these respond to injectable fillers in a somewhat unpredictable fashion. Examination would be necessary to determine your candidacy. Thank you for your question, and I hope this is helpful. Sincerely, Dr Joseph

The use of a Cohesive, low viscosity, malleable HA filler can be used to elevate these motion-related upper cheek dimples and create a much smoother transition between the upper cheeks and the under-eye regions. I would however suggest that a test treatment using either normal saline or dilute anesthetic be used to ensure that the desired result is achieved. There are already full cheeks when smiling, so extra caution must be exercised to avoid creating overly prominent "apple" cheeks. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist filler injector. Hope this helps and best of luck.

Did you get dermal filler injection done for your under eye? If so I would suggest seeing if you can melt it a little with hylauronidase? Before doing anything else to it...then revaluate