Which injectable filler would be the best? (photo)

I would like to reduce/remove the wrinkles in the NSF fold and soften my parenthesis. Rather than a deep fold I look more like I am cracking around the nose and mouth. It's more like small wrinkles. But the smile lines parenthesis are fixed and pretty deep. I only know of Perlane, Restylane, Radiesse but am not sure of what the differences are between them. Also, please tell me how they work (I imagine the filler disperses under the skin and it "plumps"). I'm 32 and my wrinkles are pretty new but seem to of formed fast.

Doctor Answers 4

Static fine lines | Treatment with fillers

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Dear jimB,

Thank you for your question. 

From your photo, what you have is static fine lines from collagen breakdown due to repeated muscle movement, in this case, smiling. This is akin to bending a credit card, causing a crease to form from repeated movement.

Your options include filler injection and laser resurfacing.

Soft fillers will help to hydrate and plump up the lines and are your best choice. You can expect up to 75% correction.

I hope this helps. 

Singapore Physician

Thin creases do great with Belotero.

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Belotero is one of the best fillers for thin creases and is easy to undergo for rougly $550. Sincerely, David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Fillers Into Parenthesis

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For shallow, fine wrinkles like these, I prefer Belotero. This is a Hyaluronic acid filler which does not leave the potential for the Tyndall effect of the others. ( Named after the famed British physicist John Tyndall for the light scattering ability of particles). Curiously, I was at a breakfast this morning and noticed slight bluish lines in the nasolabial folds in one of my table-mates...not my patient! 
   Due to this ability NOT to give a Tyndall effect, Belotero can be safely placed high up in the skin with confidence and is therefore recommended. 
   An incidental advantage is that the cost is the lowest of all the hyaluronic fillers sold in the United States.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

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Fillers and wrinkles

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Fillers can improve the deep creases but are not great for very superficial lines without leaving the appearance of a bluish hue.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.