Developing these lines when I smile. What causes these lines? What can be done to make them go away? (photos)

Hi Akw,
You are not alone, this is a common complaint. It occurs because of loss of volume, loss of elasticity of the skin, and facial movements. Loss of volume and elasticity can be addressed, we want to keep your facial movements. I would treat you with a combination of treatments for maximum results. I would use a foundation of Sculptra under muscle and over bone, combined with Profound RF (microneedle radiofrequency) with PRP (Platelet Rich Plasma). In addition you would likely benefit from additional filler at the angle of your jaw and along your jawline. If you are ready to undergo surgery, then a deep plane facelift should help as your problem disappears when you pull back your skin. Please feel free to call our office to schedule an in person or virtual consultation. Good luck and be well. Happy Holidays!

Michael Persky, MD
Encino, CA
818 501-FACE

Hello AKW. For the most part, the lines you are seeing have to do with the natural aging process and your particular anatomy. As we age, we lose volume when fat and collagen diminish in the facial skin. One way to counteract this loss is to use a product called Sculptra (see link) as it develops your own collagen, giving you back much of what you have lost. It is a very natural looking "filler" as it is your own tissue that is making up the volume.