Should I get filler around my mouth to remove the lines? (Photo)

Question

I'm 27 and have had slight lines around my mouth since I was about 16 years old. I take excellent care of my skin and have virtually no wrinkles anywhere on my face. Are these lines a natural part of my facial structure or can I correct them with filler? I don't usually worry about them but I'm doing a film soon where there will be a lot of close-ups on my face. Also, if you do recommend the filler, could it make the lines worse over time by building up toxins in my skin?

Harold J. Kaplan, MD · Answer

Hi B2B.  The lines around the mouth seem pretty slight, but are visible.  You may be a candidate for a filler like Restylane, Perlane or Radiesse.  It may also be that good exfoliation may help as well.  An in person visit would help clarify the issue for us.  To see examples of before and after pictures of Los Angeles patients that have had dermal fillers for wrinkles, check the link below.

Nima Shemirani, MD · Answer

Hi @backtoballet! Hylauronic Dermal fillers work great to help smoothen out the nasolabial folds. I recommend 1 syringe of Restylane Defyne or Refyne.

Jerome Edelstein, MD · Answer

These are called nasolabial folds and may also be called parentheses lines. They develop by forming certain facial expressions repeatedly, such as smiling and laughing. With time, they become permanently etched on your face. These can be smoothed away with fillers.

David Hansen, MD · Answer

radiesse is one of the best fillers for around the mouth and lasts about a year for roughly $650 a syringe. most need 2 syringes. sincerely, david Hansen,md

Sirius K. Yoo, MD · Answer

The photo and history suggests that your bony anatomy predisposes you to these lines around your mouth.  You can help correct this will some judicious use of filler to add volume to the area that is deficient.  If you use a hyaluronic acid (HA) filler such as Juvederm or Restylane, it is reversible if you don't like the results.  HA is a natural molecule found in our bodies already.  It is essentially part of the padding between our cells, so you don't need to worry about toxins or build up.  Results last about a year for these products.

Jason Emer, MD · Answer

Honestly, an in person consultation is needed.  I think some minor lip/chin/perioral enhancement may help you look much more refreshed and younger.  The fine lines are better treated with topical creams and fractional non-ablative laser which has very little downtime.  You will need a combination of treatments.  I suggest seeing a cosmetic dermatologist who is conservative, treats many young patients for prevention, and has many options for you.  We would gladly see you in the office anytime.  Best, Dr. Emer.

Karen Stolman, MD · Answer

I see that you have slightly prominent nasolabial folds or creases demarcating the bottom of your cheek.  Many young people will have this for hereditary reasons. This problem tends to worsen with time.  I recommend treating this with filler only. Ten years ago, the common treatment was to put filler directly into those folds, however we filler experts now better understand that this approach may not solve the problem but instead just give the patient a heaviness to their perioral (around the mouth) area.  The updated treatment approach for this problem now is to place a small amount of hyaluronic acid filler (or alternatives of Radiesse or Sculptra) above those grooves in your cheeks.   If you look above those grooves, you will see that your cheek is a little flattened.  When filler is put there (in the malar cheek area) to improve that flattening it will subtly lift your cheek so they are more youthful and you have less of a nasolabial groove.  I do not recommend laser resurfacing for this problem, which is instead more helpful for skin discolorations, texture problems, and shallower/finer wrinkles.

Shawn Allen, MD · Answer

For lines around the mouth I will usually take a simple approach. For young patients whose lines are created by muscle movement only and are  not present  at rest we will treat with Botox or Dysport.  For lines that are there even when relaxed either a laser resurfacing procedure or filler will work very well and give long lasting results. Your cosmetic dermatologist should be able to help you pick the right approach for you

Richard W. Fleming, MD (retired) · Answer

I cannot clearly see the lines you describe; i need to see your skin because it is very difficult to photographically demonstrate them. You have many treatment options including fillers as you mentioned; simply using the proper skin care products or a light chemical peel may be easier.

Should I get filler around my mouth to remove the lines? (Photo)

Answers (9)

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