You are too young to need a lifting procedure. There are plenty of noninvasive lasers that can help scars even in combination with microneedling that work fantastically (such as fraxel, clear and brilliant, and sublative, to name a few). As for lines with smiling, botox/neurotoxins...
Hi @Samanthawalker. Based on your photos, you have some flattening of the cheeks. Adding volume to your cheeks will help soften the nasolabial folds as well. Best of luck, Dr. Nima!
This does look like those Dennis morgie lines which per the picture looks like could be allergic or atopic dermatitis...I would advise to see if the patient is using any creams of lotions that make (the redness on the skin) worse and stop that offending agent, start the patient on low dose...
