How can I remove upper cheek lines when smiling? (Photo)

Hello and thank you for your question. The nurse you spoke with is correct; fillers are not the appropriate treatment for dynamic wrinkles (caused by expression). Fortunately, you have plenty of other options. Neuromodulators like Botox and Dysport can help soften the crow’s feet next to your eyes. You can also combine this treatment with laser resurfacing or RF microneedling to tighten and firm your skin. I recommend scheduling a consultation with a board-certified facial plastic surgeon for a customized treatment plan.

you can do botox to help some movement lines, but lasers and plasma pen are going to help you most. you will never get rid of these completely this is texture and tone of the skin, which needs collagen production and long term skin tightening/resurfacing.


at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

There are number of treatments that can be applied to take care of these lines. Basically your skin needs more elasticity/collagen for firmness in this area. 1. Small PDO threads for collagen2. PRP/PRF Facial3. Injectable serums4. Fractora(Microneedling with RF)