What treatment can be used for smile lines? (Photo)

Doctor Answers 16

Smile lines

Good morning and thanks for your question.  One of the hyaluronic acid fillers would be a good choice for you.  By placing Voluma in your cheeks, we can create a lift effect and minimize your nasolabial folds (the smile lines).  Other fillers can then be used in the lines themselves afterward, to fine-tune it a bit.

If you wanted something without an injection, you could do something with radiofrequency on your skin.  We have found that the Pelleve can help with building collagen and improve these lines in many cases.  This is a nice option since there are no needles, is essentially painless, and is extremely safe.

Hope this helps and have a wonderful weekend!   Dr. L

Lines between your nose

Hi Vanessa, I believe you are talking about the lines between your nose and mouth. I would evaluate your whole face. As you have lost cheek volume and you would need to restore it with filler. I would explain this by saying filler in your cheeks will lift your face and change the sagging that you are experiencing that is giving you lines between your nose and mouth. I would probably recommend Voluma as it lasts 18 months. Good luck, Dr. Downie

Jeanine B. Downie, MD
Montclair Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Filling smile lines


From your photo, I would use a hyaluronic acid filler to soften the fine lines and I think that you would be best suited to also use Radiesse in your cheeks to help lift the midface and minimize the smile lines for a longer lasting effect.

Thank you for your question.

What treatment can be used for smile lines?

Hello, and thanks for your question and photos. You appear to be an excellent candidate for facial rejuvenation with hyaluronic acid (HA) fillers. In particular, I think you would benefit from a small amount of Voluma in your cheeks. Voluma is a thicker HA filler that is meant to be placed deep so as to provide structure and lift. Once the Voluma is in place, you may also decide to have some filler placed in your tear troughs, so as to produce a more rested look. I tend to favor Restylane in this area, as it attracts less water than some other fillers, yet it is hearty enough to provide lasting results. You also may benefit from some filler placed around the mouth, but these lines may soften to your liking with the Voluma alone. You may also like some Botox to soften your forehead lines. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Hope this opinion is helpful to you. Best of luck, Dr. Frucht. 

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Smile lines

It looks like you could benefit from fillers. My preference is to use hyaluronic acid fillers for this area.  Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 23 reviews

Smile Lines Treatment--Fillers/Radiesse, Juvederm Voluma, Sculptra

I suggest a formal consultation with a cosmetic dermatologist who is an expert in fillers.  All can work well for you, but Voluma or Radiesse and Sculptra treatments for collagen building would do amazing for giving you an initial result and lifting and shaping over time. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 149 reviews

Improving smile lines

Any of the FDA approved fillers will fill your smile lines well. Botox is not appropriate for that area. I prefer to use cannulas so the bruising and discomfort is less.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.5 out of 5 stars 22 reviews

Options for wrinkles, lines and folds of the forehead, nasolabial, marionette and smile lines

Dear vanessar82:

Thanks for sharing your photo. I note skin folds of the forehead, nasolabial and marionette areas.

Please consult with a Board Certified Plastic Surgeon with talent and experience in the use of Botox and Filler injections to improve these concerns. Other options I would also consider with you include:

  • Obagi ZO Skin Health
  • Silhouette InstaLift

I wish you all the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 65 reviews

Mid Face Augmentation WIll Give you the Best Results

By smile lines, I am going to assume you are speaking about your laugh lines or nasolabial folds.  Smile lines can also refer to the area around the eyes or crow's feet but you must be talking about the lines around your nose and mouth. Based on the picture, it is much better to place fillers in the mid face or cheek region.  This ill give a more youthful and nature look and it will soften out the smile lines by creating a lift in the mid face.  Placing fillers in the smile lines can solve your problems, but it can make someone look unnatural or impart a simian like quality.  Be sure to go to someone who understands the complex intricacies of the aging face because anyone can inject the smile lines.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 17 reviews

Fillers And Botox

Thank you for your question and for sharing your photograph.  Based on your photo, I would suggest a combination of Juvederm and Voluma to treat your smile lines.  You might also consider Botox to treat your forehead and around your eyes.  Beautiful and natural results can be achieved.  Please be sure sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

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.