What can be done about these shadows around my mouth? (photos)

Question

I don't know why but I have these shadows below both corners of my mouth. I've already been to a cosmetic physician recently but they've told me nothing can be done about it because if they'd inject fillers in the shadow area then my chin would look really large. Is there really nothing that can be done about it?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I can appreciate your area of concern. I think a combination of fillers into the depressed areas and possibly some Botox (depending on muscle animation and function in the area) might offer you a nice solution. Make sure to see a board certified plastic surgeon or experienced injector in your area.Good luck!Dallas R. Buchanan, MD, FACS 
Owner & Board-Certified Plastic Surgeon 
VIVIFY plastic surgery

Leslie Pickens, MD · Answer

Filling in the hollow areas can be done with filler and also building up your chin a little to make a more even profile will give a smoother appearance to your lower face.  You will see the results immediately and just need to touchup from time to time.

Richard Ort, MD · Answer

Filler injection using a hyaluronic acid-based filler would be my recommendation. This is non-invasive and provides immediate correction. I would likely inject this area using a cannula rather than a sharp needle to minimize the risk for bruising or other problems. See an experienced injector.Regards,Dr. Ort

Shaun Patel, MD · Answer

I think filler treatment to the chin and prejowl hollows should give you a nice correction. Please see an experienced injector for an in person consultation.

Joyce Davis, MD · Answer

You should have an excellent result with filler injection.  The shadows are from depression of the skin.  Once this area is filled in with a Juvederm or Restylane product  you won't be aware of these.  Repeat injections will be needed when the filler wears off.  Find a board certified, cosmetic dermatologist.

Angelique M. Berens, MD · Answer

Great question!  And not an easy problem!
You may want to consider botox (or other neuromodulators) into the dao. 
Good luck!
Dr. Berens

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What can be done about these shadows around my mouth? (photos)

Answers (7)

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