What fillers will help with the loose skin I see when I smile? (Photo)

Dawn,
Thank you for the picture posted as it helps to determine the exact areas where skin redundancy is present. Excess skin in the smile region is often seen due to a combination of volume loss (aging or weight fluctuation) and loss of skin elasticity. As we age, we lose both with the added component of sagging due the effects of gravity. Volume restoration (i.e. through fillers) should be used cautiously in the mid cheek region since over filling can give you an unnatural pear shape to the face. Depending on the amount of laxity seen, non-invasive interventions utilizing heat transference, lasers, ultrasound, or radiofrequency can also be considered. However, with significant skin laxity, surgery may often be needed. A consultation with a trusted aesthetic surgeon is recommended so that all modalities of treatment can be discussed to help you achieve the best results. I wish you all the best!

Dermal filler products that are FDA approved and made of hyaluronic acid (HA), a natural component of your skin, is a preferred choice and recommended among many injectors for your areas of concern regarding volume loss of the upper face, adding volume or fullness to lips, and smoothing moderate to severe lines and wrinkles around the area of the mouth. I encourage you to do a full facial evaluation first with a board certified physician for a treatment plan. Thank you for your question and good luck!