I would like to know the best filler for the neck, and the lines on each side of the mouth.
Get Rid of Neck Wrinkles
Doctor Answers 17
The tricky neck
It depends on the depth of the fold and wrinkle in the neck but traditionally neck wrinkles are tough to treat as they are created from the dynamic function of a muscle called the platysma which enwraps the superficial structures of your neck and face.
Botox has been shown to be marginally effective in treatment to soften the folds but may require a high unit volume. In my experience, if you had a specific area of concern, i.e. a neck scar, filler may be beneficial but if there are broad areas that require treatment you might find yourself paying for a large amount of material with questionable benefit.
You may want to consider a surgical consult to identify all of your options both surgical and non-surgical prior to embarking on a possible misadventure in the neck.
Most neck creases are fine and the Restylane or Juvederm...
Most neck creases are fine and the Restylane or Juvederm can create bruising or unsightly lumps in this location if it is not administered in small amounts and carefully. Human collagen can be used (Cosmoderm) for this as well.
Fillers versus .....?
To tell you the truth, in my hands the best results are obtained with fat transfer. This is mainly because it is a large area and it is this superficial fat (above the platysma muscle) that is lost with time. So replacing it with your own tissue is most helpful. Similarly for the lines at the corner of the mouth fat can do wonders.
Fat transfer in combination with fractional laser treatment is even more powerful for these issues. With the fat transfer we also transfer stem cells which help to rejuvenate the skin after the laser treatments.
Fillers are always an option and if patients are set on fillers I am willing to offer that but the goal is to get the best results and make happy patients and in my hands that is with fat and laser!
Hope this helps,
Best of luck.
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It’s not unusual for patients to develop wrinkles around the corners of the mouth during the facial aging process. When this occurs, injectable fillers can be used to treat nasal labial folds and marionette lines in this area. In this situation, the use of injectable fillers is associated with high levels of patient satisfaction.
It’s also not unusual for patients to develop wrinkles in the neck area during facial aging. Unfortunately, injectable fillers have limited therapeutic success in this anatomic region for a variety of reasons. Neck wrinkles are often associated with loose saggy skin and for this reason, fillers usually don’t work in this area. In addition, the neck skin is very thin and injections in this area may result in contour irregularities. Under these circumstances, neck wrinkles and loose skin usually require a neck lift or combination neck lift facelift procedure.
If you’re concerned about neck wrinkles, consultation with a plastic surgeon is appropriate. This surgeon should be able to formulate an appropriate treatment plan for your condition.
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.