What can be done for the horizontal line below my nose? (photo)

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Additional photographs are needed but it is possible that you would benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may resolve the horizontal crease when you smile.

Best Wishes,

Gary Horndeski, M.D.

There are a number of reasons as to why a person can have a horizontal lip fold. In many cases lack of philtral columns can cause this wrinkle and in other cases it's the muscle of the upper lip. In one instance a filler should correct the issue and in the next a small amount of botox will most likely result in significant improvement. Either way I would recommend an in-person consultation with a plastic surgeon and I will be more than happy to help you out. I hope this helps and good luck from New York City plastic surgery

Hello and thank you for your question. Treatment options for this can be challenging but fillers are the best way to help soften this area. You could also consider skin resurfacing and skin tightening devices that can help. Please seek a face to face consultation with a qualified and experienced practitioner, best wishes

When you smile the upper lip is pulled upward by the action of cheek, not lip muscles. The upper lip then crashes into the nose and makes a wrinkle.

I’ve never tried doing botox there.....it never made sense as it paralyzes the muscle that isn’t contracting when smiling. Paralyzing that muscle also would keep the upper lip from puckering, which is what the lip muscle does.

I don’t have a solution for this problem.