Will filler help this weird horizontal wrinkle?! Botox? Other suggestions? (photos)

Hello and thank you for your question. We always recommend a face-to-face consultation for advice however from what you have provided here filler would be your best option to help lift and restructure the area.
I hope that helps, please always a seek a qualified and experienced practitioner for any cosmetic treatment, best wishes

Filler can help to soften the appearance of the area that concerns you. Botox will not address it. Visit with an expert injector for treatment.

thesea re your smile lines and they happen to be a different shape than others. you need fillers, morpheus, threads ect to help. at home dermarolling weekly (see link). in office lasers and plasma pen. botox will not help this.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.