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

Question

Such a weird wrinkle, doesn’t seem to follow the pattern I would expect it to of smile lines?! What can I do? I use retinol every day and have a good skincare routine.

Camille Cash, MD · Answer

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.

Jason Emer, MD · Answer

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.

Jacqueline T. Cheng, MD · Answer

Hello,Thank you for your question and photos. If that wrinkle bothers you, you can have it filled out with a dermal filler that can be used more superficially in your skin such as Restylane Refyne or Juvederm Volbella. Botox will not help there. Good luck!

Sheryl D. Clark, MD, FAAD · Answer

Hello Cbart:

This may be a little wrinkle from smiling but I would need to see it in person to be certain. Certainly, a filler with certain rheologic characteristics like Beletero could help. There are many other fillers that could be used as well, such as blended Restylane or Volbella.  It is possible that fractionated CO2 treatment could help as well.

I hope this is helpful to you.

All the best from a fellow Newyorker!

Sheryl Clark MD

Rita Rakus, MBBS - Account Suspended · Answer

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

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

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Answer: Wrinkle near mouth on cheek

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

Answers (5)

Answer: Wrinkle near mouth on cheek

Answer: Wrinkle near mouth on cheek

Answer: Fine lines

Answer: Fine lines

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.