What facial fillers would you suggest and where?

Question

I have a very stubborn smile line that really bothers me- the pictures attached show the line (I made sure to go under the worst lighting so it was very visible- it bothers me the most when I notice a crease in my makeup). The picture with the red circle shows how it also kind of lumps when my face is relaxed. The arrow points to my chin where I have a scar directly below which makes me feel like I have a tendency to look like I have a double chin. What fillers would you suggest and where?

Harold J. Kaplan, MD · Answer

Hello Xosis.  You have very good facial structure with good cheekbones and a strong jawline.  Yes, in the mid face area and around the mouth and nose, you could use some support and this is a very common use for dermal fillers.  There are a number of fillers that would work just fine in this area including Restylane, Restylane Lyft and Radiesse.  These have slightly different consistencies and durations but all are options.  You will likely need 2-3 syringes if you want to address the area on the sides of the nose and mouth as well as the area below the mouth.   Best of luck.

Jason Emer, MD · Answer

I recommend fillers for the smile lines / folds themselves -- but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top as well as lasers, radiofrequency treatments, Renuvion / J Plasma, and peels to get the most conservative natural look. It's difficult to see the scar in the photograph - but that too can be treated with a combination of treatments, such as CO2, fillers, microneedling with PRP, and subcision.I suggest seeing an experienced cosmetic dermatologist for a formal consultation. Best, Dr. Emer

Lawrence Janowski, MD · Answer

The second picture shows a protrusion of skin arising out of the mouth area.  This type of fold typically does not respond well to fillers.  Nor does a pouch under the skin.  The best non-surgical solution would be threadlifting to pull the tissues back into position.  Fillers could help the nasolabial area where a line can clearly be seen.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! It is very difficult to assess you from the photos included. That being said, it appears that you have some skin laxity which is contributing to both the chin laxity and the line beside the mouth (marionette line). I would recommend a combination of treatments. Ultherapy or Exilis Ultra to tighten the facial skin. This will decrease the volume below the chin, and will lift the facial skin, reducing the marionette line visibility. Cheek filler to do additional lifting to the facial tissue, further reducing the laxity that you are seeing. Marionette/fine line filler if there is still a loss of volume visible. Lastly, you can target any residual chin volume with Kybella. This will destroy any visible fat below the chin. Good luck! Sarah RN BSN

What facial fillers would you suggest and where?

Answers (4)

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