How to get rid of weird looking smile lines? Botox? Photo)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Deep smile lines are best treatment by some kind of filling still, injectable fillers like hyluronic acid are the safest and reversible if results are not satisfactory. the other more longer lasting options are fat grafting but that requires a small trip to the OR. Botulinum toxin can also help but only to a certain degrees and like you said if too much dosage the facial expression can appear stiff. The best is still to see a board certified plastic surgeon to examine your face in person and discuss the best options for you.

They are normal lines that form at the junction of the muscles that encircle your mouth and those the depress your lower lip. You would be better off augmenting whether with filler, fat, or dermis, but you could try botox in the depressor anguli oris, which may help soften the lower one. If you did botox around the mouth itself, that is when you would get functional issues.

Hi Jessica,
Botox, which I have been injecting for the past thirty years, is not recommended for use in this area as its effects would likely distort the smile. The appropriate use of a resilient HA filler, however, could quite effectively diminish the problem. I'm not sure why you are not a fan of fillers, but HA fillers, can quite easily be dissolved should the need ever arise. One caveat: make sure to consult with an experienced, board certified cosmetic dermatologist and ask to see his/her personal before and after photos before agreeing to proceed. Hope this helps and best of luck.

Hello,
Thank you for your question. You have wonderful skin by the way. In regards to the smile lines, based on the photo you have provided it may be difficult to treat those specifically with neurotoxins like Botox. Botox is an agent that temporarily paralyzes muscle activation. Using it to treat wrinkles on the lower half of the face may at best alter lower half facial expression (smiling, laughing, frowning) and at worst alter your ability to perform vital functions correctly (speaking, chewing). Because of this, injecting neurotoxin in this area of the face comes with a greater set of risks than injecting neurotoxin on the top third of the face above the eyes. In your specific case, injecting botox for your smile line wrinkles may temporarily alter your smile which may be an unwanted effect for you. It likely also would not completely give you the effect you are looking for. Based on the photo you have provided your better option may in fact be dermal filler. However, it's a bit difficult to say given that there is only one photo to evaluate.
I hope this was helpful :-)

I would not recommend botox in that particular area of your face, since it can change your smile and will not help much there. Adding Fillers can certainly help but, because you don't want to try that, your option can be PDO Threads. They stimulate collagen and the barbed PDO Threads lift the tissue diminishing those lines.
Another amazing non- invasive treatment is TempSure Envi, is a radiofrequency treatment that also stimulates collagen and help with that area.
Good luck!

From your description and photo you would have the best correction for your concerns with filler such as Restylane or Juvederm. Botox would not be helpful in reducing these lines and could impact your smile. I encourage you to discuss your concerns with an expert injector to learn more about the treatment.