Help! Lost volume around mouth when smiling! What is the most natural / least complex way to fix this? (Photo)

Question

I am posting before picture from ten years ago and now. I have lost so much volume around mouth while smiling. and cheeks look saggy. don't want surgery/implants. what is most natural least complex way to fix this? I'm only in early 30s and I don't like smiling for pictures anymore. .. :(

Jason Emer, MD · Answer

there are many options with fillers to the mouth/lips/chin area to revolumize.  Please see a cosmetic dermatologist with experience.  Best, Dr. Emer.

Robert M. Tornambe, MD · Answer

I understand your issue, and it is fairly common as we age. Physical exam would be helpful, but from your photos it appears that fat transfer would be your best option. Check out the link below to an article I wrote about the aging face and what to do. Good luck.

Tracey H. Stokes, MD · Answer

Keep smiling!  It is common to lose volume as we age.  Think of a baby who has full cheeks and narrow jaw and an older person who has lost volume in cheeks and developed jowls.  An important part facial rejuvenation is restoring that balance by volumizing with fillers.  Find a Board Certified plastic surgeon near you for a consultation.  You deserve to look and feel your best!

Kenneth E. Morgenstern, MD · Answer

The changes you describe are very common and seen as we age.As others have mentioned, fillers are an excellent option to address volume loss in this area. Not only are they effective, but they are also safe and modifiable if you are not satisfied with you results: ie, more can be added or they may be dissolved.It would be best to see an experienced injector for an in-person consultation to discuss your options.

Joseph A. Eviatar, MD, FACS · Answer

Injectable fillers are now done much more frequently than we
do cheek implants. Cheek implants often
do not look natural after many years because as the face changes, they may need
to be removed or replaced. Therefore,
many people get injectable fillers.  Adding volume to the cheeks can be very
aesthetically pleasing if done by an expert who also takes into account facial
balance and your overall bone structure etc. I often prefer Sculptra and Radiesse but also think Voluma is an
excellent product to shape and improve the cheek area. Sculptra can last several years but usually a
yearly maintenance treatment is recommended to keep the results looking good as
you continue to age. Voluma has been
shown to last 2 years or longer but in my experience, again, maintaining the
treatment yearly with a little product as needed works best and keeps you from
losing the effect. Make sure to seek out
an injection specialist with extensive experience with these products.I hope that helps.Best of luck!

Michele S. Green, MD · Answer

One of the best ways to fix your smile and simplest is to inject filler into the lips.  This injection will give you back your smile easily.  It is important to match the proper filler and amount with your face to look your best.  Please consult a board certified physician with a great deal of experience with facial fillers and lip augmentation for the best cosmetic results.

Steven Wallach, MD · Answer

Filler products may be a good solution to add volume without having surgery. Best of luck with your decision to move forward.

Robert L. Kraft, MD, FACS · Answer

A reasonable starting point would be fillers.  You can see the propensity for this in the earlier photo and it is often familial.  One major advantage of the fillers is that you can try them and see whether the improvement is something worth continuing with.  You have a beautiful smile and you should definitely continue to smile for the camera. Best of luck!

Help! Lost volume around mouth when smiling! What is the most natural / least complex way to fix this? (Photo)

Answers (8)

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