Can Micro Botox help with my smile lines? (Photos)

Hello lmetcalf. You are a candidate for both laser resurfacing and dermal fillers. Sculptra would be our filler of choice since you are thin and need collagen in this area for it to look good. Laser resurfacing (see photos at link) can smooth the area and stimulate the production of collagen, but we would only recommend old school full field CO2 or Erbium resurfacing, not fractional. Best of luck.

At home peels like cosmelan, enlighten and aerify along with dermarolling (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 a 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 V-beam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.