Dents/dimples/lines near my mouth when smiling? What can I do to fix this? (photos)

Question

I've always hated the way the lower half of my face looks when smiling. I get these dents on my cheeks/corners of mouth and on my chin. I've had them for many years. I'm an 18 year old woman. Is this something that could be lessened with weight loss? My face is a little chubby and I thought that might be the issue, but even when I was 15 pounds lighter, I still had this issue. Would fillers help? I really hate my smile, please help!

Dana Goldberg, MD · Answer

What you see is where your muscle connects to the skin. You can try fillers, but it’s extremely unlikely to give you the look you are going for, and it’s risky for looking lumpy or odd. I suggest doing nothing, but if you do try filler make sure it is a soft hyaluronic acid filler like Restylane Refyne because it is soft and subtle and since it can be dissolved if you don’t like it.

Jason Emer, MD · Answer

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

Michael A. Persky, MD · Answer

Hi Intuitive,I would treat your concerns with Restylane Defyne which is a great filler that incorporates naturally with your facial expressions.  Make sure to choose your injecting physician carefully as fillers are not a "commodity", rather their placement is an art.  Choose your doctor based on their skill, experience, care, knowledge, and most importantly their natural artistic vision.  Good luck and be well.Dr. PEncino, CA

Mark Kearns, MBChB, BSc, FRACGP · Answer

It's true - some people really want to have dimples added! They do really look great on you and do not in any way age your face or detract from it. 
Other people are far more likely to view your dimple with envy rather than how you see them yourself right now.

Shelin Tkatch, MD, FRCSC · Answer

First of all, you have an absolutely gorgeous smile that I'm sure is the envy of many! I have even had patients ask if I can create dimples for them non-surgically and the answer is no. Dimples are due to the muscle attaching directly to the skin rather then the facia or support tissue beneath the skin. For this reason, they are near impossible to "fix" with fillers as the filler will likely end up looking unnatural. I would learn to embrace your dimples as an attractive feature setting you apart from the crowd. Best, Dr. Tkatch

Mehdi Sina, MD · Answer

Hi,The muscles that pull the corners of the mouth up attach to the underside of the skin in those areas and cause dimpling when you smile. It is completely normal and trying to "fix" them with fillers often lead to fullness and an unnatural appearance at rest. You have nice lips and a pretty smile, no need to do anything.Best,

Leonard Grossman, MD · Answer

There is absolutely nothing wrong with people having dimples while they're smiling. Weight change is not going to change those dimples because they're just a part of your anatomic structure of the face. if these dimples were present when your face is at rest rather than smiling, then yes, fillers may be of help. Otherwise I would not do anything because you have a beautiful smile and good luck from New York City

Dents/dimples/lines near my mouth when smiling? What can I do to fix this? (photos)

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