What are those lines coming down from the side of my mouth? (Photo)

Question

Any idea what those lines/shadow are? They seems to be getting more obvious. And I'm only 30 yrs old. What can I do to treat or prevent it from getting worse?

Nima Shemirani, MD · Answer

Hi @dorlynn. Thank you for sharing your photos. What you are noticing is your nasolabial folds. Different treatment options include dermal fillers or a skin tightening procedure like Morpheus 8.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

Fillers can help and you may be a good candidate for a chin implant. I suggest you see a cosmetic dermatologist for a formal evaluation.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

From the pictures provided it appears that you are in the earliest stages of the development of marionette lines, those folds that droop down from the angles of the mouth toward the sides of the chin region. Thirty years of age is not that unusual for the start of these lines, whose origins relate to volume loss in the cheek tissue above it. As we age, we lose volume in many facial tissues, including bone, cartilage,muscle and particularly the several fat compartments that are located throughout the face, temples, and brow regions. Gradual fat loss in the heart-shaped, robust fat pad that sits under the eyes and covers most of the upper portion of the cheek below the eyes, accompanied by gradual descent of the remnant of this fat pad, leads to many of the unwanted aesthetic changes we associate with the aging face, including the development of the marionette lines.At this early state, a small amount of volumizing filler, such as Restylane Lyft, which I would use in my Upper East Side Manhattan office (Hyaluronica 2, which would be my choice in my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available) would help to straighten the downturned angles and restore a more youthful look. Treatment in this fashion, particularly at this early stage, can be helpful for preventing and slowing ths aging process.

Vicki J. Levine, MD · Answer

I think you are being too critical. Most people do not see what you see. You can always get filler, but will that satisfy you? Chin implant is another option. I say do nothing

Kevin Tehrani, MD, FACS · Answer

The lines on both sides of the corner of your mouth are called Marionette lines. These are formed as part of aging and volume loss. One can start using Dermal fillers such as Juvaderm or Perlane to help cuomoflage these lines. A consultation from a Board-Certified provider should be done to further evaluate and examine you.

Steven Wallach, MD · Answer

If you are referring to the smile lines they are commonly called nasolabial folds. Yours look very minor and if you look at a baby they have nasolabial folds too!  Fillers can soften them if you like.

Lenore Sikorski, MD · Answer

These are the very beginning of the formation of marionette lines, which are very common as we age. Hyaluronic acid dermal fillers are a great remedy to correct these lines. If they bother you and you would like to correct them, I would get a consult with a board certified dermatologist or plastic surgeon in your area who is skilled in dermal fillers.

Darryl J. Blinski, MD · Answer

Very minor shadowing from the 'marionette' lines. Try a HA filler like Restylane Silk or Juvederm Ultra...

Francis R. Palmer, III, MD (retired) · Answer

Hi, from the attached photos those lines are an indication that the chin is very weak.  Chin augmentation, with a chin implant, can provide forward projection to the chin that will create harmony and balance to the lower face.  This will provide better support for the tissues of the lower face.  You can also soften the lines with an HA filler.

What are those lines coming down from the side of my mouth? (Photo)

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