What procedures do I need for my face to be more like the second pic (smooth under eye and smile lines)? (Photo)

Hello, hope you are well. Thanks for submitting your photos and questions. Dermal fillers can help reduce the depth of the tear troughs and nasolabial folds. However, I disagree that you look scary--you look like a nice, approachable person. The airbrushed appearance reminds me of images of celebrities that we see in print and digital media (which are artificial); just remember that those appearances are not attainable without makeup and photoshop.
Best,Dr. Tower

As a physician, based on your description, you might be dealing with tear trough deformity and pronounced nasolabial folds. Here are a few non-surgical treatment options you might consider:1. Dermal Fillers: Hyaluronic acid fillers can be used to fill in the hollow under-eye area and nasolabial folds, giving a smoother appearance. This can help with the dark circles and the 'mustache' look you're referring to.2. Chemical Peels or Laser Resurfacing: These procedures can help improve skin texture and tone, potentially reducing the appearance of dark circles. They can also stimulate collagen production, further diminishing lines and wrinkles.3. Botox: This can be used to relax the muscles that contribute to wrinkles and lines, providing a smoother look to the skin.
However, it's important to consult with a board-certified dermatologist or plastic surgeon for a thorough evaluation and to discuss the best treatment options for your specific case.

For the concerns you mentioned you should have improvement with fillers which can add volume to hollow areas and refine facial contours. You can also consider Morpheus8 treatments which improve overall skin tone and texture. I disagree that you look scary, but these treatments may help you feel more like you, only better!

Injecting dermal filler in the cheeks to lift and contour can be an effective approach to addressing under-eye dark circles, especially when the issue is related to volume loss and hollowness in the under-eye area. By adding volume to the cheeks, you can indirectly improve the appearance of under-eye dark circles and smiles lines.
By restoring volume to the cheeks, the appearance of under-eye dark circles can be reduced. This is because the cheeks and the under-eye area are interconnected, and adding volume to the cheeks can provide support and lift to the under-eye area. (I also have this trick of applying a lighter under eye concealers that help take away the focus)
Microneedling is a great treatment for your skin and can help with the crepeyness under eyes and improve fine lines and wrinkles. It can be another option to consider in addition to filler.
Consult with a skilled and experienced medical professional to determine the most appropriate approach for addressing your under-eye dark circles and to ensure a safe and natural-looking result
Hope that helps! ... Lena Berlin PA-C

The hollow that you see in the lower eyelid area, as well as the cheek area is generally a hereditary condition, which usually comes from the father’s side of the family. This can easily be remediated by the use of the patients own fat. When fat grafting is done properly, the results are natural and permanent. In order to evaluate you better, you really should be seen in person, or at least provide a good set of photographs of different angles of your face without any kind of emotions on the face such as a smile. I hope this helps and good luck from New York City Plastic Surgery .