How to Get Rid of Cheek Wrinkles? (photo)

I am 27 years old and have wrinkles on my cheeks when I smile. When I'm not smiling they are not as noticeable but they're still there. The right side of my face is significantly worse than the left side - I have no idea why. I'm very bothered by these lines. What is the best way to treat these wrinkles? Fillers/ botox/ lasers? I am currently using an over the counter retinol. Please help! Thanks!

Doctor Answers 14

How to Get Rid of Cheek Wrinkles?

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 These wrinkles with facial animation (smiling) are an indication of sun-damaged skin and skin laxity as indicated by the jowls.  At 27, you can do skin rejuvenation with a chemical peel or Laser or tighten the facial tissues with a minimal invasive Facelift.  Continued use of retinols can create skin irritation and increase the appearance of wrinkles as it dries out the skin.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Paraconcentric Smile Folds Botox vs Filler vs Laser Resurfacing vs Microneedling

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The creases that form parallel to the smile folds are a very common complaint and initially they present only when someone smiles but are not apparent at rest, which is similar to the frown lines between the eyebrows. The latter can be treated by Botox but if the same technique were done on paraconcentric smile folds, it would weaken the smile muscles to the point that eating and speech might be made more difficult. This off-label use of Botox might be done by advanced Botox providers with a more dilute Botox and yet the patient would have to clearly understand there is a risk of temporary muscle inability to animate, speak and eat correctly. The treatment is generally not done for those reasons and if it were, I doubt the lines would go way completely as the provider would not want to freeze completely those muscles. 

Laser resurfacing may only help to a degree and the result may improve with the use of topical collagen and elastin stimulators such as TNS Essential Serum and Alastin Nectar, and hyaluronic acid treatments such as TNS Hydrating Complex and HA5.

Fillers may help but the lines will still be there with contraction because one can't treat completely the line when present with muscle contraction without creating some lumpiness in the skin at rest. The preservation of the skin's beauty at rest is a greater priority than improvement of dynamic folds (creases that are seen when muscles contract).

Facelifts do not address this concern well as the skin can't get pulled back so tightly so that it doesn't fold with smiling.

Newer technologies such as the minimally invasive ThermiTight may help this condition but there is down time and although safe, minimally invasive procedures involve more risk than Botox or gentle laser resurfacing. 

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Cheek wrinkles

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If money were no object...then I would recommend a combination of an Active f/x Fractionated CO2 laser AND hyaluronic filler Belotero.  The CO2 laser provides long lasting results in which the collagen is stimulated and the lines fill in while the Belotero is a shorter term option in which the lines can be filled in with the injections.  The combined impact is far greater than either of these treatments alone.  On the other hand, if you are looking for something more economical, then I would start with Belotero.  Belotero is newer on the market so see someone who has experience with it. 

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Cheek Lines

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Hi Violet.  Thank you for your question.  You may continue with medical grade skin care.  Another option is facial filler.  Most likely, you will be best served by a hyaluronic filler such as Restylane.  Radiesse, which is calcium based, may be too bulky for this indication.  Hope this is helpful.  Regards, Andy Shah MD.

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon

HA and Sculptra fillers for facial lines and wrinkles are effective

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You have a few options - Sculptra might be a good choice for generalized facial volumization. HA fillers such as Belotero and Juvederm can be used closer to the surface of the skin to smooth these discrete 'dimples'. Seek the care of a board certified plastic surgeon for an opinion.

Fine Lines on the Cheeks

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Hi Violet.  You are a good candidate for a hyaluronic acid based filler like Restylane, Belotero or Perlane.  You may also respond very well to fractional laser resurfacing.  The lines will not be permanently removed but rather diminished and improved with treatment.  If the issue is important to you, then consider one of these options.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Fillers are an Excelllent Option for Wrinkles

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This types of wrinkles will need some "feathering" of a hyaluronic acid such as Juvederm, Restylane, or Belotero.  Due to the active component of smiling, these treatments will need  repeating as there is a lot of activity.


The creases result from moving the underlying muscles and are a normal part of life...

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just like the creases just beneath your eyes when you adding some volume, any filler will diminish the appearance of the lines...whatever you and your doctor opt for will work quite well...juvederm, restylane and belotero would provide significant improvement, but your cheek muscles will still move and the lines won't permanently diminish...and by the way, your skin looks very nice...youthful...and refreshed...congratulations

Ken Landow, MD
Las Vegas Dermatologist

How to Get Rid of Cheek Wrinkles?

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Belotero would be a great option for you, its one of the most smoothest of the hyaluronic acid fillers. This would fill in the crease beautifully and would typically last 6-9 months. Seek a reputable certified physician who can deliver a natural, lasting result

Best of luck 

How to treat smile lines

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These lines are very close to the surface of the skin but can be "plumped" with some filler.  The closer you get to the skin the more risk the injection carries.  There is a new filler called Belotero that can be used very close to the surface without complications and would work well to fill in these lines.

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 92 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.