I am 68 years old and smoked for years. Will a filler help get rid of all the lines and wrinkles around my mouth? (photos)

Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency (RF) devices and microneedling can help as well and are less invasive. In general, wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like RF treatments, lasers, microneedling/PRP and Sculptra to get increased collagen, tightening and improved skin tone.I suggest going to an experienced cosmetic dermatologist with expertise in lasers and fillers. Best, Dr. Emer

Based on very limited photos- you appear to be a candidate for facelift/ neck lift- as you present with excess skin. Fillers would work well post facelift as a maintenance tool.  I suggest that you seek an experienced Board Certified PS for in person exam