Smile lines, age 46, after weight loss (photo)

Thank you for sharing your photos and story, and congratulations on your impressive weight loss. I know how much dedication and effort that takes.

What you’re noticing around the corners of your mouth, often referred to as "smile lines" or marionette lines, is very common after significant weight loss. When the face loses volume, especially in the midface and cheeks, the skin can naturally appear looser, and folds in this area become more noticeable.

In your case, while cheek filler was a good step, additional support may be helpful in a few areas:
Midface and lateral cheek support: Enhancing volume here can lift and soften the downward pull around the mouth.
Nasolabial folds and marionette lines: Carefully placed filler in these lines themselves can reduce their depth.
Jawline and chin definition: Subtle contouring here can balance sagging and restore a more youthful profile.

Skin quality treatments: Options such as biostimulators (like Sculptra or Radiesse) or collagen-boosting therapies can improve skin laxity and elasticity over time.

The overall goal is not just to fill the lines directly but to restore the underlying structure that has shifted with age and weight loss. This combination usually gives the most natural and long-lasting improvement.