Smile lines - maybe jawline filler & FaceTite might help tighten the skin? (Photos)

Fine tuning these can be a bit tricky....FaceTite with the smaller hand piece (called Accutite) can flatten the fullness above the nasolabial fold. I think additional filler with someone familiar with diluting the filler and layering in structure on the lateral facial lines just lateral to the nasolabial folds would also really help. I think Sculptra could also help refill gradually the contours as well. Best Wishes!!

A combination approach would give the most improvement. Deep wrinkles and smile lines 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 J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

This is a great question and thank you for your pictures. I would always recommend doing a consultation in person to see what your skin looks like at a resting state. When doing Facetite I would recommend doing a series of Morpheus treatments after to help the smile lines even more by stimulating your own collagen and elastin. Facetite would be a great option for you to help with the lower face and neck area. Good luck!

The lines you describe and are evident in the photos are called parallel laugh lines and they characteristically are located to the sides of the mouth ln the lower face regions. For years, I have been using less robust, cohesive HA fillers fanned under these lines to diminish them by providing a support to the skin that resists the motion of the facial muscles responsible for these troubling lines. Make sure to consult with an experienced, board certified cosmetic dermatologist and not just any venue hawking the latest, expensive, "next big thing" fraxel laser or RF device it just purchased. Best of luck.