Second deep smile line - how do I get rid of them? (Photo)

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

Placing dermal filler in the cheeks help to lift the lower face and improve the appearance of wrinkling around the nasolabial folds. The morpheus 8 procedure, which combines microneedling with radiofrequency energy, is a good treatment option to help improve skin laxity. This procedure also improves the appearance of wrinkles, and helps to tighten the skin. We recommend three treatments, spaced one month apart, in order to see optimal results. Our practice offers a package of 3 morpheus 8 treatments for the full face and neck. Either dermal filler or the Morpheus 8 would be a good treatment option in your case, with the Morpheus 8 procedure providing more long term benefits.