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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 devices and microneedling can help as well and are less invasive. I suggest going to an experienced cosmetic dermatologist with expertise in lasers and fillers. Best, Dr. Emer
It is quite possible that this is a case of a post-under eye filler treatment complication more recent called "puffy pillows"-- a quite difficult to treat form of lymphedema (lymphatic obstruction), which is quite resistent to therapy. It is usually a late complication of the use of an improper...
If placed correctly, there really should be no route for deep pyriform filler to migrate to the nose. The deep pyriform filler actually ends up (should end up) in the deep medial cheek compartment, which is a fat compartment with distinct anatomic boundaries. Furthermore, the fillers you want to...
Hi @infinitemeridian! A few units of botox can help with the wrinkles you experience with smiling. I also recommend a co2 laser to help tighten the skill.
