Would filler at zygomatic arch or upper cheeks take care of these dynamic wrinkles? (photos)

I know there are marionette lines at rest but it is the dynamic lines that appear with smiling. Would filler in the upper cheek around zygomatic arch help alleviate these wrinkles? I am looking for the most natural outcome possible and avoid the waxy over filled appearance that is possible if overdone.

Doctor Answers 3

Treatment of Dynamic Smile Lines with Filler

Facial lines that occur when smiling, known as dynamic lines, are usually best treated with Botox or similar muscle relaxing product.  Fillers are usually chosen to treat passive lines, those that occur at rest. In some situations a combination of filler and a muscle relaxer, like Botox, will provide the best results. The treatment selected will depend upon the exact nature of the lines, whether they occur at rest or when smiling, and the degree of improvement desired by the patient. In some cases trying to eliminate deep lines resulting from very loose skin will result in distortion of the area, so surgery may be a better choice to reduce the lines appropriately.

Dallas Oral & Maxillofacial Surgeon
3.7 out of 5 stars 3 reviews

Fillers to dynamic cheek lines


Fillers can be an excellent choice for even dynamic facial lines because they can restore volume below the lines and can in some cases be injected directly into the lines.  I would recommend setting up a consultation with a physician who specializes in the face so that he or she can assess your individual situation and make an appropriate recommendation.

Scott K. Thompson, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 107 reviews

Yes fillers are the best way to address this problem

Fillers in the cheeks are the best way to restore the volume to this area and decrease those lines you get when you smile.  
I like Voluma and Restylane/Perlane in these areas.
I usually start with 2cc but realize that it may take more (~4cc+) to get the result you want.
Also realize that it usually looks more balanced to put some of the filler in other areas, for example depressions in the temple and/or sides of the chin, at the same time.  This gives the most natural look, so it doesn't just look like big cheeks.  
Best, Dr McNeill

Anne Marie McNeill, MD, PhD
Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.