You may have deep smile lines around the eyes or around the mouth, and the treatment for each is quite different.
Smile lines around the eyes, which are also called crow’s feet, are very effectively treated with Botox injections. The Botox relaxes the orbicularis muscle which causes the skin to crease into the smile lines. When the muscle is relaxed, the surface of the skin becomes smoother. The results of Botox treatment of the crow’s feet typically last for four months. Botox injections are also used to relax or smooth out the frown lines ( that make you look angry).
Smile lines are medically referred to as nasolabial folds. The development of these lines represents several of the aging processes acting at once.
Laugh lines or smile lines around the mouth are most effectively treated with injectable fillers. Injection with fillers results in a smoother transition from the cheek into the upper lip, creating a shallower appearing fold.
For superficial lines, we use Restylane, and for deep lines we use Juvederm Ultra Plus. Both of these products are hyaluronic acid gels but they have different properties. Restylane is more appropriate for superficial lines, and typically lasts 5 or 6 months. Juvederm is more extensively cross-linked and is more effective for deep lines and folds, and Juvederm has been shown to last for one year. Radiesse, another dermal filler, composed of Calcium Hydroxyl apetite, is thicker and lasts one year or longer and reserved for deeper folds that need alot of volume. Volumization with fillers is optimized when 6-9 months pass and more filler is layered on top of a previous treatment for a completed look that is longer lasting.
One other option besides dermal fillers is fat injection or liposculpting, which requires harvest from another site on the body, such as the stomach or thighs.