Actual RealSelf Patient Comment:Hello I am 22 years old I have those lines and excess skin when I smile what are those please ? And how can I better the appareance , it really bothers me.

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Dr. Persky’s Reply: It appears that you would benifit from a little more volume in your face. Depending on your in person examination I would likely treat you with either Sculptra or Restylane Defyne. Make sure to choose your injecting physician most carefully! Good luck and be well.