Developing these lines when I smile. What causes these lines? What can be done to make them go away? (photos)
Actual RealSelf Patient Comment: I started developing these lines when I smile. It makes me self conscious because they’re very dramatic. What can be done to make them go away? When I pull back on the skin while smiling they disappear.
Dr. Persky’s Reply: You are not alone, this is a common complaint. It occurs because of loss of volume, loss of elasticity of the skin, and facial movements. Loss of volume and elasticity can be addressed, we want to keep your facial movements. I would treat you with a combination of treatments for maximum results. I would use a foundation of Sculptra under muscle and over bone, combined with Profound RF (microneedle radiofrequency) with PRP (Platelet Rich Plasma). In addition you would likely benefit from additional filler at the angle of your jaw and along your jawline. If you are ready to undergo surgery, then a deep plane facelift should help as your problem disappears when you pull back your skin. Please feel free to call our office to schedule an in person or virtual consultation.
