A common reason for filler consultations is addressing laugh or smile lines on the sides of the mouth and nose. As the skin ages it loses collagen and volume throughout the face. One of the first signs of this is deepening of the nasolabial folds and marionette lines. Although this is typically the first sign, it is usually also caused by loss of volume in the cheeks and upper portions of the face. In some patients, adding volume into the cheeks can help restore the structural support needed to improve the lines in the lower face. Once balance is restored to the bony structure, smaller amounts of filler can be used directly in the nasolabial and marionette lines to build collagen and reduce the signs of aging. Most faces have a degree of asymmetry and wrinkles may be more noticeable on one side versus the other. Sleeping position can also affect one side more than the other.
What filler is used for smile lines?
Since these lines are typically more present with animation, it is important to select a filler that moves naturally with the face. Restylane® Defyne, Restylane ® Refyne, and Juvederm® Ultra Plus are all excellent choices for this area. It is important to remember that even babies have nasolabial folds so completely erasing them can create a puffy and unnatural appearance. Peak Plastic Surgery Center prides ourselves in creating natural results that create a youthful appearance.
"I had a hard time finding an aesthetic practitioner in the past, until I met Kendall! have been seeing her as a provider for a while now, and am so impressed with her clinical skills, knowledge, and attention to detail. She always goes above and beyond to make sure that I am comfortable, explains procedures (and her execution) in detail, and goes above and beyond every time to obtain optimal results. I 100% recommend Peak Plastic Surgery Center, and Kendall in particular!"- A.S. / Google / Dec 14, 2021
"Had such a wonderful experience. All staff were super nice and caring, doctor Barker was super nice and caring as well. I would recommend anyone looking to do any work to go here as well. Thank you for the great experience"- J.E. / Google / Nov 29, 2021
"Love this practice! Everyone is so friendly and helpful. Kendall is a true professional who explains everything so well and her knowledge of how everything works together is amazing! I love knowing that a PA-C is doing my treatment, and how she applies her medical knowledge into each procedure puts my mind at ease."- M.R. / Yelp / Nov 28, 2021
"Dr Barker made me feel comfortable and supported through all of the steps for my procedure."- S.H. / Google / Nov 06, 2021
"Kendall is absolutely amazing! She has years of training and experience and it truly shows. She has been the only injector I trust with my fillers, Botox, and all of my skin care needs. She’s done wonders for my skin and I cannot thank her enough for my beautiful results! Also, the entire staff at Peak Plastic surgery are so knowledgeable, kind, and make you feel so comfortable. I cannot recommend Kendall and this practice enough!!!"- B.S. / Google / Oct 20, 2021
What does maintenance look like?
Results will be seen immediately after the procedure. If necessary, additional sessions may be required to obtain optimal results. Improvement is typically seen for 6-12 months and maintenance doses with smaller amount of filler may be performed to extend its longevity.
What can I expect during my appointment?
After a thorough consultation with our Physician Assistant, a customized treatment plan will be made to address the smile lines. Numbing cream may be applied to the area but the product already contains lidocaine which makes the procedure nearly painless. The treatment may take around 30 minutes and partial results will be seen immediately. As hyaluronic acid attracts water, the filler will improve over time and create a more evened out appearance. Over the next several days the filler may swell and takes approximately 2 weeks to see full results and symmetry. It is recommended to avoid alcohol, salty foods, makeup, and exercise for 24 hours following the procedure.