Ask a Surgeon - Soft Tissue Fillers - I need to know what the best approach is to remove deep lines around the mouth...

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I need to know what the best approach is to remove deep lines around the mouth and...

Q:

I need to know what the best approach is to remove deep lines around the mouth and lower cheeks (below cheek bones and above jaw line). I need to feel better about myself. I feel young, but every time I look at these lines I feel very sad. I need to correct it and soon.

A:

The best possible treatment plan for you is one based on a personal consultation comprised of a detailed history, physical examination and discussion of your goals and desires. In general, I can tell you that there are minimally invasive options or more complex solutions. The former can be performed in an office setting with minimal "downtime" whereas the latter tend to produce more lasting results. The key determinant of which technique is best suited for you is how, as you said, "deep" your lines are. Early lines can be treated with a variety of soft tissue fillers ranging from bovine collagen or human-derived collagen to Restylane, Radiance and other available products. The best filler for your needs can only be determined at the time of your consultation. The next set of options necessitates minor surgical procedures such as autologous fat injections (using fat from your own body), alloplastic implants or suture suspension techniques. More definitive treatment requires more complex surgical correction such as a midface lift, S-lift, or full facelift.