Home Ask The Doctor I have extremely deep smile lines at 29, what can I do to get rid of them?

I have extremely deep smile lines at 29, what can I do to get rid of them?

I’m a 29 year old male and I have extremely deep smile lines around my mouth. I’ve had them for a few years but never really paid much attention to them when I was younger but now they are prominent even when I’m not laughing or smiling and make me look way older than I actually am. Are there any ways to get rid of the lines and if so what would the cost of such a treatment be? Are there any natural alternatives for it too? Please help!

These lines are called nasolabial folds. It is difficult to tell from a two-dimensional photograph, but I suspect that you have lost volume in your cheeks. As we age, we lose bone and fat in the face. We also lose collagen in our skin. Collagen is the protein that keeps our skin tight and minimises wrinkles and sagging. Ageing, and the loss of bone, fat and collagen causes the youthful “heart-shaped face” to fall with gravity and become more “square” and hollow. Replacing lost volume in the face with filler is a great place to start. Think of it as building the strong foundations for a house. Not many people realise just how much difference replacing lost volume can make. The results are subtle, but noticeable. It is a very natural way of making someone look more youthful. Rather than look like you’ve obviously had fillers, it just gives you a subtle freshen up, like you’ve had a great night’s sleep. People are often amazed that simply adding volume to the cheeks can have such an amazing effect on bags under the eyes, and, in your case, the nasolabial folds. I would start with using some filler your cheeks, which will “lift” the cheeks and minimise the lines, and then perhaps inject a small amount directly into the nasolabial folds.

Ultimately your treatment will depend on your own aesthetic goals, the experience of your injector or surgeon, and your budget. I would recommend a review with an experienced injector and surgeon who can assess you in person, discuss your goals, and formulate a treatment plan.