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What is the best way to get rid of the lines from the nose to the sides of the mouth?

Question posted by EastCoastMama from Toronto

I’d like to know what options there are to reduce the appearance of lines from the sides of the nose to the corner of the mouth? How long would it last for and cost? Thanks

Doctor's Response

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2 thoughts on “What is the best way to get rid of the lines from the nose to the sides of the mouth?

  • Dear EastCoastMama,

    The lines that go from the nose to the side of mouth are commonly referred to as nasolabial lines or laugh lines or smile lines.  These nasolabial folds or smile lines when subtle are very human and generally the goal is not to eliminate them completely or a face can look oddly round or simian.  When these lines get very very deep, however, they can add to an aged or a droopy appearance.  Smile lines can be addressed in many ways.  One of the least invasive options is to use soft tissue fillers such a Juvederm Voluma, Restylane, Perlane, Sculptra or Radiesse.  The soft tissue fillers are injected as a side office procedure under the smile lines or nasolabial folds to efface and lessen their appearance.  This can provide improvements for up to a year and have very little risks and most patients can return to work the next day.

    Other options for smile line correction include surgery such as an endoscopic mid facelift, but to perform surgical repositioning of soft tissue just for a smile line is rarely indicated.  Usually it is performed for adjunctive facial aging changes such as descent of the cheeks, jowls and general facial laxity.  During these surgical procedures the smile lines can be lessened and are often combined with the injection of soft tissue fillers.  One option that’s quite popular with patients is to take fat from an area of the body that is not wanted under local anesthesia, purify these fat cells and inject them under nasolabial folds and smile lines.  This also can provide a long-term improvement and make use of the body’s own tissues.

    Laser tightening devices for the cheeks can work on very very subtle smile line concerns such as radio frequency devices such as the Forma, the Exilis, the Venus Freeze, the Profound and the Fractora.  Combination therapy with soft tissue fillers and tightening devices can be a nice non-surgical option to give the best improvement.  And, finally, suture suspension or thread lifting can also elevate fallen cheeks which can contribute to the depth and appearance of smile lines.

    As you can see there are a number of options that can be quite successful and at this point in time seeking the advice of a certified plastic surgeon, dermatologist or cosmetic physician with significant experience in all the modalities would give you the best range of options and can be discussed fully during the consultation.

    I think you’ll be able to achieve an excellent aesthetic result.

    I hope this information has been of some assistance and best of luck.

    For more information, please review our soft tissue fillers

    If you’d like to schedule a consultation please call
    SpaMedica at (416) 922-2868 or visit us at our website at

    R. Stephen Mulholland, M.D.

    Certified Plastic Surgeon

    Yorkville, Toronto

  • Those lines are called nasolabial folds and are best treated with a dermal filler. The most common fillers are made of hyaluronic acid and last typically 6-9 months.

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