Wrinkles Solutions - Mouth Corners

What can I do about the wrinkles that go from the corners of my mouth downward and make me look old and sad?

Why this happens:
The muscle that pulls down the mouth corners is called the depressor anguli oris (we just say DAO). Because the downward pull becomes stronger as we age, it tends to shift normally upturned corners into that down "sad" look.

2-step solution:
Botox can be injected in these muscles, restoring the upward tilt by stopping the depressor muscle from acting. Few units are required - generally only 2 to 3 per side.

To fill the wrinkle further into the chin area (marionette lines ) we suggest a hyaluronic gel such as Restylane or Juvederm.

Once the corners are lifted and lines are removed, a small amount of Juvederm or Restylane in the lip body adds a finishing touch for a very pretty perky mouth and smile.

Battling the Wrinklies

Wrinkle Fix - Relax or Fill?
 

Botox or Dysport are both proven very effective in relaxing the muscles that cause wrinkles through repeated contraction. In 2 to 12 days (depending on the product chosen), you'll see a softer, more pleasant appearance that should last up to 4 months or perhaps a little longer.

The most effective way to plump up wrinkles that are not caused by muscle contraction is with a dermal filler. We like hyaluronic acids like Restylane and Juvederm because they are both very smooth and require no pre-testing like the older collagens.

Volumizers such as Sculptra or Radiesse are more than wrinkle fillers and address large volumetric areas to directly affect facial contours.

Filler Injection Pre-Treatment Tips

• No aspirin or anti-inflammatory medication unless prescribed by your primary physician

• No St. John's Wort

• No Vitamin E

• No alcohol the day before, the day of or the day after injections

• If you have a tendency for cold sores and you wish to have lip augmentation, let us know so we can prescribe an anti-viral medication

Dr. Mani's Community Spotlight

La Cuna - San Diego Foster Family Connection

Treatment Specials 

View All Promotions and Rebates 
 

Phone

(858) 454 -2700

Dr. Nasrin Mani

Dr. Nasrin Mani is the Founder and Medical Director of La Jolla Cosmetic Laser Clinic. Dr. Mani has over 18 years' expertise with precision laser procedures. As a member of the elite Bioform Medical Education Faculty, Dr. Mani functions as a training physician for medical colleagues who wish to learn injection techniques for Radiesse. She is a member of the following professional organizations.
 

•The American Society of Laser, Medicine and Surgery (ASLMS)
 

•The San Diego County Medical Society
 

•American Society of Retinal Specialists
 

• American Academy of Ophthalmology (AAO)

•Thermage Pinnacle Award recipient for 2007 and 2008 and Thermage Diamond for 2009

•Bioform Medical Education Faculty (Radiesse)

"When it's your skin, nothing but the safest and most carefully selected  treatments are acceptable..

As a woman who is experiencing the aging process myself, I'm acutely aware of the subtle differences that affect my sense of self-esteem and self-confidence.

It is my goal to help you take renewed pleasure in your appearance and enjoy  ongoing skin health. "
 

Nasrin Mani

 

 Continue reading

Wrinkle Facts

Drink water - Hydrated skin is fuller skin so wrinkles are less apparent.

Use Retin-A or a Retinol to hasten skin cell turnover. If your skin is super sensitive, try Avene.

Sunblock - A must for anyone who cares about skin health and skin appearance

Antioxidants and Curative Creams like Neocutis help the skin self-heal and fight back against the elements and aging effects of collagenase which is a  naturally ocurring enzyme which breaks  down collagen fibers.

Avoid heavy caffeine, alcohol and sugar. Sugar contributes to the action of collagenase and speeds up wrinkle formation