Laugh lines represent a happy life full of joyful facial expressions. But as you age, these lines deepen, making you look older than you really are.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
No one can completely escape the effects of aging, but there are things you can do to prevent premature signs of aging and even smooth out those annoying lines and wrinkles that you already have.
If you’re ready to erase those laugh lines and other facial creases, you have several options. Your doctor will assess the depth of the lines and the overall health of your skin before deciding which treatments will give you the best results.
Non-surgical treatments for lines and wrinkles
Laugh lines around the eyes are first apparent only when you smile, says James Zins, MD, Department Chair of Plastic Surgery at Cleveland Clinic. But sun damage and the passage of time take their toll, eventually making these lines visible when your face is at rest. One of the best nonsurgical treatments for these fine lines involves the use of neuromodulators, or botulinum toxins.
Botulinum toxins, also known as Botox®, Xeomin® and Dysport®, can reduce the appearance of laugh lines and rejuvenate the face.
“Small amounts of botulinum toxin are injected in and around the affected area, temporarily weakening or paralyzing the muscles there,” explains Dr. Zins.
Some people have the treatment in conjunction with skin resurfacing procedures. Dr. Zins says a variety of lasers can be used to further improve the quality of the skin.
Whether lasers are used in conjunction with botulinum toxin or not, the rejuvenating effects last about three months, at which time you’ll have to see your doctor for another treatment.
Don’t like needles? There’s a topical botulinum toxin formulation in the works, but the FDA has yet to approve it. If it’s approved, you’ll have the option of smoothing your laugh lines and crow’s feet without the need for multiple injections.
For smile lines, you can opt for hyaluronic acid fillers, such as Restylane®, Juvéderm®, Sculptra® and Juvéderm Voluma®. These solutions are applied via injection along the crease extending from the nose to the sides of the mouth. They’re meant to fill in the creases. The effects can last anywhere from six months to a full year.
It’s also important to note that the use of these fillers has evolved. “They do not merely fill wrinkles, but they also can replace the appearance of volume loss that occurs with aging,” Dr. Zins says.
One advantage of these fillers is that you can see a difference immediately. And they’re reversible. If you don’t like how you look after the procedure, the doctor can inject hyaluronidase to counteract the effects.
Surgical treatments for lines and wrinkles
If you’re looking for a more permanent solution, or if your doctor says you’re not a candidate for the nonsurgical options, you can opt for a surgical solution.
Depending on your facial anatomy, the surgeon may suggest surgical alteration of the brow, neck area or eyelids, or even a combination of these. Of course, if you want to go all out in your quest for a more youthful appearance that will last several years, you can opt to have a complete face lift.
Your doctor may suggest using one of the nonsurgical volumizing products to add prominence to your cheeks and upper face along with surgery. The effects of these last much longer than other fillers.
Prevent laugh lines and facial creases
One of the best ways to keep your skin from aging prematurely is by using sunscreen and sunblock whenever you go outdoors. Dr. Zins suggests using both sunscreen and physical blockers to protect your skin from the sun. Sunscreen formulations should have an SPF of 30+ and contain broad spectrum sunscreens. You should also use a physical blocker like zinc oxide or titanium dioxide to further protect your skin.
To take care of your skin, use gentle cleansers and moisturizers daily, get regular exercise and drink plenty of water. Taking these measures early on can help you keep your skin supple and youthful longer.
Restylane® is a registered trademark of Valeant Pharmaceutical. Sculptra® is a registered trademark of Dermik Laboratories, a business of sanofi-aventis U.S. LLC. Botox®, Juvéderm® and Juvéderm Voluma® are registered trademarks of Allergan, Inc. Dysport® is a registered trademark of Ipsen Biopharm Limited. Xeomin® is a registered trademark of Merz Pharma GmbH & Co KGaA.