“I’ve had Botox twice in the last 30 days separated two weeks apart and still have lines across my cheeks when I smile. They aren’t there much when I’m not smiling. What do you suggest for the next course of treatment? Even when Botox takes, they are back within a month.” 
– Real Self Q&A

These lines are from volume loss. Botox can relax the lines around your eyes but when they extend onto your cheeks they are harder to erase. A soft HA filler can fill these lines superficially and a thicker filler can restore deeper volume. If your skin is sun damaged and thin, laser can help too.

Combination treatments are always the best. If the lines initially improve with Botox and return quickly, maybe upping the number of Botox units you receive and dispersing them carefully in small increments over a larger area would help more too.

Interested in Fillers or Botox? Call Germain Dermatology and schedule a skin consult today. Dr. Germain and her staff will help you become the best version of yourself! 
843-881-4440 
www.germaindermatology.com Marguerite Germain