The areas of the central face around the mouth and in the cheek areas are best treated with fillers and/or implants.  Fillers can also be used around the chin and along the jawline but those areas show more dramatic and long-lasting improvement with a facelift procedure.  As we age we lose bone structure in the cheeks;  fillers can successfully restore the prominence of the cheeks.  This is typically the first choice in fillers in the midface and then the areas around the lips and chin are treated. 

For wrinkles around the mouth and for loss of lip volume fillers are the first choice.  The wrinkles around the corners of the mouth to the nose and chin,  the "deep nasolabial folds" and the "marionette lines", are also improved with the use of fillers, since these do not improve with a facelift procedure.  Dr. Wenzel may also recommend laser treatments, chemical peesls, or dermabrasion for the skin surface and fine wrinkles in these areas.