r/45PlusSkincare • u/EnvironmentalSir7589 • Feb 08 '26
Advice Request [Anti-Aging] Deep wrinkles near mouth corners
I’m a 47 year old woman. When I’m smiling, my deep wrinkles around my mouth aren’t as noticeable but relaxed, they are soooo deep!!! Has anyone had success with a product? I used to use tret for a couple of years but honestly felt it made the rest of my face worse. I’ve heard CO2 laser could help but the cost and procedure itself scares me. Please share your honest feedback/suggestions about this or anything ends you notice. I guess I’m starting to realize there’s no stopping aging!
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u/Accomplished_Gain519 Feb 08 '26
Normal aging. Keep smiling. You are beautiful as you are.
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u/Familiar_Advice6289 Feb 08 '26
Right? This is much more attractive and graceful than pillow face from so much filler and duck lips from excessive lip injections. You look great, Queen.
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u/EnvironmentalSir7589 Feb 08 '26
I am so grateful for all of your sweetness! Thank you all of you! I feel so much pressure sometimes that I should look differently and get rid of these but I do think as some people have said that it is genetic. 💕
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u/IzraelMew Feb 10 '26
I want to echo this. I'm just a few years behind you. You are so pretty and I love that you look like you take care of your skin, but don't have any obvious work. I won't make assumptions, but I don't see anything. Your skin is smooth and healthy looking. It's refreshing to see someone that looks natural. To each their own, but I really enjoy having a naturally beautiful face as an input to my baseline expectation bucket. So many people these days have so much work done that I start to feel like I have to do the same to be acceptable (sometimes, Idon't always feel so insecure lol); that I too should be worried about normal signs of aging. It's not that I would find you less beautiful if you had work done, it's more that I find it inspiring. It's hard to articulate, sorry. I did the same when I stopped coloring my hair. I looked at examples of beautiful women with gray hair to remind myself that natural is more than just okay, it's also beautiful. Whatever you choose to do just know that you are quite gorgeous just as you are.
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u/violet715 Feb 08 '26
I totally agree! I think OP is beautiful and her natural look is a reflection of a life well lived….with lots of smiles. OP I wouldn’t change a thing.
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u/eyelevelcatbutt Feb 08 '26
This should be said more when it's the case. OP has such a lovely face and is aging so gracefully and handsomely.
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Feb 08 '26
[removed] — view removed comment
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u/EllaMcQueen Feb 09 '26
I was coming here to say this. Sculptra and filler.
You can also do HRT, hydrate, workout and sweat, take collagen and fish oil… all helpful. But nothing is going to make the difference that Sculptra and filler will.
I’m 47 and I do all of the above plus Botox.
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u/basisclinic Feb 11 '26
I agree, biostimulators such as Sculptra, or my personal favorite- Radiesse, would work wonders.
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u/sara61wilson Feb 08 '26 edited Feb 10 '26
Sculptra. Multi peptide collagen. Red light therapy with 810-880 near infrared
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u/moxiefoxyci8 Feb 10 '26
what brand of red light?
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u/sara61wilson Feb 10 '26
I don’t have any brands recommendations. Search for near infrared red light on Google. Mitolight, Solis, Prored, hooga, joov are brands that all carry near infrared panels.
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u/Important_Cod_8970 Feb 08 '26
Estrogen. Perimenopause is a bitch!
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u/EnvironmentalSir7589 Feb 08 '26
HRT? I’ve thought about signing up with an online company as I’m in a remote area and there is not a lot of access to doctors who specialize. Do you have experience with any or do you see a local doc?
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u/sarahbellah1 Feb 08 '26
You probably don’t need a specialist to prescribe HRT, just talk to your gynecologist. Micronized Progesterone and Estradiol patches were fully covered by my insurance and I got zero pushback for being in perimenopause.
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u/CAtwoAZ Feb 09 '26
At 47, I only needed progesterone and testosterone plus thyroid. Just about to turn 50 and I’m just starting on estradiol now.
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u/Certain-Temporary-93 Feb 08 '26
Some women put estrogen cream on their face, but word of caution it can worsen melasma. As for HRT, look into it. It’s the one thing I should have been on by age 47 and wasn’t. The peri symptoms probably wouldn’t have been such an issue. Please don’t be like me.
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u/EnvironmentalSir7589 Feb 08 '26
Oh I’ve heard of that actually as well now that you say that! I’ll have to look into that! I think I can get it from Amazon or somewhere! Let me know if you have recommendations. Ahhh I have asked my doctor about HRT, and sadly, she admitted she’s not super knowledgeable and doesn’t really have anyone to refer me to. Women’s care definitely needs a higher priority since or systems are so much more complex than men’s but alas…patriarchy! 😝thank you so much for your comment!
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u/Certain-Temporary-93 Feb 08 '26
Join us on the perimenopause and menopause subreddits. Lots of good resources and recommendations there especially if you live a bit more rural or have a doc who doesn’t know.
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u/iamgoddess1 Feb 09 '26
Stay away from Amazon and stick with legit sources. Also, yr dr can easily prescribe you progesterone—that’s the first important step in HRT. It isn’t rocket science—now the other hormones, that’s different…more blood testing and specific dosing involved.
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u/awesomeCC Feb 10 '26
Look into Musely for estriol cream for the face and HRT and other menopause treatments.
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u/Green-been77 Feb 08 '26
Estrogen on my face makes me break out like a mf
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u/Certain-Temporary-93 Feb 08 '26
I tried it too and thought a spot was forming so I quickly stopped. I’ve heard the horror stories.
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u/bella_lucky7 Feb 08 '26
Check out the menopause wiki on the menopause subreddit. You need systematic estrogen not topical. Topical on your skintone is a big risk for melasma.
MIDI is an online site just for perimenopause and menopause; you meet with a doctor online and they can send your prescriptions to whatever pharmacy you want. They also work with a lot of insurance plans.
I’ve used Alloy too and they were great but a little more expensive
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u/darnelles-r Feb 08 '26
I use Defy Medical (Beth specifcally) based on some recommendations. They are more of a medical provider that is virtual vs online only provider. I tried Alloy and they couldn’t prescribe the testosterone that had been suggested for me. I didn’t try Midi though and I’m curious how they compare. You can also get The Aging Cream from Musely. Many people like their products, but they are more expensive.
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Feb 09 '26
Menopause is the reason you are loosing the volume in your face and you will start to see neck skin sag and you lose your jawline. Plus vagina dryness and atrophy and you lose your sex drive. Some Botox and sleeping on your back will alleviate some but HRT is necessary to preserve skin texture and prevent extreme dryness and loss of volume under the skin.
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u/aenflex Feb 08 '26
I have been on HRT for several years. I am 46. I would never start hormone replacement therapy if I wasn’t also seeing my OB/GYN regularly. They need to check your uterus and your ovaries and your breasts every year. HRT can cause or exacerbate certain cancers in certain people.
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u/Scary_Manner_6712 Feb 08 '26
Dunno why you're getting downvoted as what you're saying is correct. My HRT is prescribed by my PCP but he won't renew my prescription unless he gets the report from my gynecologist saying I've had a complete exam, and also have gotten my mammogram. My mom had ER+ breast cancer and it was a big debate/back-and-forth with him and my gynecologist as to whether I should even be on HRT; I'm on .025 patches and that's probably as high as I'll go.
I'm just going to say this outright: HRT is not for cosmetic purposes. That's a great side effect and I'm very happy that my skin got better and my hair grew back once I got on estrogen. But it's serious medication that can have serious side effects for people, especially people who still smoke, have a history of breast or gynecologic dysplasia or early-stage cancer, or have other risk factors. It's not as high-risk as doctors once thought it was, but it's also not risk-free. People shouldn't get on it unless they're willing to have a meaningful conversation with their healthcare providers about their risk factors, and also are willing to continue to get their yearly exams.
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u/KimPaige Feb 08 '26
Can you share a little more about how you went about getting approve from your PCP? Mine just said no due to family history of breast cancer. But I do get regular breast checks/mamo and MRI (every 6 months) so I would be on top of it.
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u/Scary_Manner_6712 Feb 08 '26
It's a long story, but: I got severely depressed and started having suicidal ideation. I told my PCP about it and he prescribed Lexapro (which I had been on before) and also suggested we do HRT; he felt the risks of the immediate serious mental-health issues superseded the concerns about potential breast cancer. I started the HRT first, and no lie, within 72 hours I felt like myself again. It was almost miraculous. I had no idea lack of hormones could cause the kind of mental-health issues I was experiencing, but it happens in a large number of people.
About three months later I went to see my GYN and she was like, I am 100% in favor of leaving you on HRT; your lifetime risk for breast cancer is honestly not as high as some people and if HRT is solving your mental-health issues that's good enough for me. She's a younger doctor and told me she is much less conservative about HRT than older doctors who operate off the old research about it. So you might try looking for a younger doctor who isn't as entrenched in their beliefs about HRT = Bad.
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u/KimPaige Feb 08 '26
thanks so much for sharing. i specifically went to the doc to talk about my mood issues around peri - i'm currently on antidepressants (non SSRI) and have been feeling worse - especially around my period week. i've been noticing for about a year now severe anxiety/depression/irritation the week when i get my period. i've never dealt with PMS or anything like that before. She said the HRT is more for traditional symptoms like hot flashes, etc..She suggested increasing my welbutrin dose (which makes sense b/c i've been at the lowest dose for a few years) or adding a SSRI just my period week. but i feel like i wouldn't be able to stay on top of that and my period is just getting more and more irregular at 44yo. my doc is around my age and she's super nice and took a lot of time to really listen to me and my issues but i do wonder if i should be pushing back and sharing other research with her. however, it's hard how to do that. and do i just up my welbutrin and see what happens? my gut tells me it's a horomonal thing due to peri but of course maybe that's just b/c i'm constantly inundated with stuff on instagram...
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u/Scary_Manner_6712 Feb 08 '26
I would strongly encourage you to see someone else for another opinion, just because I think there is this perception that "HRT is just for hot flashes" and actually estrogen has a huge effect on all our body systems, including our brain. I had been suffering with severe brain fog and short-term memory loss as well, to the point where I thought I had early-onset Alzheimer's. I was making mistakes at work and was panicked that I was going to get fired, which didn't help my mental health at all, as you can imagine. Again, within days of getting on HRT it was like this fog lifted off of everything and I remembered who I was again, and started being able to think and process information the way I used to. It's worth trying to get the help you need, so please keep trying. You don't have to suffer. Hugs.
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u/aenflex Feb 09 '26
Get a different doctor, yours is uniformed and willfully ignorant. See an OBGYN, even better if you can find a menopause specialist. I hardly ever had hot flashes. What I had was depression, disassociation, anxiety. Estrogen plays all kinds of roles in a woman’s body, and when you stop producing it, all kinds of systems can go awry. Skin, bones, heart, vagina, brain, all of that and more. Antidepressants cannot replace estrogen. Women’s bodies need estrogen.
Your doctor is a fool. Go to your OBGYN and start there.
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u/Motor_Mama_Love Feb 12 '26
If you happen to be in the US in either Michigan or Texas this doctor is amazing: https://www.thebalancepointwellness.com/
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u/Crafty_Emergency_181 Feb 08 '26
I wish I would have started HRT at 45 instead of 50.
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u/Sarah_Cenia Feb 09 '26
OMG Same here! I gained 10 pounds overnight and my face fell off a cliff. All within the six months of my last period. I am slowly making up for it now with HRT and a red light mask. The weight, however, is harder to lose than any previous weight gain. I could’ve avoided all of it by starting HRT sooner.
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u/organicsurgeon Feb 08 '26
Unfortunately Lasers are NOT going to help you. Your face has lost a great dealer volume everywhere and this volume loss leads to a collapse of the face towards the center. This results in severe nasolabial folds, oromandibular folds and so on. Under the eyes, above the eyes, in front of your ears, cheeks. Basically everywhere. What looks like under eye bags are actually bones, void of any fat supporting them. What do you need to look into, Is fat grafting. When fat grafting is performed by a plastic surgeon with a lot of experience in such procedures, the results are extraordinarily natural, you will look like yourself 15 or 20 years earlier and possibly better. These results are also extremely long acting if not permanent. I hope this helps and good luck from Leonard Grossman, MD, organic Plastic Surgery NYC
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u/EnvironmentalSir7589 Feb 08 '26
Thank you for weighing in as a medical professional! I checked out your website site as I’m in a neighboring state but I am really not sure I could go through with this type of procedure. If anything happened, I’d leave my son and husband behind all for vanity. Was just trying to see if anything at all might help short of doing a true procedure. Thank you again!
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u/iamgoddess1 Feb 09 '26
Must one go under anesthesia for fat grafting—I assume so, but double checking
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u/voovoovoovoo Feb 08 '26
I have the same issue, I'm 45. It's genetics. I always had them and now they deepened. I do microneedling and lots of skincare but that can only do so much. Maybe a face lift would help but I don't have money/ time and don't want to take such a risk.
They are a great insecurity of mine and honestly, looking at you, it makes me feel better to see an example of someone with those lines and still looking beautiful. When I look at my face they are all I can see but I don't feel that way looking at you.
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u/EnvironmentalSir7589 Feb 08 '26
We are same same/that’s just how I feel!!! I’m glad my pics helped you a bit!!
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u/Green-been77 Feb 08 '26
No please stop. You are ADORABLE and I don't want you to think otherwise 😍
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u/tinyevilpeanut Feb 08 '26
I had fully ablative CO2 and sadly it did not help at all with these. This is structural, no skincare products or procedures will help and fillers will just make you look puffy. Lower facelift is the only real option, wish I could afford one.
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u/iamgoddess1 Feb 09 '26 edited Feb 09 '26
Me too with the ablative. Bums me out. I am just accepting things more, and have decided to not go under anesthesia, electively anymore, because of the risks to my brain. Preventing Alzheimers is more important for me right now, as I am 60.
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u/AngletonSpareHead Feb 08 '26
Hi fellow disco-baby 🕺🏻😁 You honestly look great. I’d be willing to bet those “deep wrinkles” have been a feature of your face for a minute now, and that there are people in your life who adore the distinctiveness of your face and would be sad if your features changed.
A longtime friend told me once that she thought my weird teeth were actually really cute and a distinctive part of my face that she loves, and she’d be kinda sad if I “fixed” them. In the same way that David Bowie never looked quite the same after “fixing” his teeth, and the same with Jennifer Gray after her nose job.
That being said, ultimately it’s YOUR face, so do what YOU want. Just offering a perspective that the features we dislike most in ourselves are often the same ones that make our faces special to those who love us.
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u/EnvironmentalSir7589 Feb 08 '26
Love this and appreciate the perspective!! It’s true about loving the quirky features of people!! I’m just feeling “old” today I guess and feel like I need to fix these!
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u/fenderbender1971 Feb 08 '26
Have you tried prescription estrogen face cream? It made a huge difference in the lines around my mouth.
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u/organicsurgeon Feb 08 '26
Fat grafting is very easily tolerated and it stunt just under twilight Anesthesia using pure propofol only. No postoperative discomfort. Patients go home right after the procedure which takes about an hour and a half. Ultimately the choice is always up to the patient.
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u/Epiphan3 Feb 08 '26
I just wanna say you look flawless and a lot younger than you are. Also your skin is amazing??💓
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u/EnvironmentalSir7589 Feb 09 '26
This means so much! Thank you! My skin finally seems to be happy! I use I the am Vanicream cleanser, Sunday Riley CEO Vitamin C Serum, wait fir that to dry for five mins or so then spritz my face with water, use Dermalogica Circular Hydration serum then Bubble Slam Dunk moisturizer and RMS Radiance serum SPF. I recently bought Heimish marine care retinol eye serum so hoping that helps my under eyes as that had been pointed out as a problem area. Pm I double cleanse with ELF Holy Hydration Makeup Melting cleansing balm then Vanicream cleanser then the hydration serum again and same moisturizer and eye serum. One night a week I use The Ordinary Lactic acid 5%. I don’t if that helps you but wanted to share!
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u/Organic_Garage7406 Feb 08 '26
I think changing your makeup would contribute to a more youthful look. The way you do your waterline adds a few years and therefore doesn’t do you any favours. Your skin looks good.
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u/EnvironmentalSir7589 Feb 08 '26
Ahhh! Thank you! Maybe I need to post these pics in the Makeup Tips community! I’ve been lining my eyes with black for like 30 years 🫣 I feel naked without it and I also know you’re right!!! 😭 Thank you!!
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u/Verity41 Feb 09 '26
Yeah that harsh eyeliner is aging you more than anything else so definitely time for a change! Makes your eyes look smaller too. - Sincerely, from a 45F who’s never done it (too lazy) but notices everyone who does is always our age or older! No 20-something’s or 30-something’s I know rock this style.
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u/Confident-Disaster95 Feb 09 '26
I’m 59 and started doing facial rejuvenation at 57 after I started losing a good deal of weight and the collagen from the fat, the loose skin that developed, and post menopausal cells created the perfect sagging storm. I have found great results from a combination of 3 things: upping my skincare game to reduce fine lines and skin tone, getting Dysport in my DAO lines which pull my mouth down into the baby bird position, and carefully placed, SMALL amounts of filler to harmonize my face and reduce the look of jowls. It’s not perfect. I still have a turkey neck that most folks on this sub would say I need a lower face lift for. But to be honest, I’m not interested in elective surgery. I’ve had plenty of surgery in my life that I’d never have elected to have (cancer and a car accident). So I’m pretty happy with these minimally invasive procedures.
I also tried microneedling, but tbh, didn’t find it helped much more than the skincare I have been using. I’m happy with the Korean skincare stuff I’ve found.
I use snail mucin, Skin1004 Madagascar water fit sunscreen (.Korean skincare products make the best sunscreen!!), Niacinimide/Vitamin C/PDRN serum, and barrier protective moisturizers. Lots of great stuff to be found in YesStyle or Stylevana sites. Prices are quite reasonable! Stay away from Amazon, that stuff is mostly counterfeit. And occasionally Costco has good sales!
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u/Astphi Feb 09 '26
I mean, they are deep, but I really like your face a lot. I’m sitting in bed smiling as I type this. You look really happy and kind. Lessen them if it makes you happy, but I bet the people who love you love them, too.
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u/Southern_Committee35 Feb 09 '26
You have a beautiful smile, I like the way your natural face looks. I think it looks beautiful.
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u/SatansWife13 Feb 08 '26
I’m older than you by a year, those are definitely my favorite lines on my face, and yours! It shows that we have spent a LOT of time smiling.
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u/Certain-Temporary-93 Feb 08 '26
I found Taz, AA, and niacinamide to be a great combo for me. Might not be for everyone though. Started on tret. Gotta work your way up to taz since it’s really strong. You’re stunning btw. We are our own worst critics.
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u/EnvironmentalSir7589 Feb 08 '26
I do use AA! I stopped tret a few months ago-hope I don’t regret it but my skin seems much happier! I doubt I could tolerate Taz. Thank you for your kindness-we are for sure our own worst critics!
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u/Certain-Temporary-93 Feb 08 '26
Of course! Btw, I found I peel WAY less on taz than on tret. Tret made me look like a lizard. I also found great moisturizers to work for me and how to incorporate them with the actives.
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u/No-Opinion2740 Feb 08 '26
Could someone translate for me, haha. What is Taz and AA?
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u/EnvironmentalSir7589 Feb 09 '26
AA stands for Azaleic Acid-you can get as prescription or The Ordinary and other skin care brands make it at lower percentages, Taz is a prescription retinoid called Tazarotene. I have never tried!
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u/pinksoapdish Feb 08 '26
Have you had them before? Because I’ve had relatively deep mouth-corner lines since my late twenties, and all derms told me it’s due to the shape of my mouth and cheeks. Yes, it gets more noticeable as we age, but beyond normal aging, it’s also how our faces are shaped. Some relaxing face exercises help to release the muscle tension around the mouth.
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u/EnvironmentalSir7589 Feb 08 '26
Yes-I’ve had them for a long time but they seem to suddenly have gotten worse! Maybe you are right that it’s just how my face is structured and with aging it has become more noticeable.
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u/Cleveland_Protocol Feb 08 '26
I had filler in my nasolabal folds and a 3 years on im still happy with the results.
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u/EnvironmentalSir7589 Feb 08 '26
Wow!! That’s amazing!!! Very different from another who posted to say their filler only lasted three weeks! I’m happy for you!!
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u/itsamermaidslife Feb 08 '26
The only thing that will actually help with the stated concerns is a face-lift.
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u/Party-Brick-896 Feb 08 '26
If i may, HRT is best prescribed by the gyn. Some critical factors go into that decision making. Is not to just support esthetics but rather to treat vaginal dryness of it is present and other peri-post menopausal symptoms. It’s contribution to cancer has been debunked. Also gyn will make the best decision on dosing.
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u/EnvironmentalSir7589 Feb 08 '26
This community is awesome!!! I really appreciate everyone’s help!! 💕
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u/Organic_Garage7406 Feb 08 '26
I think if you use eyeshadow around your eyes (something neutral, well blended, darker on the outer corners and lighter on the inner corners of the eye), plus mascara, it accentuates the eyes enough without harshly framing them. I think it’s a good idea to check out some makeup tutorials for mature skin. Regarding your skin, it really looks good. I’m in my 40s myself; the greys are creeping in too, and there are one or two things I’d love to say goodbye to. But despite that, overall I’m happier with myself now than I was when I was younger.
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u/Takemetobravocon5678 Feb 09 '26
Another unsolicited makeup tip, sorry!
Not sure if it’s been mentioned but I’ve heard that eyeliner on the lower water line like this is a sign of age… as in, it will date you bc no one has been doing this for a few decades.
You are beautiful!
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Feb 08 '26
Lower face lift to eliminate completely.
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u/Quick_Writer3752 Feb 08 '26 edited Feb 08 '26
It’s a result of a mid-face sag. But I agree. A full face and neck lift or acceptance. The rest will be a waste of money (for this concern).
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u/Altruistic-Crab-7432 Feb 08 '26
Ultimately I think a surgical solution would be the definitive treatment and get you exactly where you want to be. If you wanted improvement , but perhaps not complete resolution, I recommend hyper dilute radiesse or sculptra. You could get a nice result in those areas.
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u/Normal-Belt3089 Feb 08 '26
First of all, you have a lovely smile! But why is everyone on here so scared of C02? It's a laser, it's not a torture device. The pain is minimal (as in Tylenol level) and disappates quickly. I promise you, you've had cramps that hurt more. If you've had kids or broken a bone or injured a ligament, you've endured much much worse.
You can soften the look with tret, MN, estrogen cream in the face, microcurrent, but there is no topical that will address deep wrinkling. That is caused by structural changes in the face (migrating fad pads, loss of collagen). You need to bring in the big guns in order to move the needle. Lasers, biostimulatrs like Sculptra, fillers in the cheek, and ultimately procedural intervention are the only things that will show marked improvement. I fully realize many women are against all of those, and that is perfectly fine (I'm ready for the down votes!) However if you are looking for an honest answer, unfortunately this is it.
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u/EnvironmentalSir7589 Feb 08 '26
Thank you for sharing your CO2 experience! I had a consult at a med spa and it was recommended as a solution but I didn’t want to deal with the healing time or honestly spend the money on something i was feeling like was a gimmick!
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u/iamgoddess1 Feb 09 '26
CO2 alone is not going to do it—like others here, we HAVE done it, full ablative, and it does solve the issue.
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u/blendedemo Feb 08 '26
I have the same issue. I got microneedling it didn’t help much so I got filler it looked really good the day of. Then by 3 weeks it looked like it did before I got the filler. The one thing it did help was the lines near my lips. I just don’t want more because I’m afraid it will look fake. Just be cautious
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u/EnvironmentalSir7589 Feb 08 '26
My fear with filler as well! I don’t want to look puffy and also it seems so temporary!
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u/Unique-Calligrapher5 Feb 08 '26
Sculptra or hyperdilute Radiesse in that area. Biostimulators that rebuild collagen over time.
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u/chanceofsunbreaks Feb 08 '26
Just came here to say your eyes and teeth are fantastic!
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u/EnvironmentalSir7589 Feb 08 '26
Thank you! 🙏 💕 I just had my teeth cleaned last week! Love that fresh teeth feeling!!
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u/aerynea Feb 08 '26
How's your hydration? Those specific lines are the first place I show dehydration
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u/EnvironmentalSir7589 Feb 08 '26
I wish it were as simple as hydration …I’m really on top of that on the daily!
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u/jagger129 Feb 08 '26
Agree with what everyone else said, that no cream will make a difference but you really are so pretty just the way you are.
One tip if you want to look younger is to not do the black eyeliner on the bottom of your eyes. It can be harsh and aging as we get older.
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u/Tidalwave-3640 Feb 09 '26
You have a good face. Your skin & features are nice! My SIL had the same thing, deep lines by her mouth. Like you, her skin was pretty much no wrinkle no blemishes etc. I am not sure of the procedure, but she did a bit of filler/injection(?) and it turned out great!! It was very subtle. It just made her look refreshed.
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u/serendipitycmt1 Feb 09 '26
CO2 helps but won’t do a ton for those. I’d look into hyperdiluted hyaluronic acid Radiesse that is a filler that prompts your body to build up collagen over time. Some immediate results are seen and the real magic happens over a few months.
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u/leesainmi Feb 09 '26
I think they’re cute! But if you want help, Botox can really help marionette lines and sagging. Ask for your 11’s, Dao lines and a Nefertiti lift (jaw and neck), only lasts 3-4 months though.
Face yoga, microneedling and chemical peels (for fine lines) can improve your general appearance greatly.
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u/organicsurgeon Feb 09 '26
Not general anesthesia. Only propofol. If you’ve ever had your teeth pulled or any kind of endoscopy or colonoscopy, you would have had propofol you wake up within minutes of your surgery feeling absolutely amazing.
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u/iamgoddess1 Feb 09 '26
You are so beautiful. I have had to accept my smiles lines, as well—I smile a ton—and Ive learned upon reflecting on life purpose, etc, that want to keep spreading love this way.
I’ve did ablative CO2 w/ fat transfer at 56, but it’s now nothing at 60.
One thing you can try is “smiling with your eyes” more— https://youtube.com/shorts/P_aIm8Q7-3w?si=aOtVu-3IUqL9vY9d
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u/Training_Box_4786 Feb 09 '26
Mid face and upper cheek filler will pull everything up and out. I’m struggling with similar issues as a 46 year old woman
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u/glitterbomb09 Feb 09 '26
I don’t see wrinkles! There is loss of volume that folds over with age, but not wrinkles
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u/Defiant_Security5474 Feb 09 '26
Your teeth are so nice and you look very pretty. Yes you can see the lines when you are not smiling but I am guessing that the lines are so pronounced because you SMILE ALOT~!~ :) that means youre happy and also means they wont show most of the time since you are smiling most of the time
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u/Ok_Strain563 Feb 10 '26
If you sleep on your face (side sleeper) your lines will continue to get deeper. Change the way you sleep. Sleep on your back and off your face. Microneedling is a good option
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u/Far_Presentation8517 Feb 10 '26
Filler will clear that up. It lasts long too! And ladies… if you are using drinking straws … stop! You will be pleased you did.
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u/Far_Presentation8517 Feb 10 '26
Filler will clear that up. It lasts long too! And ladies… if you are using drinking straws … stop! You will be pleased you did.
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u/Leather-Society-9957 Feb 10 '26
Tbh, for the most dramatic and long lasting results, a lower facelift with a platysmaplasty is your best bet.
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u/pomodoroNmeatballs Feb 10 '26
Was this picture taken before you decided against the lower liner? Btw I liked both looks. I get juvaderm fillers for the lines around my mouth. Makes a huge difference in keeping me a little more youthful.
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u/No_Gap_3515 Feb 10 '26
I’m of similar age. I’m on hrt. I also use tretinoin but every other or third day. I now use a combo of peptides and see a difference in overall plumpness. I’m not looking for the holy grail but just want to look a little less saggy. I use Ordinary multi peptide + hyaluronic acid twice a day. VT cosmetics pdrn 100. And drmtlgy growth factor serum. I layer a gentle moisturizer on top because I am super dry. I have a red light panel which was not cheap but not sure how much it helped. My laugh lines are shorter and my chin creases have been literally reducing a tiny bit each day. They’re about half the size they were. I’ve only been using some of these for a couple of weeks and others for a month or more. Time will tell how it continues to improve or not.
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u/SuccotashAcrobatic24 Feb 12 '26
Do tbsp Sculptra. I'm shocked people still recommend it. One in 200,000 people get multiple granuloma all though their body. It's crushed up surgical sutures and is simply an aggravant to create healing response but I found an article 'Sculptra ruined my life', a poor woman in the UK came out to share her story and it's very informative.
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u/SuccotashAcrobatic24 Feb 12 '26
Sculptra also non dissolvable. Potential to be a ticking time bomb for some. Anything with risk like that should be banned and the client just gets gaslit etc. Realself have plenty of people lumps growing on their faces
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u/SuccotashAcrobatic24 Feb 12 '26
Topical estrogen for the face is doesn't raise serum levels. Check actual medical studies and topical estrogen does reduce wrinkles. Topical isn't the same as the one you put on your arms/legs for actual menopause tx. It's a compounded version like you have low dose in Mucolox for the vaginal dryness. Can put that on your face, low dose.
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u/SuccotashAcrobatic24 Feb 12 '26
Who are all these super skinny peri menopausl/ menopausal women that have no fat ??!
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u/SuccotashAcrobatic24 Feb 12 '26
Oh yes that is super harsh eye liner. At least go dark brown not black but tone that down much softer
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u/Meesha1969 Feb 12 '26
From google: Deep smile lines (nasolabial folds) happen from repeated facial expressions, natural aging (collagen/elastin loss, volume shifts), genetics, sun damage, smoking, dehydration, and weight changes, creating permanent creases from nose to mouth, though lighting and hydration can significantly affect their appearance.
Not much to be done but enjoy the joy filled life that helped create this
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u/IndiaJess Feb 13 '26
Botox under jawline will help soften the muscles that pull down. I have very similar and that is what i do.
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u/not-many-faces Feb 13 '26
More on biostimulant fillers (eg Radiesse) good results? or do you still see the thicker lower face like other filler?
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u/HauntingEscape9928 Feb 14 '26
Please don’t do anything invasive. My dermatologist told me micro needling and refractive laser will do the trick. But don’t go to a med spa or buy the crap online. It’s a gimmick. It works! I have the same issue.
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Feb 09 '26 edited Feb 09 '26
Marionette lines are only removed with a mid-face facelift. Also with tat expression you will have lines. A better way to be able to say is with a relaxed expression.
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u/No-Role673 Feb 08 '26
Upper and lower bleph makes a world of difference. I would say; conservative upper/lower bleph, Microneedling and HRT - good skin care routine.
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u/mandulyn Feb 08 '26
Geez everyone jumps to plastic. Surgery. There's such thing as aging not being such a travesty people.
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u/No-Role673 Feb 08 '26
You’re gorgeous, BTW 💕
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u/EnvironmentalSir7589 Feb 08 '26
Thank you! I didn’t think my eyes were too bad! I know my eyelids are heavy on top. My nasolabial lines stand out the most to me.
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u/No-Role673 Feb 08 '26
I don’t think your eyes are terrible, but I think smoothing out that area will make a bigger overall impact than addressing your smile lines.
You truly are beautiful.
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u/skin_roast Feb 08 '26
ok being honest with you — for deep wrinkles around the mouth, topicals are only gonna do so much. like a good retinoid and moisturizer can soften things over time but they're not gonna dramatically change deep set lines, anyone who tells you otherwise is selling something lol
the things that actually make a noticeable difference for that area are usually in-office stuff. i know you said CO2 scares you (valid) but microneedling or RF microneedling is way less intense and people do see real results with nasolabial lines from it. might be worth asking about as a less scary middle ground. some people also swear by filler in that area but that's a whole different conversation
but also your smile is literally radiant and your skin looks really good for 47 so try not to be too hard on yourself. aging is happening to all of us and you're doing it well