Botox Cosmetic for lip lines

I have smokers lines, and my sister-in-law had Restylane to treat this and it looks good. I went to a consultation and the doctor suggested Botox. I didn’t think Botox was for the lips?

4 answers to “Botox Cosmetic for lip lines”

A: Botox for lip lines - Proceed with caution

Sanjay Grover, MD

Botox is a wonderful modality to utilize for lip lines; however, you must understand what you are getting into.  When injecting Botox in the forehead or glabella, it is okay is one is unable to contract these muscles; however, only a small amount of Botox should be injected around the mouth at any given... more

A: Botox for lip lines

Otto Joseph Placik, MD

I strongly agree that you proceed with caution when it comes to Botox in the lips. This is a treatment that is loved by some and hated by others. Lines of the lips are due to several factors which include loss of volume, loss of bony & dental structure, loss of elasticity and repetitive use. Botox only... more

A: Botox for smoker's lines or upper lip "bar codes"

Michael A. Persky, MD

Hi Anon, Botox in very small doses is effective at treating fine to moderate upper lip lines. One (1) unit in each quadrant of the lip, four (4) units total, is all that is needed. For the deeper (bar code) lines, an ablative laser is best; see Fraxel re:pair. Restylane and Juvederm when used correctly are... more

A: Botox Cosmetic can be used to treat lip lines

Ira D. Papel, MD

Vertical lines around the lips represent changes brought about by loss of volume in the skin and tissue beneath, as well as the constant muscle action which creases the skin. Treatment of these lines may involve replacing volume, such as with dermal fillers like Restylane, or by decreasing muscle action with... more

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Comments

jcaschette
81 posts
18 Apr 2008

In general, I prefer to treat “lines in motion” on the upper face with Botox, and lower face lines, which are normally “lines at rest”, with fillers such as Juvederm and Restylane. Botox, which stops muscles of expression from moving and causing “lines in motion”, works very well on the forehead, between the eyes, and at the “crow’s feet”. Botox injections at the lip area are meant to improve vertical lip lines, or “smoker’s lines”. These lines are most prominent when we “pucker” our lips, and start out as “lines in motion”. Over time, they can get etched in and become “lines at rest”. To slow this process, Botox can be used to relax the muscle that causes the “pucker”, the orbicularis oris. What’s the downside? Botox lip injections can cause: Difficulty speaking, especially pronouncing the letters “p” and “b” (newscasters and public speakers beware!) Difficulty drinking through a straw or whistling Uneven smile or mouth movement (you can look like you had a stroke) The good and bad effects are temporary. However, in most cases, I prefer using a filler to decrease “smoker’s lines”. Although fillers are more helpful for “lines at rest”, they do fill areas of soft tissue in the lip area that have been lost over time, and usually yield great results alone. Sometimes, Botox and fillers are used together in this area for best results. Remember- It’s Your Face! If you’re considering treatment, talk to a Medical Doctor with experience in Botox and fillers who treats patients him- or herself. This maximizes your chances of great results.

simz
1 post
2 Mar 2009

I had botox done on my lip lines -- and hated it! Could not move my mouth, drink or speak properly. Dont even think about it !

beadecker
1 post
8 May 2009

I had botox to remove lip lines. I had 8 units in 4 sites above my mouth and 10 units in 2 sites at the lower creases. I am having difficulty chewing food. I sound funny I have difficulty pronouncing many words and have to concentrate when speaking. When I lap swin, I can not properly close my mouth and I get water in my mouth. Overall it took 15 years off my face, but I am not sure if I would do it or this much again.

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