Botox in the Upper Lip Wasn't Effective All over and Didn't Last Long. Should I Have More Injections and Have Them Once a Month?

My lips purse quite a lot when I speak and even when I'm not doing anything. My mouth is getting more drawn in and I'd like to break this habit as even at rest I'm getting indentations from these muscle movements. When I last had botox there the injector only injected a tiny amount in one or 2 creases. But I have 3 big creases on each side of my lip. Also, the botox didn't last long Should I have 6 botox inections in each of the 6 creases in my lip? Should I have these injections every month?

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7 Doctor Answers | Asked by Emmanouella in Madrid

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Botox For the Upper Lip

Botox is usually injected to address the formation of horizontal forehead lines, crows feet and glabella frown lines. However it is not an ideal solution to treat wrinkles around the lips, especially since mouth muscles are needed to perform a lot of different functions. There are other dermal injections that don’t target the muscles, but fill in the wrinkles instead. Radiesse is a filler that helps your skin actually synthesize new collagen in addition to filling in the creases. Also... more

Botox for the vertical "smoker's" lines of the lips

Botox can be used off-label by physicians to minimize the lip lines, sometimes referred to as smokers lines. The muscle of the lip is circular around the mouth and relaxing it with botox will accomlish less pleating of the overlying skin during speech. Usually very few units are used, 1 to 2 units per site and only a couple of sites per lip. As you try to improve the aesthetic result you run the risk of flattening the lip too much so that you have problems enunciating all letters,... more

Botox in the Upper Lip Wasn't Effective All over and Didn't Last Long. Should I Have More Injections and Have Them Once a Month?

I have used Botox and the newer Dysport and Xeomin to reduce lines around the lips and mouth for over 22 years. Use of neurotoxins, in this area IMHO, requires a conservative approach so the lines are softened but the patient can still use thier lips in the proper manner. Perhaps the dose needs to be adjusted and once you find the right MD to do this, a series of treatments at 3 month intervals would be suggested IMO.

Botox effectiveness in upper lip is variable

In my experience, the impact of botox for vertical upper lip furrows is variable. when it works, it's great but when it doesn't, one must resist the temptation to use more, lest three months of problems with function result. other options that may help include fillers like juvederm, dermabrasion, and deeper chemical peels.

Bruce K. Barach, MD

6 reviews

Schenectady Plastic Surgeon

drbarach.com

Be careful with Botox around the mouth

Botulinum toxin use around the mouth is effective must be done with caution. Too much medicine in this area can lead to very noticeable problems: drooling, asymmetric smile, etc. These problems will stick around until the medicine wears off in 3-5 months! It is possible to get good results with the botox around the mouth, but you can't over do it. Make sure you are seeing an experienced injector. If you are not, or you aren't sure, seek a second... more

Botox in the lips can be difficult

This is tough without a photo, but I would say this: injecting Botox into the mouth area needs to be done by extremely experienced injectors only. Injecting too much, or too often, or into the wrong spot can result in the mouth or lips not functioning properly, which will affect your speech, eating, and can even just drop the lips so you cannot move them. I do not recommend more for you, but rather, a consultation with a board-certified dermatologist or plastic surgeon to assess what you... more

Lip puckering

It's impossible to evaluate your problem without a photograph. Botox should last for up to six month if injected properly and in an appropriate amount. Subclinical treatment will not be effective. If you are a smoker and have wrinkling as a result, then I would encourage you to quit as this contributes to formation and deepening of lip wrinkling and early aging.