Can I Have Filler or Botox Above the Lip Line As I Have Wrinkle Lines There?

Thank you for your question and for sharing your concerns with us. Lip lines can be a very challenging concern to address, however there are a number of options that can help improve these lines. Often, the more different modalities you use the more impact you can have on the lines and still appear very natural:1) Botox and Dysport: Can be used to weaken the amount of pursing that your lip muscles can do, and hence limits how much deeper the lines can get. This treatment is repeated every 2-3 months2) Restylane Silk or Juvederm: thinh dermal filler's are a great way to directly address the fine lines. This is repeated every 6-9 months3) Ultherapy: Helps to create a little more dermal thickening. Can be done as a series to help build on the results. Should be done before fillers. 4) Profound: Micro needling radiofrequency can be used to help build collagen and elastin in the deeper skin tissue.5) Fractionated CO2: Can be to used to smooth the superficial fine lines and create a smoother look.It is important to choose which modalities would be helpful for you. It is also important to find a plastic surgeon or dermatologist with experience to help with your assessment and develop a plan that can help address your concerns.

Botox can be used off-label to carefully inject tiny (1 - 2 units) of Botox per site in the two differenet sites of each upper lip, and the same of the lower lip. Superficial, thin, non-viscous fillers can be injected into the individual lip lines but I have been successful injtecing dilute fillers such as Restylane and Juvederm, diluted with lidocaine anesthetic, horizontally under the lip lines to make them less visible. This is done carefully with very small aliquots of filler per site, so as not to thicken the lip.

The best treatment for lip wrinkles is to add volume to the lips and resurface.

For volume, hyaluronic acid fillers work best for temporary filling.

We prefer autologous fat-fascial grafts ILiveFill) for lip augmentation over fat injection in our practice, but both are widely used for a more permanent result.

Botox can be effective in very small amounts, but remember that the lip is functional, and too much Botox can literally make patients drool or interfere with speech.

For resurfacing, there is a range of options from fractional lasers to fully ablative lasers, with variable settings of each depending on the patient's recovery time and needed results.