Do fillers address vertical lines around lips and droopy sad mouth?

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.

One of the hardest area to treat is around the mouth, including the larger structural issues and the fine lines.  Fillers will help, but you must seek someone with advanced training who is an expert in the field.  You may need combination treatment with fillers, neuromodulation like botox or dysport, and/or laser resurfacing of some sorts.  Possibly even fractional radiofrequency would be helpful as well.  But without seeing, there is no way to give an expert opinion.  You should seek a cosmetic consultation from a board certified dermatologist or plastic surgeon who frequetly uses these treatment modalities.  I wish you the best of luck, Dr. Emer.

Hi there.  I think I would have to inspect photos to provide a more definitive answer.  Please consider posting.  In the meantime, fillers are amenable to "static" lines around the nose and mouth, such as the nasolabial fold and the labio-mandibular fold (line between the lips and chin).  Fine lines may be more amenable to laser resurfacing.  Hope this is helpful.  Best wishes.