What is better for multiple lip lines; chemical peels/dermabrasion or fillers?

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.

Thank you for your question!  I advise you to have a consultation with a board certified plastic surgeon, to discuss all of your options!  I would personally recommend looking into some laser treatments around your mouth.  Best of luck!Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicagoHoffman EstatesOak Brook

In general, a medium depth chemical peel would be needed to help improve vertical lipstick bleeding lines. This kind of peel can be effective, but like true dermabrasion, is an aggressive procedure that involves prolonged healing and real downtime and the risk of permanent hypo or hyperpigmentation and even scarring. I have been treating vertical lip lines with fillers sor more than three decades, since the early days of the use of the original collagen filler, Zyderm I. Today, we are fortunate to have more sophisticated hyaluronic acid fillers, such as Belotero Balance, which I would use for this purpose in my Upper East Side Manhattan office and Teosyal Redensity II (which I would use in my Israel satellite facility where a far greater number of regulatory agency approved fillers are available). Both have little to no tendency to give rise to the unwanted, bluish Tyndall Effect when injected superficially within the delicate tissue around the mouth.I would not use a permanent filler, such as Artefill, silicone or Bioalcamid, as these have been associated with the early and late (as many as twenty years later) formation of disfiguring nodules and granulomas that are very difficult to treat. Furthermore, unlike with the use of temporary or semipermanent fillers, permanent fillers cannot be dissolved or easily removed and in my opinion would be a poor and risky choice, particularly for this region.Fractional microneedle resurfacing, about which you can learn more in the archives of Realself, can serrver an additional procedure following the use of an injectable filler to promote new native collagen synthesis (neocollagenesis), which can even further smooth and prolong the effects of filler treatment.