I have deep horizontal rather than vertical lines above my upper lip. Is Restylane a suitable product to reduce them?
Restylane for Horizontal Upper Lip Lines?
Doctor Answers 4
Restylane for lip lines
Restylane is a great product for filling deeep depression around the mouth and can be helpful for horizontal lines.
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Restylane for mouth lines
As the other panel members mentioned, a careful assessment should be made to determine what is the underlying factor contributing to this problem. In our experience, a small amount of Botox or Dysport to this area is a nice way to achieve a natural, subtle, softening of the lines/wrinkles around the mouth.
Most of our patients report only a mild effect with eating or pursing the lips for the first 48 hours. Generally, a combination of both Botox/Dysport and cosmetic dermal fillers such as Restylane or Juvederm will work nicely but technique is imperative. We recommend only hyaluronic acid fillers for this area because they are easy to mold and shape with. If one uses a product that isn't a smooth gel consistency (or too much product), the mouth may appear very unnatural looking.
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Hyaluronic acids are a good choice for this area
Restylane is a fine choice, as is Juvederm. Both are hyaluronic acids and may last up to six months. Cosmoplast is a human collagen which may not last as long in this area. Botox might help, but has the risk of affecting the muscle function of the lip which could interfere with speech and eating.
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Restylane might help, but it sounds like more might be going on, like a pulling up of the lip from a muscle (then Botox would also help), or loss of volume from lipoatrophy (then deep injections of Sculptra in the canine fossa might help).
In any case, yours is a more complex problem, so seek the advice of a very experienced and appropriate injector.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.