I am 75. Does that make a big difference in results?
Is Thermage Effective on Fine Lines Around the Mouth?
Doctor Answers 6
Thermage for vertical lip lines
Though Thermage is good for skin tightening and collagen stimulation, and I have seen it give some improvement around the mouth for fine lines, it would not be my first choice if you want a significant improvement. It is difficult to say for sure without seeing you what the best course of action would be, but in general these lines are better addressed with things like CO2 Resurfacing, Pearl Fractional Laser, Fillers (like Restylane or Juvederm), Botox, or TCA or other chemical peels.
Dr. Grant Stevens
Benefits of Thermage
An effective non-surgical option for reducing the appearance of fine lines, such as those found around the lips, is Thermage. Thermage is a non-invasive (no incision!) treatment that can tighten skin and works by stimulating your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage requires no downtime from normal activities. Topical creams can also reduce lines and wrinkles around the mouth almost immediately, even without surgery.
Botox and Fillers for fine lines around the mouth
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Thermage not ideal for fine lines around the mouth
Thermage is a good option for generalized toning of the skin, but it is not typically used around the mouth. Those lines are dynamic in origin, from movement of the muscle around the mouth (the one that caues "smoker's lines) and more aggressive techniques such as a laser or chemical peel are usually better choices there. Also, Thermage tends to work best in my experience in patients in their 50's or younger.
Thermage is not very effective
While Thermage can give some tightening to the skin overall, I have not seen very good results for fine wrinkling around the mouth. Probably the best option is laser resurfacing.