Is It Possible to Use Botox on and Around the Mouth Because All Other Fillers Do Not Work?

Please tell me if possible and who doess it?

Doctor Answers 15

Botox around the mouth

Botox works by relaxing muscles and softening wrinkles that are formed by the action of those muscles, like, for example, the circular muscle around the mouth (orbicularis oris) that causes the radial wrinkles when the lips are pursed repeatedly.  These are the same wrinkles that you see accented when lipstick bleeds.  

These wrinkles are also formed due to loss of volume in the soft tissues and even bone in the lower face.  You can see that in the lengthening of the upper lip and the thinning of the lips (vermilion) themselves. That thinning often gives the person a more aged and angry look.  So restoration of volume to the lips and surrounding soft tissues gives a more youthful and friendly appearance.  The goal in this case is to restore the previously lost volume, not necessarily to give more fullness than was presently there.

If the wrinkles are there when the mouth is completely relaxed, Botox alone will not make them go away.  In that case, a combination of Botox and fillers would help improve the appearance and keep the lips more relaxed so that the fillers can do their job longer.

However, we do need the function of the lips to talk, smile and keep the food and liquids inside the mouth when we eat, so great care must be taken not to relax the lip function too much.

Both fractional and ablative laser resurfacing can help with these radial wrinkles as well.   All these must be done by a board certified dermatologist or plastic surgeon with proper training and experience in all these procedures.

Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Fillers vs. Botox around the mouth

There are some lines or creases that are much better treated by fillers than Botox around the mouth. The deep smile folds and marionette lines are much better filled than treated with Botox. The down-turn of the corner of the mouth is often elevated with Botox injected in the DAO muscle which normally pulls down on this areas, but when relaxed with Botox, can help lift up the area.  The vertical creases of the upper lip (smoker lines) can often be improved with a conservative dose of Botox but excessive Botox can relax the mouth and the person's smile can be affected negatively.  Fine fillers, such as the hyaluronic acid, Belotero, can be used to expertly fill in the superficial vertical creases.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox around the mouth

It's difficult to answer your question without seeing you in person, but yes, Botox can be used in the muscle around the mouth to relax it. Consulting with an experienced and well trained injector to discuss dermal filler options placed in conjunction with Botox would be a good first step.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox around the mouth

Botox can be used safely and effectively by highly trained injectors to soften the "smoker's lines" around the mouth. If the lines are very deep or etched in, then combining Botox with a filler such as Juvederm or Restylane can be particularly useful. Most importantly, get assessed and treatment by an expert such as a dermatologist or plastic surgeon for the best, most natural results. Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

A Combination of Botox/Dysport and Fillers Work Best for Lipstick Bleeding ("Smokers") Lines Around The Mouth

Neuromodulators, such as Botox, Dysport and Xeomin, are effective for diminishing the muscular activity around the mouth responsible for those disturbing "bar code" lines often referred to " as "lipstick bleeding " or "smokers' lines."  

Although lasers and chemical peels have been found helpful for smoothing these lines, results are not always gratifying and there can be downtime issues. A simple, effective and relatively inexpensive approach that involves little or no downtime combines the use of fillers and neuromodulators. 

When performed in one session, the tissue underlying the bar code lines is first built up with a criss-crossed pattern of a filler, such as Juvederm Ultra XC or Belotero. This is followed by a direct injection of the visible lines in order to elevate them and smooth them still further. Finally, tiny droplets of neuromodulator are deposited in select locations along the upper and lower lips, close to the vermilion (the line bordering the white and red areas of the lips). 

This combination approach softens the muscular activity responsible for perpetuating line formation in this region, provides immediate filling and straightening, and, as an added plus  (via the physical presence of the injected material in the dermis) actually stimulates native collagen and elastic fiber production in subsequent weeks, which further enhances the overall benefits. An experienced injector should be sought out for best results and to reduce the risk of any unnecessary complications

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 31 reviews

Botox for Lines Around the Mouth

Fillers work, and they are usually the treatment of choice around the mouth, but it is likely that they are not delivering the results you desire.  In cases like this, sometimes Botox is needed as an additional treatment.  For me, Botox has worked best for the "pucker lines" that show when you purse your lips (and no, you don't need to be a smoker to get them).  If you are referring to cheek folds, or the marionette lines (lines that develop in the corners to give a down-turned appearance), then Botox is not as reliable.

Christopher R. Hove, MD
Paoli Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Is It Possible to Use Botox on and Around the Mouth Because All Other Fillers Do Not Work?

 I have used Botox to reduce peri-oral lines and wrinkles for 20 years and it workes very well when diluted and properly injected. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

Botox around the mouth

Botox can be used around the mouth to soften lip lines but it must be performed by an experienced injector to prevent problems of speaking, eating and drinking.  If the lines are deep, Botox can be combined with fillers such as Restylane or Juvederm, and perhaps a resurfacing laser.  These procedures all complement each other.  Please consult a dermatologist or plastic surgeon who offers all of these treatments and can decide what would be best for you.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox works great in this area

I agree with the other posts, Botox and Fillers work great in this area.  Not to repeat the other comments but, maybe the skill of the injector was the problem...

John Frodel, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Is It Possible to Use Botox on and Around the Mouth Because All Other Fillers Do Not Work?

Yes. Botox CAN be used around the mouth. It is very effective for treatment of the vertical lines that radiate around the mouth. These can also be treated with fillers and laser resurfacing/ dermabrasion. Botox can also be injected below the corners of the mouth in the DAO to provide some additional lift to the corners of the mouth. There are advanced injections so you should see an experienced injector familiar with these techniques. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

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.