Botox in the Upper Lip Wasn't Effective All over and Didn't Last Long. Should I Have More Injections and Have Them Once a Month?

Botox is usually injected to address the formation of horizontal forehead lines, crows feet and glabella frown lines. However it is not an ideal solution to treat wrinkles around the lips, especially since mouth muscles are needed to perform a lot of different functions. There are other dermal injections that don’t target the muscles, but fill in the wrinkles instead. Radiesse is a filler that helps your skin actually synthesize new collagen in addition to filling in the creases. Also in some cases, Fraxel laser can be successful for the treatment of lip wrinkles. This also works by enabling your skin to create new collagen as well.

Botox can be used off-label by physicians to minimize the lip lines, sometimes referred to as smokers lines.  The muscle of the lip is circular around the mouth and relaxing it with botox will accomlish less pleating of the overlying skin during speech. Usually very few units are used, 1 to 2 units per site and only a couple of sites per lip. As you try to improve the aesthetic result you run the risk of flattening the lip too much so that you have problems enunciating all letters, opening to speak correctly and affecting your smile (not showing your upper teeth), have problems brushing your teeth and dribbling when trying to drink from a glass or straw.  Fortunately these are not permanent side effects, and go away when the botox wears off (four months or so). For these reasons, the doctor needs to be conservative and 6 injections in each lip, depending on the dilution, volume and units used, may be too much.

not doing anything..botox may work well in these instances but it often may be more than the lips that need treatment...it may carryover into the cheeks...ask your doctor to consider whether this may be the problem...if just the lips are the problem, then you have to understand that too much botox may interfere with your ability to enunciate and keep food/beverage in your mouth...for these reasons only a small amount of botox is advisable...but if you wait for two weeks, you can go back to your doctor and get some more...and then there's always a filler or laser to consider as additive therapy...good luck with your quest