What products are available to rid the top lip of vertical smokers wrinkles?

OTHER THAN botox fillers, toxic fillers, derma abrasion or plastic surgery? For example, there are obviously eye creams and gels for wrinkles; can these also be used on the upper lip? If so, which one is the most effective?

Doctor Answers 7

Treatment For Wrinkles Around Mouth

Hi and thank you for your question!

These are very stubborn lines and usually require multiple steps in order to make significant changes. The most "natural" route is to do a laser or other energy based treatment, which will use your own body's healing process to stimulate collagen and repair the tissue. We don't use the older method of dermabrasion much anymore, we use different types of laser treatments that heal quicker and have less pain. We would recommend either the Halo or the Contour laser for this area. Additionally, the most effective topical creams you can use are Retinol based products. These will help to prep the skin for the laser and also help to maintain the results after the treatment. Otherwise, if you decide you want to go further, you will want add Botox/Dysport and/or fillers.


Dr. Grant Stevens

Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Upper lip lines topical treatments

Retin A will help with fine superficial lines. However, these are typically very difficult to treat and need aggressive combination therapy to get any improvement.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

The Best Approach Would Be a Combination Approach-Lip Lines -- Lasers, Microneedling/PRP, Botox, Fillers

You can try some creams or even chemical peels, but the best results would be from a combination of fillers and lasers with microneedling/prp. These types of lines will take a series of treatments for improvement.  Please see an expert.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 191 reviews

Smokers lines

Very small amount of Botox/Dysport/Xeomin and there are few fills now available in US - Belotero, Restylane Silk and now also Volbella from Juvederm family are very effective. Creams cannot replace the volume loss all muscle activity.

Arman F. Karapetyan, MD
Glendale Physician
5.0 out of 5 stars 13 reviews

Smoker line treatment

Hi and thanks for your question.This is a very common complaint.

A combination therapy would be the best.I usually start with neuromodulators like botox and then fillers.

A few sessions of ablative laser is also helpfull

Reza Akef, MD
Toronto Physician
5.0 out of 5 stars 2 reviews

Treatment Of Smoker's Lines Of The Upper Lip

"Smoker's lines" of the upper lip are one of the most intractable problems that we routinely face.  The modalities you cite, neuromodulators, fillers such as belotero, and dermabrasion can all play a role in ameliorating these lines, although none of them, in isolation, can "cure" this problem.  

Other adjunctive treatments that we have found helpful include laser ablation (CO2 or fraxel) and aggressive chemical peels.  We also feel that a well done augmentation of the upper lip with filler can draw the observer's attention away from the smoker's lines, even though it will not efface them.

Peter Lee, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 47 reviews

Vertical Smokers' Wrinkles

Dear jules casey:

Besides the treatment options mentioned above and cessation of smoking; chemical peels and lasers can helps soften these smokers' lines. All the best.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 7 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.