How Can I Improve These Lines Beside My Mouth? (Photos)

Question

I'm 40 years old, but I've had these lines beside my mouth since last long as I can remember, and I'm wondering what I can do to improve them. I've been using 0.1% Tretonion just about every evening for the past 5 years, and 0.05% for almost 10 years before that. I also use vitamin c serum in the mornings, and am very consistent with using sunscreen. My skin is otherwise in good shape, and I don't have deep wrinkles elsewhere, but these lines bother me a lot. I’ve attached photos for reference. What treatments would you recommend to soften or get rid of these lines? Would fillers be a good option, and if so, where? Chin? In the lines? What's the risk of migration? Or would something like laser resurfacing or radiofrequency microneedling provide better results?

Anna Chacon, MD, FAAD · Answer

To address the lines beside your mouth, often referred to as nasolabial folds or marionette lines, there are several treatment options that can help soften or reduce their appearance. Given your consistent skincare routine with tretinoin, vitamin C, and sunscreen, you already have a solid foundation for maintaining skin health. Here are some potential treatments to consider:

Dermal Fillers:
Purpose: Fillers can add volume and smooth out lines by plumping the area.
Placement: Typically, fillers are injected directly into the lines or in the surrounding areas (such as the cheeks) to provide support and lift.
Risks: While generally safe, there's a minimal risk of migration if not placed correctly, highlighting the importance of an experienced injector.

Laser Resurfacing:
Purpose: This treatment improves skin texture and stimulates collagen production, which can help reduce the appearance of lines.
Options: Fractional lasers, like CO2 or erbium, are commonly used for this purpose.

Radiofrequency Microneedling:
Purpose: Combines microneedling with radiofrequency energy to tighten skin and promote collagen production.
Benefits: Effective for improving skin texture and reducing fine lines with minimal downtime.

Botox:
Purpose: In certain cases, small amounts of Botox can be used to relax the muscles around the mouth, which might contribute to the appearance of lines.

Skin Tightening Treatments:
Options: Non-invasive procedures like ultrasound (Ultherapy) or radiofrequency (Thermage) can help tighten the skin and improve the overall appearance.

Each of these treatments has its own benefits and considerations. A consultation with a board-certified dermatologist or plastic surgeon can help determine which option is best suited for your skin type and aesthetic goals. They can assess the depth and cause of your lines and recommend a personalized treatment plan.

How Can I Improve These Lines Beside My Mouth? (Photos)

Answers (1)

Recommended reading

Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.

How Can I Improve These Lines Beside My Mouth? (Photos)

Answers (1)

Browse related questions

Recommended reading

Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.