52 year old, caucasian, healthy, female & Botox caused 'smoker’s' lines, can this be fixed? (Photos)

Question

Help! About a month ago I had Botox in my masseters, DAOs, platysmas, & forehead/brows. Ever since I have deep/visible “smoker’s” lines that were barely there before (I don’t smoke or use straws). It’s worse when I talk or eat & feels funny. What could have caused this and can it be fixed? Thank you! PS: It’s hard to see in the after photo & the reason I’m all red is because I had microneedling yesterday. I also have .5 of a syringe of lip filler. 52 yr old, caucasian, healthy, female.

Arnold Almonte, DO · Answer

Hi, based on your history, it’s possible the smoothening of your surrounding face may now be highlighting lip lines that were always there. Botox elsewhere won’t cause lip lines.

Lip lines have nothing to do with smoking, they are caused by long term “pursing”, as in when you drink out of a straw, or form a kiss, or even say the letter “o”. So treatment of these lines can range from Botox to your lip muscle (the orbicularis oris), to lip filler (to inflate the lips), to a surgical lip lift. See an experienced plastic surgeon to determine the most appropriate option. All the best!

Zoran Potparic, MD · Answer

They was Botox works is blockage of dynamic lines, created by muscle activity. It does not affect static lines, formed due to skin atrophy (aging, smoking, sun exposure). By diminishing  dynamic lines it may happen that static lines become more obvious. . Hope this helps.

Berlin Beauty Medical Aesthetics · Answer

Botox placed into the orbicularis oris muscle which is a sphincter muscle around your mouth can actually help with the lines by relaxing the muscle causing the lines. How long have you had the lip filler? It is possible that the lip filler migrated or is causing the heaviness with not enough support. I would follow up with your provider for an assessment because its very difficult to tell just by looking at this picture. If it is the filler, it could be dissolved.

Camille Cash, MD · Answer

The effects of Botox are temporary.  Typically results will last three to four months.  As the product gradually is metabolized you should return to the look you had prior to treatment.  I encourage you to speak to your injector about your concerns to avoid this issue in the future.

Darryl J. Blinski, MD · Answer

Nicely posted photos but Botox in micro doses corrects smokers lines…. Might try HA filler line SkinVive or Volbella into the lines . But the Botox wears off or metabolize in 3-6 months anyway.

Mats Hagstrom, MD (license on probation) · Answer

If you have concerns about your lips and had lip, fillers, and no Botox in your lips, then the problem is more related to fillers.
With having access to before, and after pictures, and with so many variables going on, it’s difficult to make an assessment. I don’t think you’re Botox. Treatment affected your lips, but having had fillers did.
Best,
Mats Hagstrom MD

52 year old, caucasian, healthy, female & Botox caused 'smoker’s' lines, can this be fixed? (Photos)

Answers (6)

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