Why the best treatment for my deep wrinkles and atrophy around my mouth? (Photo)

This is a very common area of concern for patients. Deep lines and wrinkles in the perioral region are sometimes known as "smokers lines" even though they're not typically from smoking! The best strategy is to use some form of dermal filler to fill the deepest lines and then treat the skin with resurfacing. Most commonly we use temporary dermal fillers, although fat transfer can also be used for filling the deep lines. Resurfacing technologies include either microneedling, chemical peels, CO2 laser or microdermabrasion. I'd suggest consultation with a provider who has experience in application of these treatments. Good luck!

You have several treatment options available to you, namely fillers such as Juvederm and Restylane, but also microneedling (with or without PRP or RF), as well as laser resurfacing, and skin tightening devices (e.g. Morpheus8). Your dermatologist can guide you through the optimal treatment plan in your case based on downtime, discomfort, budget, etc.