For vertical lip lines, is Juvederm injected into the lines themselves or into the lips?

By injecting a small amount of Botox, Dysport, Xeomin, or Jeuveau into this area, the muscles will relax, causing the hard, deeps lines to smooth and improving the lines and wrinkles. Neuromodulators take 2 to 4 weeks to start working and lasts for up to six months. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

The vertical lip line injection takes some experience in my opinion.  Your first issue is that this should be done by a plastic surgeon who understands this anatomy.  An RN is trained to just put product in the lip but often lacks the proper understanding of what is causing lip lines from an anatomic stand point.  In my practice, I do all the injections for this reason.  The trick is to put the product in a plane that actually softens the blow of the upper vertical lip lines without augmenting the lip itself.  There are some patients who don't mind the lip augmentation with this, but there is a specific way to inject this without making your lip and vermilion bigger.  Again, please choose wisely in terms of who is injecting you.  Perhaps biased in my opinion, I recommend you seek a board certified plastic surgeon.  Hope this helps.  Good luck.Dr Vasisht

Depending on the severity of your lip lines, there are a variety of approaches to treat these lines. If there is alot of crepiness and severity in the lines, laser resurfacing is the best approach. Otherwise, a combination of filler and botox will help to soften the lines. Typically filler in placed directly into the area where the lines are, usually in either a perpendicular or vertical fashion . Additionally, adding a little to the border of the lip can help with the lines close to the vermilion border. It would be best to go in for a consult with an experienced injector to go over the best approach. 

Vertical lip lines are sometimes treated with fillers, botox, dermabrasion, or lasers.  Best to be evaluated in person.

Thank you for your question.  Sorry to hear about your experience and that you are having some concerns about your postprocedure appearance.  It is difficult to comment without seeing a photograph.  In general, vertical lip lines are very challenging to treat.  I find that a combination of Botox and fillers works best, typically with filler injection directly into the unwanted creases.  Please keep in mind that some swelling and bruising after filler injection is normal, especially in the lips.  Icing can help for up to 48 hours after the procedure.  It will take 2 weeks to see your final result.  In the interim, arnica is beneficial for minimizing any postprocedure swelling and bruising.  Beautiful and natural results can be achieved.  Please be sure to see an experienced injector for an in-person reevaluation to fully address your concerns and discuss your goals and expectations in order to determine the best treatment plan.  Best wishes!

Thanks for your question. It all depends on the depth of the lines and how close they are to the lip itself. Sometimes, when the lines are very close to the lip, injecting the superior border of the lip itself helps to smooth out those lines. If the lines extend higher up, then usually it is recommended that the lines themselves be injected (either in parallel or perpendicular, different ways to do this). In addition if you are a "purser" and make certain expressions that are causing these lines to be dramatic, then you might also benefit from a few drops of Botox into the upper lip. This has the effect of relaxing the muscles under the lip that are producing these lines to begin with. If you smoke, consider quitting. Finally, not everyone is a good candidate for filling the vertical lip lines. If the upper lip projects more than the lower lip on sideview or if you have a long philtrum (distance from the nose to the lip), then filler sometimes makes the lines better, but the whole area worse. In this case, filler is avoided, and other options would be Fraxel laser resurfacing, microneedling, microneedling with radiofrequency (eg, Intensif) or even a TCA chemical peel. There are many great options you see, but it depends on your anatomy. Be well. 

Vertical lip lines are a common concern for my patients. I usually recommend combination treatments including Botox, fillers and microneedling to address these lines. Ablative lasers are also helpful for this indication. When injecting filler into these lines, I prefer to use Belotero and I injected DIRECTLY into the lines themselves. The result is immediately seen with fillers. 

There are several techniques for eliminating or filling the vertical lip lines successfully. Outcome varies with the individual, the depth of the wrinkles and the thickness of the peri-oral skin. For example - ladies who have a long-term history of smoking and sun-bathing are difficult to treat with filler alone. Their wrinkles are deep and the skin is thick - when the skin is stretched, the lines are still visible. Often treatment with a combination of modalities - laser plus filler or microneedling plus filler - might produce more gratifying results. If the wrinkles/ lines are not deep and set (disappear or look better when you put the skin on stretch with your fingers), then you could expect better results from the filler. Some injectors enter from the back (mucosal surface) of the lip. This avoids some of the potential for bruising and sometimes works for the vertical lines. The anterior approach - front of the lip - may work better in some patients. You might want to seek an opinion from an experienced facial cosmetic surgeon who can explain options and guide you with your next treatment decision.