Best treatment for getting rid of deep perioral lines around my mouth? (photos)

Question

I’m desperate to erase the Deep lines around my mouth. I’ve never smoked, but have noticed that my top lip moves an awful lot when I speak and that my lips purse often when speaking which I think, along with getting older, has caused these lines. I’ve now been to 3 different aesthetic's practitioners who have all recommended different procedures for getting rid of them leaving me utterly baffled! Please help, how would you treat them?

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. There are many treatment options to address perioral lines, and I believe you may benefit from a combination of treatments. You can explore injectables –Botox will help relax muscles and smooth out the skin, while dermal fillers can restore loss of volume by providing structural support to lift deep creases and smooth out fine perioral lines. Other treatment options include laser resurfacing and chemical peels. To determine the best procedure or combination of procedures for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation of your skin, customize the best treatment plan according to your needs and goals, and ensure the best possible outcome.

Jason Emer, MD · Answer

Wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like RF treatments, lasers, microneedling/PRP or sculptra to get increased collagen, tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Michael I. Echavez, MD · Answer

There are a variety of treatments that can help with vertical perioral lines.  One option would be Botox injections.  This treatment would help to weaken the muscle that is causing the lines and generally helps to smooth them out.  The effect would be temporary though and you would need to repeat the injections to maintain the result.
Another treatment option would be laser resurfacing.  This would cause tightening of the skin and thus, improve the lines.  
A third option would be micro needling with RF.  This delivers heat to the skin through micro needles and also cause skin tightening.  
I would not say that there is one best treatment option.  A combination of Botox with either laser resurfacing or RF micro needling would probably give the most improvement.

Leslie Pickens, MD · Answer

Lip lines are best treated with more than one modality.  Relaxing the muscles with a Botox-type product is a good place to start.  A hyaluronic acid filler like Belotero injected very superficially can fill the depressions and give a smoother look.  For collagen stimulation I recommend microneedling with or without PRP and radiofrequency.  Smooth PDO threads are another option. Fortunately, there are many ways to approach this concern that yield very satisfactory results.

Best treatment for getting rid of deep perioral lines around my mouth? (photos)

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Answer: Deep perioral lines

Answer: Deep perioral lines

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Best treatment for getting rid of deep perioral lines around my mouth? (photos)

Answers (4)

Answer: Deep perioral lines

Answer: Deep perioral lines

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Everything you need to know about Dermal Fillers

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