Do fillers address vertical lines around lips and droopy sad mouth?

Question

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your concerns with us. Lip lines can be a very challenging concern to address, however there are a number of options that can help improve these lines. Often, the more different modalities you use the more impact you can have on the lines and still appear very natural:1) Botox and Dysport: Can be used to weaken the amount of pursing that your lip muscles can do, and hence limits how much deeper the lines can get. This treatment is repeated every 2-3 months2) Restylane Silk or Juvederm: thinh dermal filler's are a great way to directly address the fine lines. This is repeated every 6-9 months3) Ultherapy: Helps to create a little more dermal thickening. Can be done as a series to help build on the results. Should be done before fillers. 4) Profound: Micro needling radiofrequency can be used to help build collagen and elastin in the deeper skin tissue.5) Fractionated CO2: Can be to used to smooth the superficial fine lines and create a smoother look.It is important to choose which modalities would be helpful for you. It is also important to find a plastic surgeon or dermatologist with experience to help with your assessment and develop a plan that can help address your concerns.

Jason Emer, MD · Answer

One of the hardest area to treat is around the mouth, including the larger structural issues and the fine lines.  Fillers will help, but you must seek someone with advanced training who is an expert in the field.  You may need combination treatment with fillers, neuromodulation like botox or dysport, and/or laser resurfacing of some sorts.  Possibly even fractional radiofrequency would be helpful as well.  But without seeing, there is no way to give an expert opinion.  You should seek a cosmetic consultation from a board certified dermatologist or plastic surgeon who frequetly uses these treatment modalities.  I wish you the best of luck, Dr. Emer.

Anand G. Shah, MD · Answer

Hi there.  I think I would have to inspect photos to provide a more definitive answer.  Please consider posting.  In the meantime, fillers are amenable to "static" lines around the nose and mouth, such as the nasolabial fold and the labio-mandibular fold (line between the lips and chin).  Fine lines may be more amenable to laser resurfacing.  Hope this is helpful.  Best wishes.

Nissan Pilest, MD · Answer

In
my office I may recommend laser resurfacing, fillers, Botox or a combination of
those treatments to improve lines around the mouth, but generally speaking yes,
fillers can improve those concerns. If you wanted to try a filler I find that
Belotero works best for lines around the mouth. Belotero is a thin filler that
works on the “etching” lines commonly found above the lips and on the forehead.
Belotero is specifically designed to integrate into your skin and mold to your
facial contours giving you immediate smooth and natural results that can last
up to 9 months. For corners of the mouth I like to inject Restylane.  It is best to have a consultation with a Board
Certified Dermatologist so they can assess what treatment you will need based
on your facial anatomy.

Carolyn Jacob, MD · Answer

Depending on the depth of your wrinkles and folds, there are many different fillers to choose from.  Fine lines around the mouth are best treated with Belotero, while deep marionette lines respond well to Perlane or Voluma.  All of these are made from Hyaluronic acid, a natural substance that is already found in your skin. It binds to water and provides volume.  Your Dermatologic Surgeon can determine which ones are right for your needs.

Peter J. Malouf, DO · Answer

Hello,You should be evaluated first to determine the best course of action for you, but I will give you some general answers.After 15 years and over 50,000 patients injected, I can say that the vertical lines around the mouth can be very difficult to treat with fillers. They are typically "etched in" and too narrow and deep to get the filling effect.Nasolabial folds and marionette lines do much better.Best of luck,Dr. Malouf

Emily M. Wise, MD · Answer

I would recommend making an appointment with a board certified physician who can address your specific concerns. Generally speaking, fillers are an excellent choice for improving the areas that you are inquiring about. Best wishes.

Omar Ibrahimi, MD, PhD · Answer

It would be best if you would be evaluated in person to determine your individual problems. I would recommend seeing a board certified specialist in cosmetic procedures (dermatologist, plastic surgeon) and insist on the physician doing the injection. Usually fillers are a great choice to help improve the problems you are noticing.

Mitchell Schwartz, MD - Account Suspended · Answer

Juvederm, Restylane, or Belotero are the best options for correcting lip problems. They are used to replace lost volume, define the vermilion borders
and create a more youthful curl, elevate and lift the corners of the mouth, and
correct vertical wrinkle lines. They can restore the natural contour of the
upper and lower lip and enhance the Cupid’s bow area. Lifting the corners of
the mouth gives a hint of a smile and reduces the “sad or angry look” when they
are down turned. Please remember, your
results depend upon the skill and experience of your physician injector. You
can follow the video link above to see me injecting my wife’s lips with
Restylane!

Brian Windle, MD (retired) · Answer

Fillers can be an excellent choice to deal with these problems.  I have added a video to show you what can be done. There are a number of filler choices and treatments can be over done so make sure you see someone who is an expert injector (look at their credentials and their before and after photos).I hope this helps.  Best regards,

Do fillers address vertical lines around lips and droopy sad mouth?

Answers (10)