What will fix the horizontal line above my lips when I smile? (Photos)

Question

I have recently noticed that I have a horizontal line above my lips when I smile. I’m really self conscious and I’m wondering if Botox or filler would help.

Sam Speron, MD, FACS · Answer

Hello and thank you for your questions and pictures!  To answer your question, fillers may be the best way to address the line above your lip.  A thorough examination will determine if this is the right fit for you!  Make sure you go to a physician who is experienced so you are able to achieve the outcome you are hoping for! Thank you and good luck!

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of Botox and filler and offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  Have a great day.

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing photos along with your question. Those lines are what we call nasolabial folds, and they typically run from the base of the nose to the corner of the mouth, making the face appear more aged. Dermal filler injections into nasolabial folds or the region surrounding it will make the area look smoother and younger, with less of a demarcation between the cheeks and the lower face.

I highly recommend scheduling an in-person consultation with a reputable, experienced injector who is armed with a better knowledge of facial anatomy, as well as the most advanced techniques that can achieve a more natural-looking appearance. During your consultation, your injector can assess your skin quality and facial profile, customize the best treatment plan, and ensure the best possible outcome.

Alan Gonzalez, MD, FACS · Answer

Hello @leona93 Hyaluronic acid can significantly improve the depth of the nasolabial fold. Generating the necessary volume so that the crease loses depth without losing you natural expression, here the application technique is crucial. It is important that you have a consultation with a board certified specialist to determine the ideal protocol for you according to your goal look. Best wishes! Alan Gonzalez MD, FACS

Eric M. Joseph, MD · Answer

The horizontal lines you circled are part of your "smile lines" or nasolabial folds. Depending on your examination, issues like this may be addressed with injectable fillers. Hope this helps. Dr Joseph

Sana Ali, MD · Answer

I would certainly start with filler, more-so on the left side, as that line is deeper. Seeing a licensed injector is important in this case because you want to make sure the filler they pick does not make your cheek look "overfull" or bumpy.

What will fix the horizontal line above my lips when I smile? (Photos)

Answers (6)

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