Is Juvederm Good for a Horizontal Line Above Lip?

The horizontal upper lip line is a very commonly seen line in the cosmetic dermatologist's or plastic surgeon's office. Botox tends to minimize the vertical better than the horizontal lines, and as an off-label use, can flatten, elongate and weaken the upper lip temporarily affecting the smile, brushing teeth, eating and speech. Fillers work best, but often the muscle which causes this horizontal line will still show the crease when there is a big smile despite being treated by Juvederm or Restylane. Laser resurfacing or dermabrasion will not make it go away completely as it is a mimetic line, a crease that is caused by muscle contraction.

As long as the filler is a thinner substance, fillers can be used for this purpose.  I have used both Juvederm Ultra or Prevelle Silk and they have produced very nice results.  Sometimes 1 or 2 units of Botox could also be used if your crease worsens with activiation of your mouth sphincter muscle.

Yes, Juviderm is what you need for the line, not botox. This will last for at least 1 year  and you will have extra left for other lines you might have.

It is difficult to access your line without a photo.  Likely you will need a combo of botox and fillers to soften the time.  We routinely use both products in that area with amazing results.  Botox when done lightly and correctly can look natural and beautiful.  Please see an experienced provider for further information and an in person consult.

I agree with those who say that Juvederm Ultra would be best for this line. In my experience, Juvederm can provide a very soft, natural result throughout the lip area.

Regarding: "Is Juvederm Good for a Horizontal Line Above Lip?
I am 28 years old. My skin is in good shape, aside form this one inch long horizontal line above my lip. I am not a smoker, it is definitely from my smile. A doctor once recommended a botox/filler combo, but I am terrified to use botox in that area. Would a filler such as Juvaderm be good for that? Again the line is about one inch long and horizontal. Any advice would be greatly appreciated!"

It would have been of great help to SEE what line you are referring to. As with all things medical, the key to proper cure is a proper diagnosis followed by selection of the proper treatment.

Not all lines are the same. Vertical lip lines are created by loss of lip fill with aging and excess ultraviolet exposure, as a result adding filler (fat, Restylane and juvederm, weakening lip pursing muscles (Botox) and sanding some of the skin (Laser resurfacing) usually yields very nice results.

The transverse upper lip line, if this is the line we are both thinking about, is caused by a combination of a prominent anterior nasal spine AND active lifting of the mid upper lip by a small paired muscle called the depressor septi nasi muscle. Removal the muscle from its attachment is the best way of dealing with it. Botox to the area is not as successful but may be tried. Injecting filler into this line is a temporary solution since the muscle will contract multiple times and overcome the filler.

Dr. Peter A Aldea

Well, if you are afraid of Botox it is certainly reasonable to sue a filler to soften the  line. It will not completely flattern it if it is from animation.

I think that fillers would help, but I think a small amount of Botox along with it is the best solution.

Hello and thank you for the question.

Regarding your question, Juvederm Ultra is a good choice for managing peri-oral lip lines. The treatment is generally performed over a couple of sessions a few weeks apart to produce optimal results. I strongly recommend going to a clinician who has experience in managing peri-oral wrinkles.

Best of luck,

Glenn Vallecillos, M.D., F.A.C.S.

Botox is not the answer, Juvederm done expertly can soften the line. Other alternative is fractional CO2 laser.

Fillers may cause lumpiness in thin skin like the lips