What are the various methods used to fix vertical lines around the mouth? (Photo)

You are an excellent candidate for a face and neck lift to help with laxity in the lower neck and jowl region. Make sure to find an experienced surgeon in your area.Concurrent with the surgery, you may wish to consider resurfacing of the skin around the mouth to help with the lines. This could include laser resurfacing, TCA peel, or dermabrasion.Good luck!-Dr. Asaria

Thank you for your question.  A facelift would be the best procedure to improve the areas you are concerned with.  This procedure would get rid of the jowls, improve your neck contour and take care of many lines and wrinkles around your face.  Many doctors nowadays perform facelifts without the use of general anesthesia, so patient's age becomes far less of a factor.However, there is one area that would be resistant to treatment with a facelift.  Small lines that runs vertically around your mouth (called "smoker's lines" even in people who don't smoke) could not be improved with this procedure.  Pulling the skin does make these line look better, but also causes the mouth to look too stretched.If smoker's lines is a concern other treatments should be used to take care of them.  Direct injection with fillers, judicial use of Botox or laser resurfacing would be some examples of such treatments.  Any of this procedures could be used in conjunction with a facelift to make your face look years younger.Best wishes!Dr. Konstantin

Thank you for your question and photos posted.You are a perfect candidate for a facelift with peel around the mouth. The facelift will significant improve the jowls and neck. The chemical peel will improve the fine wrinkles around the mouth.I hope this helps.- Dr. Bryson Richards

A full facelift would address the neck nicely and rejuvenate the face. It will help any parallel lines that are lateral to the corner of the mouth. In the oral region resurfacing might be beneficial done concurrently with the facelift.

I would recommend a formal face lift to correct your neck, jowls, marrionette lines and nasolabial folds.  For the lines around your mouth, depending on the depth, some fat grafting can help as well as a TCA peel for more fine wrinkles.  Best wishes!

Part of the aging process in women is a  severe decrease in estrogen levels. This causes loss of fat in the face called lipoatrophy. The skin around the mouth is supported by this natural fat and when it diminishes the over lying skin collapses causing vertical lines around the mouth. Volume loss in the face is replaced by volume injectable fillers. Their are many kinds of fillers available for the treating treating physician to use and this should be discussed at the time of your consultation.

Thanks for the pictures. For your neck and jowls I would recommend a facelift. The vertical lines of the lip are best treated with a combination of a peel and a filler such as Belotero

You are correct, the face scars much better than the trunk. You have fair skin which should heal very well with facelift surgery (treatment of the jowls and neck).The vertical lines around the mouth are known as smoker's lines; you may pucker your lips when you talk or eat, or drink a lot through straws to create these wrinkles. These wrinkles around the mouth are  difficult to treat, and are not improved with facelift surgery. In my practice, we begin with a dedicated medical skin care regimen which includes Retin-A, then,for non-invasive treatment, we can use fillers like Restylane Silk and Botox to smooth out the lines, and the more aggressive treatments involve resurfacing with laser or peels. Laser or chemical peel  treatments can be combined with facelift surgery.

The photos you have submitted do not exactly lend themselves to clinical evaluation. But generally speaking, with what is available to evaluate- and considering my opinion on your priorities- I would focus first on the cheeks and neck. I believe that for the money these areas along with the jowls offer the best and longest term value for improvement and anti-aging measures of the cheeks and face. The cheeks, jowls and neck can best be treated with a full facelift/ neck lift. This will allow the muscles of the neck to be tightened and repositioned for a longer lasting more youthful look. You may also want to consider the upper and lower eyelid surgery as you appear to have some hooding. Once you have addressed these issues - you may want to consider ancillary procedures like laser resurfacing . Seek an experienced Board Certified Plastic Surgeon- check with American Board of Plastic Surgery. If you desire to determine whether or not your doctor performs surgical procedures- you can ask if he/she has surgical privileges at a local hospital for the procedures you desire.

  There truly are various methods to treat these lines including chemical peels, laser resurfacing and old fashioned dermabrasion (not to be confused with microdermabrasion).  There are a hundred types of chemical peels and probably twice that number of different lasers which all promise to give you the results you are seeking.  In my opinion, and with thirteen years of experience performing hundreds of these peels, I believe that the Hetter Facial Resurfacing Peel gives you the greatest results with the least downtime.  Feel free to check out the photos on my website of actual patients I have treated.  Avoid Botox and fillers in this area.  Good luck!