Which is best to use for wrinkles around the mouth, and whst is the average cost?

Hi Anna! My name is Holly Frandsen and I'm a registered nurse injector at Amadi Aesthetics with a focus on natural injectables. There are several ways to treat perioral rhytids (lines) around the mouth. It all just depends on the area that you are specifically wanting- there is nasolabial folds, marionet lines, smoker lines and more. Some of these areas you can treat with Botox, fillers and lasers depending on how deep the lines are versus other areas can be treated surgically with midface fat transfer and even facelifts. It can also depend on what is causing these lines to form. As we age, our bones re-absorb and our facial fat-pads shift and essentially cause loss of volume to the face. This can all vary in cost depending on how deep these lines are.

Hi Anna.  Wrinkles around the mouth could mean a few different things - fine lines at the edge of the lips (smoker's lines), deep creases that run from the nose to the corners of the mouth (nasolabial folds) or even folds below the chin (marionette lines).  All of these issues can be addressed in different ways, so posting photos or being more specific about the area in question would help.
Surgery, injections and lasers are all options. 

Wrinkles around the mouth are best treated with a combination of procedures including: Fillers, Microneedling, Laser resurfacing, Chemical Peels, Radiofrequency, Micro-Botox, etc. A series of treatments will be needed for best results. You will need an in-person consultation and evaluation with an experienced physician provider to determine which combination of treatments will be best for you. Cost will vary depending on the treatments, location, experience of doctor, etc. Best wishes.

Dear annavictoriamelzer,it is hard to tell for sure without an examination. A procedure my patients love involves a combination of juvederm filler along the lines and corner of your mouth coupled with a small amount of botox to relax the depressor angularis oris (DAO's) to reduce the appreance of the permafrown. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

I recommend a combination approach to get the most improvement for this area. I recommend fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Cost will vary. Please see a facial sculpting expert. Best, Dr. Emer

There are various treatment options depending on multiple factors such as how deep the wrinkles are, whether the lines are there at rest or only with movement, etc. I'd suggest a proper in-person assessment with your dermatologist. A filler is often a great option (e.g. Restylane fine lines, Juvederm Ultra or Volbella, Redensity-II), sometimes alone or with a little bit of Botox. Laser resurfacing or microneedling are also good options for improving the texture/tone of the skin around the mouth. Cost is variable, depending on how much product is needed, which treatment is selected, etc. The choice of an expert physician injector such as a dermatologist to optimize safety and to give the best, natural looking and symmetric results possible is the most important factor.

Flexible gel hyaluronic acid based fillers like Restylane Refyne/Defyne work well for laugh lines (nasolabial folds, marionette lines) while softer HA filler like Restylane Silk work well for perioral lip lines and thicker HA fillers like Restylane Lyft work for the jawline and chin. 

It is difficult to be certain of your particular problem without the photos. I assume you are referring to the "smokers" lines. These are frequently associated with the loss of volume in the entire area. There are many options offered everywhere but you must remember that if your lines are very significant the chance of re-creating a smooth wrinkle-less lips is truly minimal regardless of the technique. One option, and the least expensive, is a trial of Botox. Due to dose limitation in this area, the optimal results can be seen after 3-4 injections. Fillers can correct the lines quite successfully but it is only a temporary solution. Laser or radio-frequency treatments may also improve the appearance of your lines. The combination of Botox and either laser or aggressive RF micro needling could be very satisfying. Again, start slowly with Botox. If placed properly you may be very pleased. Also, remember that these lines are caused by repetitive contractions of the circular muscle around your mouth. To minimize these movements  (e.g.. limiting use of a straw while drinking liquids) will be of help. Good luck!

Hi, wrinkles around the mouth are best treated with dermal fillers. The cost of fillers can vary depending on your location.