Follow-up question: Maybe I need a more aggressive approach for my smoker lines' and scar?

Hello  Guia13.  While we use fillers periodically for smokers lines, we always let patients know that a better and longer lasting option is laser resurfacing.  Laser resurfacing can remove the lines whereas fillers are just camouflaging.  Before and after photos below that are similar to your situation show the outcomes you are looking for.

The smoker's lines around the mouth are difficult to treat and always respond well to a combination of treatments. We use Botox, Fillers, Microneedling, Radiofrequency, Ultrasound, Chemical and Laser peels to treat the area. If you are not happy with the fillers then I'd recommend you consider a laser treatment which in my opinion provides the best improvement. Make sure you see an experienced physician for an in-person consultation and evaluation. Best wishes.

Thanks for your question and photos.  You might want to ask your dermatologist about microneedling with or without radiofrequency or PRP.  This is a useful modality to help with some of those stubborn fine lines and wrinkles that are difficult to fill.  Also take a look at any habits you have that might be making the lines more pronounced, such as drinking from a straw or small mouth water bottles, which are both helpful to decrease.  Good sun protection and retin-a at night would also be critical to keep the skin healthy and less sun damaged.  Botox in the lip area tends to not last too long, so often patients need to have a few units injected every 8 weeks or so for more long term improvement.  See an expert and best of luck!

Hello, Great question and thank you for sharing your picture.  A combination of treatments would be best for your concerns including microneedling and filler. I would  recommend a series of microneedling (3-4) treatments with PRP and possibly maintenance treatments. Also, the use of low dose retinol at home every other night to help with skin texture and appearance. For a more aggressive treatment, recommend C02 treatment with a downtime of 7-1o days. I would recommend a full consultation to setup a treatment plan for you. Best of Luck

Thank you for your question and photos. A combination of microneedling (up to 3-4 treatments at first) with PRP or growth factor can help to soften those lines without adding actual volume. If there is still a bit of atrophy, a superficial filler like Volbella can be used to help further soften the more persistent wrinkles/scars. Even more aggressive would be a laser treatment, like Halo, to help improve perioral lines and scarring without use of injectables. Hope this helps!

A combination of fillers like Juvederm Volbella and microneedling with PRP and lasers such as ematrix and Fraxel are the best approach to treat these type of scars.  A combination approach is usually best to treat these scars and wrinkles.  Please consult an expert in scars for the best cosmetic results.  Best, Dr. Green

Hello and thank you for your question and photos.
By looking at your photos a combination approach is best recommended for the lines around your mouth. Adding filler to fine lines will normally improve the appearance. For scarring you need to breakdown the scar tissue and smooth the skin which can be done with lasers, microneedling, chemical peels, and radio frequency. 
I would recommend combining the skin resurfacing procedures. If you are unhappy with the filler the product can be dissolved with hyaluronidase.
Hope this helps!