What can I do? Horrible lines above lip (Photo)

Question

I don't know what to do, or what procedure, which is why I'm asking. I've done botox and filler up the lines, but I would like something longer lasting. I've tried laser skin resirfscing there while under anaesthesia and didn't make any difference.'Love some feedback or effective recommendations. I don't know why I have these and am so frustrated..

Brian Maloney, MD, FACS · Answer

The lip lines can be very challenging. Any time there is movement it is difficult to have a one and done treatment. Filler, botulinum toxin, and laser are all the treatments. Try not to use straws as they will cause the lines to return. With the filler I would place it above the lip in the white part, the white roll(the area between the white part and red part), and in the vermillion or the red part. This will help to restore some structure.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

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