What can be done for the horizontal line below my nose? (photo)

Question

Horizontal line below nose and above lip when I smile. Would like to know what can I do to get rid of it.

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Gary M. Horndeski, MD · Answer

Additional photographs are needed but it is possible that you would benefit from a lip lift.  A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.  This may resolve the horizontal crease when you smile.

Best Wishes,

Gary Horndeski, M.D.

Leonard Grossman, MD · Answer

There are a number of reasons as to why a person can have a horizontal lip fold. In many cases lack of philtral columns can cause this wrinkle and in other cases it's the muscle of the upper lip. In one instance a filler should correct the issue and in the next a small amount of botox will most likely result in significant improvement. Either way I would recommend an in-person consultation with a plastic surgeon and I will be more than happy to help you out. I hope this helps and good luck from New York City plastic surgery

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. Treatment options for this can be challenging but fillers are the best way to help soften this area. You could also consider skin resurfacing and skin tightening devices that can help. Please seek a face to face consultation with a qualified and experienced practitioner, best wishes

Val Lambros, MD, FACS (retired) · Answer

When you smile the upper lip is pulled upward by the action of cheek, not lip muscles. The upper lip then crashes into the nose and makes a wrinkle.

I’ve never tried doing botox there.....it never made sense as it paralyzes the muscle that isn’t contracting when smiling. Paralyzing that muscle also would keep the upper lip from puckering, which is what the lip muscle does.

I don’t have a solution for this problem.

What can be done for the horizontal line below my nose? (photo)

Answers (5)

Answer: Lip line

Answer: Lip line

Answer: Horizontal lip crease

Answer: Horizontal lip crease

Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

What can be done for the horizontal line below my nose? (photo)

Answers (5)

Answer: Lip line

Answer: Lip line

Answer: Horizontal lip crease

Answer: Horizontal lip crease

Browse related questions

Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.