What are the best lip enhancement options for flat bottom lip and smoker’s lines in a non-smoker? (Photos)

Hello! I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. Volbella treats vertical lip lines, effectively softening these fine wrinkles around the mouth. Its lightweight, smooth gel provides natural-looking volume without the "duck lip" appearance, ideal for enhancing both the upper and lower lips. Volbella can accentuate the lip border and improve symmetry, addressing the flattening and loss of color in your bottom lip when you smile. If you prefer a subtle, natural enhancement without the risk of overfilling, Volbella is great.

From your photo, this looks most consistent with melasma, a common form of hyperpigmentation that often appears as patches on the cheeks, forehead, or upper lip. It’s usually related to sun exposure, hormones, or even genetics. Treatments can include daily broad-spectrum sunscreen, prescription creams with ingredients like hydroquinone, tretinoin, or tranexamic acid, and in some cases, chemical peels or laser treatments.

From the photos provided, in the hands of an experienced, board certified cosmetic dermatologist filler expert, the use of an appropriate medium viscosity HA filler for the lips would help to smooth them and harmonize the proportions between the upper and lower lips. Additionally, the use of a low viscosity, malleable, cohesive HA Filler can address and smooth the "smoker's lines." In expert hands, the entire treatment session should take no more than about fifteen to twenty minutes, with typically immediate results and little to no significant downtime. Hope this helps and best of luck.

I think that any Plastic Surgeon or Dermatologist, who performs quite a few fillers of the lips with hyaluronic acid fillers, will give you exactly what it is that you desire as long as you have very specific in the description of what you’d like to achieve. I hope this helps and good luck from Leonard Grossman, M.D., organic Plastic Surgery in New York City.