Is it possible to fill vertical lip lines and defining vermillion line without adding a lot of volume? (photos)

Hi Nancy. I would recommend Belotero to replace the lost volume that has resulted in your vertical lip lines. Belotero is a light, easily moldable filler that provides excellent natural results in this area. Hope this helps!

Absolutely. The key is to inject just a little amount to smooth away your wrinkles. Find an experienced injector who has a gentle touch. Juvederm works great here.

The vermilion border can easily be better defined without adding significant volume.  Seek a skilled injector as this is more important than the actual filler.  Best filler is a hyaluronic acid filler, the exact one to choose is less significant than the injector's choice or skill.

Your vertical lip wrinkles are showing from slight volume loss. A delicate filler treatment may lead to a smoother lip appearance without significantly enlarging or changing the shape of your lips. We prefer to use Silikon-1000, an off-label filler for subtle and permanent results. Radiesse is not typically advised for use in the lips.Hope this helps you.Dr. Joseph

Belotero works amazingly well in the areas you described-it is very malleable and perfect for those fine lines in that part of the face. Our patients love the result

Yes it's possible o fill the vertical lip lines BY Filling the lip line. You see you will "break up" the vertical lines as it goes into your natural lip line (the junction between red and normal skin). My favorite filler for this is Juvederm. A tiny thrad injected just along your lip line  or border. It will expand overnight by absorbing water from your body and give a great erasing effect without enlarging your lips.

We are fortunate in Canada to have Juvederm Volbella which is a perfect hyaluronic acid filler to give definition of the vermilion borders and to smooth lips without adding much volume.  In the US, tiny amounts of Belotero or Restylane by a skilled injector would also give a desired result.

Lip lines and vermilion issues can be addressed with facial fillers. Often a little goes a long way.  Initially you may be swollen, but filler can work wonders.

I would caution against filler to chase the vertical upper lip lines, as it often produces the duck lip or too much projection.  I have seen so many women over the years with this problem, come to me for correction.  After many years experience with both fillers in the lip and laser treatments of face and lip wrinkles, I always prefer laser resurfacing or tightening or the new radiofrequency tightening treatments for lip wrinkles.  Belotero, a a newer thinner filler, meant for fine lines, can be done carefully and less likely to add volume vs. other fillers, but doesn't last very long.  Radiesse should never be placed in the lip or near it b/c of increased risk of nodules.

In my experience, it is possible to add definition to the lips to give a fuller, less wrinkled look without the dreaded "fish lips" result. You may feel that you have a slightly plumped look but the results don't have to be drastic. I would suggest consulting a board certified plastic surgeon or a skilled injector with experience using dermal fillers. When you schedule the appointment, you should discuss your desired results with the injector so they are aware of what you want. The good news is that if you are not happy with the results, dermal fillers are temporary and will dissipate within a few months.