How Many cc’s of Volbella would I need for upper lip lines? There are approximately 5-6 lines. (photo)

Hi, I’m Lauren, the aesthetic injector at Colorado Plastic Surgery Center. Juvederm Volbella is a great choice because it’s a soft, smooth filler for fine lines. Typically, up to 1.0 cc (1 syringe) may be used, but often split between the upper lip and the surrounding skin. I always recommend starting with a consultation with a provider to develop a personalized treatment plan special to you.

My philosophy is that less is more. Whenever possible, I counsel my patients to be conservative in their initial treatment and then add more filler later, if desired. One syringe of Volbella or a thicker filler (your lines are pretty deep) would help fill in your perioral lines and smooth out your upper lip. If you feel like the creases are still too deep, then add more the next month. You might also look into lasers to improve your overall skin quality. If you tend to purse your lips a lot, a very light touch of Botox can help relax and smooth them, too. Consulting with a board-certified dermatologist will put you on the right track.

Hi. Thank you for your question. A combination treatment of Botox and Filler would be ideal for your upper lip lines. Start with 1 syringe of Volbella would be sufficient. 

Thank you for your question. Volbella is a great filler for the lines around the mouth. I would recommend starting with 1 syringe and wait at least 2 weeks before reassessing the need for another syringe. It is always smartest to start with less and be able to add more.

I recommend getting a formal evaluation with a facial sculpting expert. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip. PDO Nova threads can also be used to improve shape and also provide lift. Fat or implants are a permanent alternative.  Best, Dr. Emer

It is important to realize that most facial and neck wrinkles are formed from the repetitive motion of the muscles of facial expression (i.e. the dynamic component) and following years of this repetitive, daily motion, the development of permanent etched-in creases (i.e. the static component). By analogy, if you fold a piece of paper tightly even one time, you will create a prominent "etched-in" crease along the fold line that even with ironing is unlikely to be completely erased. Therefore, when treating areas, such as in this case the so-called vertical "bar code" ("lipstick bleeding") lines, it is usually not sufficient to simply fill the lines with a filler, since the continued overactivity of muscles around the mouth are likely to mechanically lead to quick breakdown of the injected product and a very short period of benefit. It would be best therefore to inject Botox (or Dysport or Xeomin) in order to quiet the underlying muscular activity that has led to this problem and then to fill the remaining lines that have already formed. This may be done in the same treatment session, which I ordinarily do, or may be divided into two separate treatment sessions. I find Belotero Balance in my NY practice to be the most beneficial for this purpose, since it is a smooth, cohesive filler that possesses little to no tendency to give rise to the unwanted bluish/gray Tyndall Effect when injected very superficially, as must ordinarily be done to smooth bar code creases. It is likely to require no more than about 0.5 cc from what I can tell from the photo. In my Israel satellite office, where a far greater number of regulatory agency approved fillers are available, I typically choose Teosyal Redensity II. It is difficult to say from the photo provided, but if there is also general photodamage and blotchiness of the skin surrounding the mouth, then a series of superfical peels or microneedling alone or combined with low strength TCA can be extremely helpful for improving overall tone and texture. Be sure to consult with a board certified aesthetic physician and ask to see his/her personal before and after photos before agreeing to proceed. Best of luck. 

Thank you for sharing your excellent question and photograph.  This area of treatment requires a multi-prong approach for the best results. I would advocate for Botox to help minimize the creasing when pursing the lips, which will help minimize the depth of the lines when the lips are at rest.  Remaining lines can then be filled in with 1-2 syringes of Volbella applied over a series of sessions.  The overlying skin quality can then be improved with chemical peels and microneedling treatments  Hope that this helps.

Hello, thank you for your question! Volbella is .55cc so you could use up to 2 syringes for your upper lip. You want to be careful you don't over fill above the lip and become puffy. Botox is a great option for these lines. It is preventative and takes multiple visits before seeing results. It is best to start with a small amount (6 units) and slowly go up every 3 months. I hope this helps!

Hi, thank you for your question. I recommend starting with one syringe of Volbella and reassessing after 2 weeks for additional syringes. It is always best to start slow and add more as time goes on to avoid overfilling. 
Hope this helps, -Melody PAC

Hi,Your vertical lip lines are fairly deep.  You would definitely benefit from 0.6 cc Volbella however Allergan just released a larger 1cc syringe so that is always an option if you want more correction.Warmly,Dr. Liu