Wrinkles around the mouth area can be challenging to treat and usually require a multi-pronged approach. I tell my patients that a combination of neuromodulators (Botox or Dysport), fillers, chemical peels and collagen-stimulating procedures (Ulthera or CO2 laser) will get the best results.I recommend that you have a consultation with a physician who specializes in aesthetic medicine. They can do an in-person examination and suggest what would get you the best results.
There is a wide spectrum of resurfacing modalities (skin-smoothing treatments) for facial lines, and it includes lasers, dermabrasion, and chemical peels. Depending on your ethnicity, treatment history, and physical exam, you may be a better candidate for some treatments over others. It is also important to note that there are other tools in the facial rejuvenation toolbox--for example, some chin lines respond best to Botox and lip lines can also be well addressed with a combination of fillers and resurfacing. Seek out a consultation with a Dermatologist, Plastic Surgeon, or Facial Plastic Surgeon to discuss your concerns and undergo a physical exam. Good luck!