What is the best treatment for Perioral lines? (photos)

Question

I’m 65. My skin has aged, and I would like to treat the vertical lines above my lips. Would filler help?

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

Nima Shemirani, MD · Answer

Hi @sissy411! Dermal fillers can help smoothen vertical lip lines. Botox can also be used above the upper lip border to decrease the muscular activity in the region responsible for the formation of the vertical lines. I hope this was helpful!

Nelson Lee Novick, MD · Answer

Fillers such as Belotero Balance, are excellent choices for elevating and smoothing these deeply etched-in vertical lip lines. They can also be used to define the vermilion border and make it less "blurred," a condition created by loss of lip volume with the passage of time.  Microdroplets of Botox can also be used in certain locations above the upper lip border to diminish the muscular activity in the region responsible for the formation of the vertical lines. All of these procedures, which were developed and innovated by cosmetic dermatologists and which have been performed safely and effectively for decades, in experienced hands should take no more than about ten to fifteen minutes to perform. You would be wise to make sure that you  consult with a board certified cosmetic dermatologist and best of luck.

Nhi Le, MD · Answer

Instant result of no lines can be achieved with 1 to 2 syringes of HA filler injection such as Restylane silk, juvederm volbella, belotero balance to achieve natural result

Laura Lewman, ND · Answer

Those vertical lines above your lip are caused by the contraction of the muscle that makes your lips pout. Over time, that repeated contraction in conjunction with volume and collagen loss creates vertical lines. Neuromodulator (Botox or Dysport) can help relax that muscle so it's not pulling the lines so much. Filler injected into the lip can really pop out and support those lines (like inflating a flat tire), and if needed more filler can also be placed directly into the lines.

What is the best treatment for Perioral lines? (photos)

Answers (9)

Answer: Vertical lines

Answer: Vertical lines

Answer: Filler and neuromodulator would help!

Answer: Filler and neuromodulator would help!

Recommended reading

Everything you need to know about Dermal Fillers

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

What is the best treatment for Perioral lines? (photos)

Answers (9)

Answer: Vertical lines

Answer: Vertical lines

Answer: Filler and neuromodulator would help!

Answer: Filler and neuromodulator would help!

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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