Non-surgical options please? (Photo)

The whole of my mouth area is very pronounced with 'smokers' lines. I am on a limited budget. What are my best options?

Doctor Answers 12

We can combine fillers and the neuromodulators to help you.

There are many different fillers as well as different type of Neuromodulators that the combination treatment help you improve your lips appearance. Juvederm combines with Botox would be great for you.

Lip lines.

There is a great deal of collagen loss around your lips causing the permanent lines.  The easiest way would be to use retinol to rebuild the skin.  Even better would be laser resurfacing to to jumpstart the collagen stimulation.

Lawrence Broder, MD
Cedar Park Family Physician
4.7 out of 5 stars 15 reviews

Nonsurgical options please

Thank you for sharing your question and photographs.  The best results are often obtained from pursuing a multi-pronged approach to correction.  This includes Botox to prevent worsening of the wrinkling, avoidance of lifestyle risk factors such as using straws and smoking, chemical peels, and dermal filler use.  See an ASPS board certified plastic surgeon in consultation to discuss your best options in order of cost.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 35 reviews

Peels or Laser

Great question and thanks for the photos. Lines around the mouth are extremely difficult to get rid of permanently. You can try using filler, but that will only be a very temporary solution. The best treatment to get rid of those permanently is through an ablative laser resurfacing or with a phenol peel. Look around in your area to see who performs these procedures. They should be able to give you a better idea of what will suit your needs as well as the associated cost. Best of luck!~Dr. Sieber


You could consider Juvederm injections that would last up to a year, or even chemical peels or laser treatments.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

"smokers" lines on a limited budget

This is a tough one.  If budget were no concern then I would say, a deep laser resurfacing of your face to include and aggressive treatment of your upper lip followed by filler and even a small amount of botox to prevent you from pursing your lips quite so tightly and deepening the wrinkles again.  On a budget however, I would recommend just a few units of botox every few months to try to soften them and if you can work some filler into your budget then do that as well.

Treatment For Vertical Lip Lines

Thank you for your question and for sharing your photographs.  Upper and lower vertical lip lines are very challenging to treat.  I find that a combination of Botox and a filler such as Juvederm works best.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully address your concerns and discuss your goals and expectations in order to determine the best treatment plan.  Best wishes!  

Perioral wrinkles and smokers lines

Thank you for the pictures.  These can be addressed in a variety of ways.  Fillers can do a great job of helping fill in some of those lines, but they will certainly not get rid of them completely.  That being said, they will do a pretty decent job of improving their overall appearance.  You can also address them with resurfacing procedures such as dermabrasion, chemical peels, or fractionated lasers.  Depending on the amount of downtime that you have available, your skin quality and overall pigmentation, how you heal, one may be better than the other. Often times a combination of treatments may be necessary to keep you in your budget while giving you maximum results.  Hope some of this helps. Best of luck.

Miguel Mascaro, MD
Delray Beach Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Non-surgical options please?

Thank you for your question.  Generally, fillers, laser resurfacing and chemical peels can address this area.  Recently, I've found additional success with microneedling of the perioral area.

Zachary Farris, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 14 reviews

Belotero & Botox Nonsurgically Work Well For Smoker's (aka Lipstick Bleeding, Bar Code) Lines

This is a very common problem and one that I have been treating with fillers and muscle relaxers, such as Botox, for well over two decades. 
The use of a filler, such as Belotero Balance, which flows and fills easily and possesses little to no likelihood of giving rise to the unwanted, bluish Tyndall Effect, when injected superficially into the skin as would be needed here, can be used to both to provide "scaffolding" support below, as well as permit direct treatment of each line. The result: immediate smoothing. 

For additional benefit, four microdroplets of Botox (or Dysport or Xeomin) may be placed centrally at the border of the red and while lips.  Not only does can this help to soften the hyperactivity of the muscles responsible for these lines, but also contributes to prolonging the effects of the filler treatment.
You would do well to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in the treatment of this delicate region. Be sure to ask to see his/her before and after pictures.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.8 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.