Bulging muscles around mouth, what can I do? (Photos)

Question

I am 5’4, 120, & 27 years old in this pic. (Fairly recent picture). The muscle around my mouth bulges and I hate it so much. I think I purse when I am stressed and it has become a regular habit. I have gotten some Botox there and it helps but only for like a month! What can I do? I am working on stressors and lifestyle. But it is killing my confidence. It makes my face look so heavy and old. And a bit of a mustache look depending on the light. Need help with know if other procedures or ideas of how to get this bulging to stop. It started forming a few years before this picture. And has remained. Or could it be some really bad filler? It feels like muscle contraction and Botox does bring it down. But I did have an awful lip filler experience and wondering if some could have migrated that badly. Although I doubt that is the full case.

Anna Chacon, MD, FAAD · Answer

Dealing with bulging muscles around the mouth can be frustrating, especially if it affects your confidence. Here are some potential causes and solutions to consider:

Potential Causes:

Muscle Hypertrophy: Overactivity of the muscles around the mouth, such as the orbicularis oris, can lead to hypertrophy (enlargement), causing a bulging appearance. This can be exacerbated by habits like pursing your lips when stressed.

Botox Efficacy: While Botox can reduce muscle activity and help with bulging, its effects are temporary, typically lasting 3-4 months. If you’re experiencing a shorter duration, it might be worth discussing dosage or technique adjustments with your provider.

Filler Migration: Although less likely, if you’ve had fillers in the past, there’s a possibility of migration or improper placement contributing to the appearance.

Potential Solutions:

Regular Botox Treatments: Continue with regular Botox treatments, but discuss with your provider about adjusting the dosage or frequency to achieve longer-lasting results.

Stress Management: Since stress can exacerbate muscle tension, continue working on stress management techniques. Consider practices like mindfulness, yoga, or therapy, which might help reduce the habit of pursing your lips.

Consultation with a Specialist: If you suspect filler migration or want a more targeted approach, consult with a dermatologist or plastic surgeon who specializes in facial aesthetics. They can assess whether any corrective procedures might be necessary.

Facial Exercises and Relaxation: Engage in facial exercises or relaxation techniques specifically designed to reduce tension around the mouth.

Alternative Treatments: Discuss other potential treatments such as laser therapy or radiofrequency treatments, which might help improve skin texture and appearance.

It’s important to have a thorough consultation with a qualified professional who can evaluate your specific situation and recommend the most appropriate treatment plan.

Ella Fedonenko, MD · Answer

It’s definitely not related to lip fillers injections you had. We can use Skinvive to help with these. It’s a newer hyaluronic acid in micro droplets form which can be injected in these areas to stimulate collagen, promote hydration and tighten the skin.

Bulging muscles around mouth, what can I do? (Photos)

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Bulging muscles around mouth, what can I do? (Photos)

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Everything you need to know about Botox

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