I'm not a smoker, but I have "smoker lines" above my top lip. What is the best course of action to correct these lines? I've heard collagen or Juvederm, but I do not want my lips to look fuller, just the lines filled in.
Treatment for "Smoker Lines" on a Non-smoker?
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Doctor Answers 8
Smoker Lines Treatment
Hi So Cal Cari,
They have been called "smoker's lines", recently "bottled water drinker lines", and even "bar code lines". Whatever "they" wish to call them, we just want to get rid of them. They most likely come from sun exposure, poor skin care, and genetics.
Either Preville Silk or cosmoderm are my preferences for treating the vertical lines of the upper lip along with 4 units of strategically placed Botox (enough to help with the lines, not enough to let you drool you minestrone soup from the corner of your mouth).
Fractionated carbon dioxide (CO2) lasers such as Lumenis' Total FX and Solta's Fraxel re:pair are very good at smoothing the lines. Depending on how leathery those lines/folds are, it may take from 1 to 3 treatments. This is a great alternative for patients who desire a more permanent result, and don't want to have repeated 30 gauge needle injections in their kisser.
This advice holds true for both Trojans and Bruins.
Chemical Peels and Laser Skin Resurfacing
I also agree with the use of Botox and Hyaluronic acid fillers for smokers lines. Other options included both chemical peels and laser skin resurfacing.
Try Botox injections around the mouth
Non-smokers get "smoker's lines" around the mouth usually from the way they move their mouth when talking. You might pucker your lips a lot when you speak. Certainly you can try using the fillers to improve the lines, they don't always make the lips look larger, it depends on how they are injected. However, you might want to try Botox injections. Very small amounts of Botox can weaken the lines around the mouth and soften your "non-smoker's" lines. An added benefit to using Botox is it may get you out of the habit of pursing your lips when you talk.
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Lip line options
1) Botox and Dysport: Can be used to weaken the amount of pursing that your lip muscles can do, and hence limits how much deeper the lines can get. This treatment is repeated every 2-3 months
2) Restylane Silk or Juvederm: thinh dermal filler's are a great way to directly address the fine lines. This is repeated every 6-9 months
3) Ultherapy: Helps to create a little more dermal thickening. Can be done as a series to help build on the results. Should be done before fillers.
4) Profound: Micro needling radiofrequency can be used to help build collagen and elastin in the deeper skin tissue.
5) Fractionated CO2: Can be to used to smooth the superficial fine lines and create a smoother look.
It is important to choose which modalities would be helpful for you. It is also important to find a plastic surgeon or dermatologist with experience to help with your assessment and develop a plan that can help address your concerns.
Lines on upper lip
Treatment of the lines of the upper lip can be corrected with filler either directly in the line or along the lip line border.
Filler or laser
Fractional CO2 will give the best results that will last the longest. Juvederm, Restylane, Prevelle Silk, and Cosmoderm in expert hands will give results lasting 3-12 months, depending on the patient and the depth of the lines. A little Botox will make the filler last longer.
I agree with Dr. Kontis that you may want to try Botox. Fillers including Restylane, Juvederm and collagen (Cosmoderm, Cosmoplast) when used appropriately can work very well to fill in these wrinkles without causing your lip to appear larger (although there is some swelling that can last for a few days after the procedure). Please consult a board certified physician in your area to discuss these options.
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.