Best treatment for wrinkles around mouth after Ulthera treatment?

There is no one treatment that can do everything (but we keep hoping!)Ultherapy can produce some improvement in lip wrinkles but there are usually more elements at work than it may seem. (Ultherapy is a wonderful treatment for lifting and tightening the underchin and neck area - which is where it shines brightest)Wrinkles can come from:collagen loss, which is typical in aging for most peopleelastin and collagen breakdown from sun exposure weight loss that obscured existing collagen loss support loss from the shrinkage of boneand/or habitual muscle contraction in natural speech smoking - which creates all kinds of havoc with all the skin on your face and body.A lot of women tend to purse their lips when they speak and it's a hard thing to change. (Some people avoid drinking from straws to avoid pursing their lips!).Lasers, specific skin care products, retin-a type prescription creams, fillers and good internal hydration can all be part of the fix. Old school full CO2 lasers could virtually wipe out lip wrinkles, but the recovery was horrible and the skin would lose pigment and take on a wax-like appearance. That wasn't always a good exchange for losing the wrinkles. The newer fractional lasers like Fraxel and eMatrix can improve wrinkles, but sometimes there is no effective way to get rid of them completely.

Good morning, Please consider a fractional CO2 laser called Mixto laser. I will send you a link to one of our videos.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Fraxel laser treatment and/or Botox may be a good option for the wrinkles you describe. If you are not already on Retin-A, this is a must have in everyone's medicine cabinet!

Ulthera is used to improve skin laxity and is not meant to be a wrinkle repair. If you are looking to treat wrinkles I would suggest either fillers or laser. 

The newer treatment head for Ultherapy targets superficial lines and may be helpful, but Ultherapy is FDA approved for lifting. Other options are fillers and laser. Good Luck!

Ultherapy does little if anything for wrinkles around the mouth, unless they are subtle wrinkles related to skin laxity. Once Ultehrapy is done and you have waited the 180 or so days, you can get re-evaluated to see if you need fillers (Belotero, Juvederm, Sculptra) or fractional laser. Read the Ultherapy book provided on the ink below so you have realistic expectations about what it does and what it does not do ... 

I think the real question is how well does Ultherapy work for lip wrinkles. The answer may be a little bit, but often times maybe not enough. Eliminate means to make gone, so let’s talk about making better. There are some good choices for that. The first choice is actually a great non-invasive choice. Fillers, either Juvederm or Restylane, can be used to fill under the lines to soften them out. That can often be a “WOW! What an improvement,” as my patients say as they look in the mirror right after treatment. The second choice is a big choice, and that’s Carbon Dioxide, or CO2 resurfacing. It is great treatment, but needs to carefully considered against the recovery time.