56 years old - what can help restore my lower lip area? (Photo)

Question

The "divots" below my lower lip (I'm guessing collagen loss?) - what is the best treatment? Microneedling? Fillers? Advice appreciated. 56 years old.

Nelson Lee Novick, MD · Answer

In general, for optimal results in treating perioral wrinkles, be they of the so-called "smoker's lines" or divets, the use of both a neuromodulator, such as microdroplets of Botox, and a cohesive, low-viscosity HA filler, can work synergistically. The Botox addresses the underlying muscular activity that gives rise to the lines and divets and the filler addresses the etched in lines in the skin that have resulted from years of daily use of those muscles. Microneedling, on the other hand which I have been professionally performing for well over two decades, is best reserved for treating very superficial, surface irregularities in skin color and texture.   Make sure to consult with a board certified cosmetic dermatologist. Best of luck.

Jason Emer, MD · Answer

​Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency devices and microneedling can help as well and are less invasive. I suggest going to an experienced cosmetic dermatologist with expertise in lasers and fillers. Best, Dr. Emer​

Camille Cash, MD · Answer

From the submitted photo a combination of treatments may yield the best result for restoring a youthful appearance to the lips.  Fillers can help with shape and contour.  Adjunct therapies such as lasers and microneedling can improve overall skin tone and texture.  I've included a video about fillers that I hope you find helpful.

Geeta Yadav, MD · Answer

Thanks for your question! Dermal filler is an effective way to add volume to the lip area, which can help smooth out any lines radiating out from the vermilion border. You may also want to consider procedures that help improve the quality of the skin and minimize wrinkles, like microneedling or laser treatments. Just make sure to book a consultation with an experienced provider, who can determine the best treatments for your concerns, as well as ensure your safety during treatment. Hope this helps!

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! I see the areas you're referring to. As we age, there is volume loss and the collagen becomes weaker. Options for the area include fillers such as Juvederm Vollbella for example. Fillers can be easily placed in clinic and last 8-12 months in many cases. The results are often relatively instantaneous. Microneedling can tone the skin though you have to be careful getting too close to the red lip. Also, placing volume into the red lip may help to plump the area. Hope this helps!

Ali Sherzoy, MD · Answer

You are a particularly suitable candidate for lip filler, you have lost volume from both upper and lower lips. There are multiple Hyaluronic acid fillers that can be used to restore volume.

Onir Spiegel, DDS, PhD · Answer

Hyaluronic acid filler at the vermilion border maybe just the right fix for your lipstick lines (AKA smokers lines). To keep up the results consider skin rejuvenation with radio frequency devices such as Morpheus. 
Hope this helps!

Jo Herzog, MD · Answer

I think that some filler in an around lips would improve this. I do not think that microneedling would be any benefit. I would use Restylane for this but there are other fillers that would do well too. Use what your physician i comfortable with and be sure to have an experienced physician do your injections.

56 years old - what can help restore my lower lip area? (Photo)

Answers (8)

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