Non-surgical lower lip mound treatment? (Photo)

Question

My face is noticeably aging. Are there any non-surgical options to smooth out the mounds directly between my Lower lip and my mental crease?

Nelson Lee Novick, MD · Answer

From the photos provided, there appears to be significant volume depletion in the cheeks, which is likely responsible for primarily not only flattening of the cheeks and lack of more youthful cheek projection, but secondarily for the hollows and tear trough development under the eyes, as well as for the marionette lines and mounds you noted. The use of an appropriately robust HA volumizing filler properly injected in the cheeks can help to diminish all of the aforementioned. Additional benefit can likely be achieved via the use an appropriately robust HA filler for achieving greater definition of the jawline and for increasing chin projection, which again would likely secondarily improve the area of your concern (while enhancing overall the profile view). You would be wise to consult with an experienced board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

The fullness or small “mounds” between the lower lip and the mental crease can become more noticeable with aging as we lose volume and collagen and the tissues gradually change position. The appearance can also be influenced by the shape and activity of the chin muscles.

There are several non-surgical options, but the best choice depends on what is actually creating the fullness. In some cases, a small amount of carefully placed hyaluronic acid filler can soften the transition between the lower lip and chin and improve the overall contour. However, adding filler directly into an area that already appears full can sometimes make the mound more prominent, so conservative treatment is important.

If the fullness is related to muscle activity, Botox to the mentalis muscle may sometimes help soften the appearance and improve the contour. This is different from using filler and would not add additional volume.

Skin-quality treatments that stimulate collagen, such as certain laser or radiofrequency treatments, may also help if laxity and fine lines are contributing to the appearance, although these generally provide a more subtle improvement.

I would avoid automatically filling the mounds themselves without determining whether the issue is primarily volume loss, muscle activity, skin laxity, or a combination of these. Treating the underlying cause usually produces a more natural result than simply adding volume to the area.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Nuket Eroglu, MD · Answer

Hello; I see collapses on your lower lip and nodulations on the sides of your upper lip. I don't know; if you have a previous history of filling issue. So, initially, anamnesis and examination are important for you. If you have had fillings before, the fillings may melt at different speeds; at different points too. This condition, may cause asymmetrical deformities on relevant lips. If you have never had fillers before, your lower lip; may be damaged by environmental factors, especially from the sun. Exposure to harsh environmental factors, not using sunscreen, and leaving lips without any moisture; can cause the skin; to become thin and flake in certain areas; increase fine wrinkles and cause depressions. In this case, I recommend for hyaluronic acid fillers. I use the brand of "Maili". Due to its elastic and gel properties, it does not cause any nodulation and stays on for a very long time. It is made by a special technology; the latest trend among hyaluronic acid fillers; which is Maili! You should try it. It moisturizes, protects and shapes for your lips. You should definitely try it!

Non-surgical lower lip mound treatment? (Photo)

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