What is the Best Treatment for Lip Lines, or Lipstick Lines? (photo)

Question

I'm a 34yr old white female. I have pale skin in the winter and I do tan in the summer. I have noticed over the past few years that my lipstick is starting to bleed into my face and I'm getting two or three noticeable lines on my upper lip. I'm a non-smoker and I used to have full shapely lips. My lips still have some shape, though my lips have turned a bit pale, and seem flat. What can I do to fix the lines and bring some life back to my lips?

John Bitner, MD · Answer

You look to be an excellent candidate for Restylane. It is a hyaluronic acid that can be inject superficially in the skin. I would inject it first into the vermillion. This would soften some of the whistle lines and enhance the transition from the skin of the lip to the red portion. Then, I would inject a little into the red portion of the lip to give you extra volume. One syringe should do the trick (1 cc) without overfilling and causing that duckbill look, a very natural final result.

Jason Emer, MD · Answer

Lip lines do best with lasers and maintain with microneedling , microneedling RF or plasma pen (when done right this has a lot of complications if not done well). fillers like belotero can also be combined. at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD  ampules weekly, see link) should be started now to prevent further aging. For facial rejuvenation, I would suggest a combination approach of 1) skin care with products and PRP/microneedling 2) PDT light therapy few times a month with growth factors 3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/Halo, Viva, Co2/Erbium 4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill 5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting 6) botox every 2-3 months to stop movement lines and prevent lines at rest 7) deep microneedling RF like Fractora/morpheus8/PiXel8 for tightening of the skin 8) Vascular laser like vbeam/ExcelV or BBL forever young treatment every quarter (3-4 months) Best, Dr. Emer.

Sanusi Umar, MD · Answer

Belotero is a relatively new hyaluronic acid filler. It is processed through a unique technology that gives the molecules a different light weight structure. It is unique because it can actually fill fine lines without the risk of clumping or discoloration. And doctors can inject it superficially. Therefore, it can be used to fill the lines around your lips.

	Belotero can also be used to add volume and shape to your lips as well. But depending on the look you want, you may also consider older forms of hyaluronic acid like Juvederm and Restylane.

David Hansen, MD · Answer

Temporary fillers such as restylane, juvederm or belotero @ $550/syringe do great to fill the lips and get rid of creases and last about 3-6 months. A permanent solution would be a lip implant which would not only inflate the lips but also get rid of and prevent further lip creases for $1500-2000/implant. All options are done under local anesthesia and easy to undergo.  Sincerely,

	David Hansen,MD

Nima Shemirani, MD · Answer

Dear jlsedor,

	
		A little bit of Juvederm along the vermillion will help those lines out
	
		You can balance it with some in the body of the lips as well
	
		It is very difficult to completely get rid of those lines, and they will definitely be improved
	
		I would suggest covering your face when you tan, it will age you very quickly


	Best regards,

	Nima Shemirani

Margaret Weiss, MD · Answer

It is normal to lose volume in your lips over time. Hyaluronic-acid based dermal fillers, such as Juvederm, Restylane and Belotero can be used to restore plumpness and youth while still looking natural and appropriate to your current age. Hyaluronic acid is a substance that is produced naturally by your body to keep your skin moist and smooth, however its presence diminishes with age. A dermal filler can also be used to fill in the lines around your lips and will help keep your lipstick properly placed. Consult with a board-certified dermatologist to learn your best options.

Barry L. Eppley, MD, DMD · Answer

Vertical wrinkle lines of the upper lip are pesky problems that defy any one single long-term solution. Hyaluron-based injectable fillers and small doses of Botox are the best treatments when the lip lines are still superficial and one is still relatively young. An injectable filler will provide instant shape to an upper lip that has become deflated.

Kimberly Lee, MD · Answer

There are a few different options to achieve fullness in your lips, including fillers and lip implants. The key is to achieve a natural appearing results that fits the rest of your face. Lipstick lines can also be filled in using fillers. Please consult with a board certified specialist who can assist you in achieving the results you seek.

Stephen Weber MD, FACS · Answer

In general, this can be a challenging problem to permanently fix. Lip lines like you are concerned about are the rule in Denver given the dry climate and intense sun exposure so I deal with this often. Temporary options include hyaluronic acid fillers such as Juvederm or Belotero to fill the fine lines as well as Botox to selectively relax the muscle that creates and accordion effect and deepens the line. Fillers last about 12 months and Botox in this area lasts 2-3 months typically. The best long-term option is dermabrasion or aggressive laser resurfacing of this area. This creates about one week of downtime and some redness that can last several weeks to a couple of months. However, the results are long-lasting. I hope this information is helpful.Stephen Weber MD, FACS

Jessica Kulak, MD · Answer

Restylane and Juvederm both work great in the lips for a natural lip augmentation. Adding a small volume along the edge of your lips (the vermillion) will help smooth the small lip lines and maintain the shape of your already nicely shaped lips. Volume can also be added to the body of your upper and lower lips to give a fuller appearance. Lip augmentation can easily be performed in the office.

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