Is Thermage Effective on Fine Lines Around the Mouth?

Question

I am 75. Does that make a big difference in results?

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​

Richard Baxter, MD · Answer

Thermage is a good option for generalized toning of the skin, but it is not typically used around the mouth. Those lines are dynamic in origin, from movement of the muscle around the mouth (the one that caues "smoker's lines) and more aggressive techniques such as a laser or chemical peel are usually better choices there. Also, Thermage tends to work best in my experience in patients in their 50's or younger.

Scott Tucker, MD · Answer

While Thermage can give some tightening to the skin overall, I have not seen very good results for fine wrinkling around the mouth.  Probably the best option is laser resurfacing.

Mark Berkowitz, MD · Answer

Thermage can be used to diminish or tighten the skin above and below the lips.  I like to use Thermage in combination with other treatments at my medical spa, Accents Cosmetic Surgery and Medical Spa, in Michigan.  I find my patients do best when thermage is combined with fractional CO2 laser skin resurfacing.  I utilize my Mixto laser for this procedure.   Additional procedures that can be used to further enhance this delicate area are fillers and judicious use of Botox cosmetic.  You need to discuss with your cosmetic surgeon your individual concerns in order to acquire the best combination for you.  Good Luck.

Grant Stevens, MD · Answer

Though Thermage is good for skin tightening and collagen stimulation, and I have seen it give some improvement around the mouth for fine lines, it would not be my first choice if you want a significant improvement.  It is difficult to say for sure without seeing you what the best course of action would be, but in general these lines are better addressed with things like CO2 Resurfacing, Pearl Fractional Laser, Fillers (like Restylane or Juvederm), Botox, or TCA or other chemical peels.

	 

	Dr. Grant Stevens

Michelle Copeland, MD, DMD · Answer

An effective non-surgical option for reducing the appearance of fine lines, such as those found around the lips, is Thermage. Thermage is a non-invasive (no incision!) treatment that can tighten skin and works by stimulating your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage requires no downtime from normal activities. Topical creams can also reduce lines and wrinkles around the mouth almost immediately, even without surgery.

Nissan Pilest, MD · Answer

Thermage wouldn't be the recommendation I would give for the fine lines around the mouth. Thermage does a great job with loose skin, however, fine lines a wrinkles is best treated using BOTOX and or Fillers. Typically, you would use BOTOX in the upper part of the face and fillers for fine lines and wrinkles in the bottom part of the face. I have had success with using a very little amount of BOTOX and or hyaluronic acid fillers like Juvederm for the fine lines a wrinkles around the mouth.