Can lip filler help with 'smokers lines?' (photos)

Botox (or any of the other neuromodulators) would be appropriate for movement related wrinkles, and an appropriate, cohesive, less robust HA fillers, such as Belotero Balance, could then be used to elevate and smooth the etched-in, static "smoker's lines." I have cautioning my readers for years to exercise "buyer beware" when considering expensive fraxel laser or other energy-based devices (since the hard science to support their purported benefits lags well behind the heavy marketing hype to promote them), so I am not surprised that about the disappointment with the resurfacing procedures. Make sure to consult a board certified cosmetic dermatologist or other core aesthetic physician with experience in injectables and check out their personal befores and afters before agreeing to proceed. Best of luck.

Dear Lanolin86,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery