Aging Upper Lip Lines

Lip - Aging Upper Lip Lines

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One of the features of facial aging that bothers women the most is the development of upper lip lines. Either they be small fine lines that are at the junction of the skin and upper lip or much deeper lines that increase vertically way up into the skin...women hate them...as they indicate a more aged mouth look and in more severe cases allows lipstick to bleed up into the lines. Many patients think it is due to smoking and persisting sun exposure (and clearly these can make a big contribution) but the reality is...it is a function of full your lips are and how thick your skin is.

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This is why this is much more of a problem in Caucasians of northern European and English descent than it ever is in African-Americans, southern Europeans, or those of Mediterranean origins. As all natural wrinkles form perpendicular to the direction and operation of the basal muscles, vertical lip lines design from the operation of the circumferential orbicularis muscle that purses your mouth around a straw, cigarette, or puckers for that kiss.

While the determination of this problem is easy, it's rehabilitation is not. Since you can't cure the cause of the lines (thicken your skin or stop enchanting your mouth), I tell patients to think about revising (but not elimination of the upper lip lines) and the need for maintenance treatments as we are not curing the root of the problem. rehabilitation choices are based on three achievable objectives; diminish the muscle movement (Botox), plump up the lips or fill the lip lines (injectable fillers), or 'sand' down the wrinkles. (dermabrasion or laser resurfacing). Any combination of two or more of these will yield a great ensue in most patients. While Botox can easily weaken the muscle movement and cause less puckering, it must be done considered so as not to originate an unnatural lip movement with smiling.

For this reason, this is normally the last policy I will do or will do it only in combination with all things else in the most severe cases. Injectable fillers are a good option if the outpatient can accept or wants a larger lip. If not, then dermabrasion or medium-depth laser resurfacing is the only other option. The best results that I normally see is when the upper lip is slightly enhanced with a filler and the upper lip is then laser resurfaced at a depth of 50 - 100 microns.

This is probably the best combination if, again, the outpatient can accept a larger upper lip. It heals within a week and can be done in the office under local anesthesia. Patients will normally have to repeat the policy once a year for maintenance of good results. However, it is fair to say that upper lip lines defy one particular permanent solution.

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