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Rejuvenation of Lip Wrinkles

Posted: 6:00 a.m. Sunday, June 26, 2016

By Anita Mandal, M.D.
Question: I hate the deep lines around my upper and lower lips. I like the idea of using Bellafill, the 5 year filler. What are my options?

Answer: Treatment for deep lip wrinkles often requires a combination of 2 or 3 procedures, depending on your age, genetics, smoking history and sun exposure. Many patients with deep lip lines have the faulty impression that these wrinkles are a quick fix.

The different types of lip wrinkles are:

  • Very fine lines may be too fine to treat with injectable fillers, resulting in lumpiness. Infini RF to stimulate the lost collagen and elastin combined with a proper medical skin care regimen can be very effective. Restylane Silk or Bellatero can also work when the lines are not too fine.
  • Moderately deep lip lines that worsen with speech or lip pursing often require injectable filler combined with micro-Botox or an Infini-Botox combination. A high skill level is needed to perform effective micro-Botox injections in the lip lines while avoiding complications.
  • Very deep lip lines are often due to hyperactive lip muscles and loss of collagen and elastin occurring over a prolonged period of time. More aggressive therapy using the combination of Infini RF, micro-Botox and injectable filler is typically needed. Bellafill can sometimes help very deep lines. However, since lip lines are never as deep as smile lines or mouth corner lines, the most natural results are seen with more superficial fillers such as Juvederm or Restylane.

Given the complexities of lip wrinkle rejuvenation, selecting an expert Facial Plastic Surgeon is the first step and your most valuable investment. A skilled surgeon with a keen aesthetic eye recognizes the various types of lip wrinkles to give the most effective, natural improvement.


Kybella,10 Minutes: Permanent, minimal invasive neck fat removal for double-chin.

SculpSure, 25 Minutes: permanent, non-invasive body fat reduction with skin tightening.

Infini RF, 40 Minutes: Non-Surgical Facelift for sagging jowls and neck with no downtime.

Bellafill, 90 Minutes: The 5-Year Filler. Dr. Mandal is a BellaDiamond physician in the top 1% of expert Bellafill injectors in the world.


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