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Vertical Lip (Smokers) Lines


Vertical lip lines are fissures that develop above your upper lip. Most women (but rarely men) get them with natural aging. This is due to loss of tone and elasticity in the skin as well as loss of volume under the skin. Additionally, your lips will also change shape and shrink with aging. The top lip turns down and the cupid’s bow widens. There is also loss of volume in the body of the lips, upper more than lower. This makes the upper lip very thin and unattractive. 



How are vertical lip lines treated?

Stop smoking and using straws. Stay healthy and avoid further sun damage. Use good skin care products. At Physical and Aesthetic Medicine, we offer a wide variety of options to treat vertical lips lines including dermal fillers, Botox, Vistapen Micro-needling and lasers.

Dermal fillers for lip lines

At Physical and Aesthetic Medicine, we use HA fillers to treat vertical lip lines. After numbing cream is applied, a small 30 g needle is used to inject the filler along the vertical lips lines to decrease their size and make the smaller lines disappear. We usually also inject along the vermillion border, cupid’s bow and philtrums.  This gives better lip definition and everts the upper lip creating a fuller-looking, natural lip and more youthful appearance. Silk and Belotero filler injections last about 6 months, and recently FDA approved Volbella last 12 months. The cost is about $400.

Botox for lip lines

Three to four units of Botox injected just above the top lip can decrease vertical lip lines for 3-4 months. The results are fair and thus usually done in conjunction with other treatments.  Slight temporary weakness of the lip muscles can occur. The cost is minimal at $30-40.

Vistapen Micro-needling for lip lines

Vistapen Micro-needling can decrease fine lines and wrinkles of the face, but not eliminate deep lip lines. Additionally, it is great at treating age spots, enlarged pores and uneven skin tone commonly associated with vertical lips lines.

Laser for lip lines

IPL laser for skin tightening can decrease fine lines and wrinkles of the face, but not the deep smokers lines. Cost is dependent on the area treated.





Before and After injection of Volbella above the upper lip, vermillion border, cupid's bow, philtrum and lip body by Dr Kuhlman