(603) 775-7444
137 Portsmouth Avenue Stratham, NH 03885
(603) 775-7444

Plastic & Cosmetic Surgery Skin & Laser Center

July 2017

All about lip lines and how to get rid of them.

 

 

 

Lip lines are one of the more common complaints in our practice. Here’s our recommended treatment plan to best get rid of them.

 

 

Successful lip line treatment is multimodal. This means no single treatment will provide the correction desired but rather a series of treatments will be required to obtain the best result. Lip lines are best addressed with (1) Filler, (2) Botox® or Dysport® and (3) Resurfacing.

 

Filler – Volbella® and Restylane Refyne®

 

Wrinkle formation is a complex interaction of structural tissue support and muscle pull on the tissue. Filler addresses issues of structural support. New fillers such as Volbella® and Restylane refyne® are specifically designed to provide this support in areas with significant movement such as the mouth. Filler is placed directly in the lip lines and underneath them to return the support that was present in youth. In our practice we frequently use Volbella® in the aging lip. This product spreads uniformly with low risks of lumps and does not provide excessive volume to the lips. Additionally, the water attracting nature of Volbella® provides an almost internal lip gloss. Volbella® can last up to a year after injection. Patients who are interested filler to the lips should avoid any medication that can increase bleeding risk. Patients should also do this on a day when they do not have any special events planned – lip swelling can last for 48 hours.

 

 

 

Neuromodulator – Botox® or Dysport®

 

Botox® or Dysport® block muscle movement around the mouth. Muscle contraction is the predominant reason for lip lines. Injection around the mouth is difficult and requires experience. Small amounts of neuromodulators are needed to have sufficient effect and reduction in wrinkle formation. Patients fall into two categories with respect to the treatment: love it or hate it. Some patients feel as though it affects the way they speak, making them self conscious. Typically, neuromodulators last approximately 2 to 3 months around the mouth.

 

 

Resurfacing – Microneedling, Ablative Laser, Chemical Peel

 

Resurfacing removes the top layer of skin but more importantly stimulates collagen production in the dermis. This collagen production reduces wrinkles and provides structural support much like filler. Microneedling is the least aggressive while a phenol peel and fractional laser are the most aggressive. More aggressive treatments result in more impressive results but have longer downtime.

 

 

Ultimately, all three treatments, filler, neuromodulator and resurfacing should be used in combination to treat pesky lip lines. Schedule your consultation today to meet with our surgeon to discuss your treatment plan.

What’s the hype about Volbella?


Volbella is an FDA approved ultra smooth gel filler from Juvéderm that is used to decrease lines and wrinkles on the face.  The smooth formula is injected with fine needles to give the lips a natural look and feel.  Volbella is developed with lidocaine, a local anesthetic, so that treatment is less painful and uncomfortable.  It is primarily used to target the areas around the mouth, such as smoker’s lines and marionette lines, and to shape and plump the lips for increased symmetry and volume. It can be used to reduce the appearance of under eye hollows, also known as tear troughs, by adding volume back to the areas where it may have been lost due to aging.

The procedure typically takes no longer than 10-15 minutes.  Since the swelling and bruising is minimal, there is very little downtime following the treatment. The results of Volbella often last for up to 12 months.  Call our office to schedule an appointment with one of our specialists.


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What Our Patients Are Asking About Facial Enhancement Procedures

What are the best alternatives to a face lift?

Generally, there are no equal substitutes.  Every alternative does something different. A facelift tightens the skin of the face and neck as you might do with your fingers by gently pulling back towards your ears. This takes away excess skin and most wrinkles but doesn’t alter the actual texture of the skin. Injectable fillers can fill out indentations or creases but can’t compete with facelift with regard to tightening or restoring more youthful lines. >BOTOX® Cosmetic simply stops the undesirable creases associated with some facial expressions.

What is the best treatment for under eye wrinkles?

When very subtle, these lines might respond to topical creams. For more severe lines especially when associated with bulging and excess skin, surgical options include blepharoplasty and laser skin resurfacing.

What’s the difference between popular wrinkle fillers? There are so may “wrinkle fillers” like Restylane, Juvederm, etc.  How can I pick the right one?

Restylane and JUVÉDERM are very similar products manufactured by two different companies. It’s generally a question of personal preference. Fillers can differ in how long they last and how effective they are for different areas.  What’s effective for lip enlargement might not be best for a crease.