Treatment for Perioral Lip Wrinkles

Perioral wrinkles are the fine or deep lines that develop around the mouth and lips. As we age, this area is usually one of the first to develop wrinkles. Like most wrinkles that appear on the face, sun exposure, genetics and smoking are major factors that cause lip wrinkles to emerge around the mouth.

These wrinkles gradually worsen with time, typically causing individuals to appear older. Perioral wrinkles can be an undesirable, telltale sign of aging. The appearance of Smokers’ Lines only exacerbates the condition.

Luckily these types of lip wrinkles are treatable. Temporary treatment via BOTOX® Cosmetic, Juvéderm® or Restylane® delivers an excellent outcome, enabling patients to return to their lives immediately after the procedure. The secret to an amazing outcome is utilizing Dr. Oleh Slupchynskyj’s microdroplet technique, where very small quantities are injected into an area. This technique is essential for an excellent result.

Phenol Peels are another treatment option for perioral lip wrinkles. Phenol Peels offer the most dramatic results because the skin is forced to create new, thicker collagen, thereby diminishing the appearance of wrinkles. These peels penetrate the skin address deep-set wrinkles and offer fantastic, long-lasting results.

Based on your skin type and your goals Dr. Slupchynskyj will work closely with you to devise a treatment plan that best suits your unique needs.


“How can I get rid of these lines over my mouth?” I frequently hear this question from my patients who are noticing what are commonly referred to as “Smokers’ Lines.” These are vertical lines that appear just above the mouth and actually occur in non-smokers as well. Created by the muscle actions of the orbicularis oris muscle around the mouth, these lines occur after years of normal mouth movement. Over time, there is a loss of collagen within the epidermal and dermal layers of the skin, resulting in skin laxity, creases and lines.

Typically, these stubborn lines are treated in a few different ways. Phenol peels are a deep level chemical peel that penetrates through the epidermis to the upper layer of the dermis. When the phenol reaches the upper level of the dermis, the collagen becomes disturbed. This disturbance results in the reorganization and development of new collagen. New collagen leads to more fullness and therefore fewer lines. One possible drawback though is hypo-pigmentation, or a permanent loss of color of the skin around the mouth. While effective in treating Smokers’ Lines, this potential side effect may be enough to deter some patients from phenol peels.

Smokers’ Lines can also be treated with dermabrasion. Not to be confused with micro-dermabrasion, dermabrasion involves the sanding down of the top layer of the epidermis through to the upper layer of the dermis. While the method of disturbance is different, the principle is the same: disruption of the collagen in the upper dermal layer, this time by dermabrasion, allows for the reorganization and creation of new collagen. One possible downside to this treatment is redness over the area that can sometimes persist for weeks or months. If not done properly, it can also lead to scar formation.

In the 1980s and 1990s, laser treatments were developed and also used to treat Smokers’ Lines. However, laser treatments have similar drawbacks to the phenol peel and dermabrasion. Scar formation, hypo-pigmentation and hyper-pigmentation (a darkening of skin color) are all possible. Lasers are also less cost-effective, as machines and equipment are very expensive for the physician, and that cost is often passed on to the patient.

As you can see, Smokers’ Lines, unlike other facial wrinkles, present a bit of difficulty for the practitioner seeking to treat them. There is a high level of technical know-how required for all of the methods described above, so many times practitioners take the easier path and treat Smokers’ Lines with BOTOX®, fillers and softer, less powerful lasers. While these treatments may produce small results, they are mostly ineffective. Penetrating the upper level of the dermal layer is necessary in order to see real results.

So, what do I tell the patient who hates the lines above their mouth? My preferred method of treatment is dermabrasion. Dermabrasion can be performed under Local Anesthesia and with very little downtime. I achieve consistent results with this method and think it’s the best way to say goodbye to your Smokers’ Lines. See the Before and After Photo of one of my patients who had dermabrasion to her mouth and chin area.

In addition to treating Smokers’ Lines and rejuvenating the lips, Plastic Surgery New York provider Dr. Oleh Slupchynskyj offers a variety of non-surgical treatments with dermal fillers and injectables. He is a talented BOTOX® provider who administers Juvéderm®, Radiesse®, Restylane®, and Sculptra®. Dr. Slupchynskyj also offers Glycolic Peels in New York at his practice.

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