What is the best procedure for deep, vertical lines on both upper and lower lips?

I read that laser resurfacing may be best for vertical lips lines. Is this true? If not, is there anything else? I am 63 years old and considering a facelift. Should I have the facelift before laser resurfacing or just the opposite?

I consider in my 25 years of practice the dermabrasion of vertical lips line is the most efficient.The recovery time is 7 to 10 days post op, but the result is natural and long lasting compared to any fillers or injection in this area. I usually perform this procedure before a Face Lift or together with Vertical Face Lift. I would advise fat transfer to this region of the face if necessary.

Monika Grzesiak, MD, PhD
Monika Grzesiak, MD, PhD
178A CzerniakowskaWarszawamazowieckie00-440PL

Monika Grzesiak, MD, PhD

Klinika Dr Grzesiak, Czerniakowska 178A,
Warszawa, 00-440, Poland

Great questions! In terms of timing, a facelift would not have a significant impact on deep wrinkles around your mouth. Thus, they can be performed in any order or you could have laser resurfacing at the same time as your facelift.

In terms of how to bet deal with the deep wrinkles around your mouth, a great deal depends on how much "sun damage" you have on your face. Any treatment modality - chemical peel, dermabrasion, laser ablation (CO2, erbium, fraxel ablation, etc.) can provide a significant improvement in the wrinkles around your mouth. BUT.....it will also make the skin around your mouth lighter in color. Often, patients that are in your age group with deep peri-oral wrinkles have a brown discoloration of the skin around the mouth and also on the adjacent facial skin. All of the above treatments will make the skin around the mouth lighter in color. While improving the wrinkles around the mouth, you may be unhappy with the difference in the skin color of the mouth area vs. the untreated adjacent skin of the face. Thus, while not a lasting solution, skin fillers may provide a temporary improvement in the wrinkles around your mouth. Please consider this information when you seek consultation with your ASAPS Board Certified plastic surgeon.

Michael I. Kulick MD
Michael I. Kulick MD
450 Sutter StSFCA94108US

Michael I. Kulick MD

450 Sutter Street, Suite 2620,
San Francisco, CA, 94108, US

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I have a fractionated CO2 laser which I use for facial wrinkles but still find that I get a better result with an inexpensive dermabrasion (sanding wheel) for the deeper lines around the mouth. Well respected Plastic surgeons who lecture on this subject like the Erbium Sciton laser for wrinkle's around the mouth as well. Get some opinions from local Aesthetic surgeons in your area who are members of the American Association of Aesthetic Surgery

Peter P. Kay MD, FACS
Peter P. Kay MD, FACS
2355 N Wyatt DrTucsonAZ85712US

Peter P. Kay MD, FACS

2355 N. Wyatt Drive, Suite 111,Tucson, AZ,
85712, US

Laser resurfacing is the ultimate way to reduce vertical lip lines. However, if the lip is depleted, then use of a filler may restore normal lip anatomy and reduce many, if not most, of the vertical lines. I usually start there since recovery from a Laser procedure is at least a week to 2 weeks and redness remains for a number of months thereafter. Both this and the laser can be done at any time compared to the facelift as long as they are coordinated. However, before considering a laser, or peel which also works, I start my patients on skin rejuvenation including hydroquinone and Retin-A. This is best started well before the facelift. The surgeon whom you select for the facelift should be able to care for all these problems. Discuss your desires at length.

Robert T. Buchanan MD
Robert T. Buchanan MD
209 Hospital DrHighlandsNC28741US

Robert T. Buchanan MD

209 Hospital Drive, Suite 202, Highlands,
NC, 28741, US

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A fractional laser treatment of some kind is the best long term option for reducing those stubborn lip lines. Botox can soften them temporarily if you are looking for a minimally invasive, (though temporary) procedure as an second option. The deeper the laser treatment, the better the result, therefore I suggest the fractional laser treatment to all of my facelift patients while undergoing facelift because they are already either asleep or numb in the lip area. You will be healed from the laser before the facelift and your smoother skin will make you feel even more encouraged as you go through the healing from the surgery parts. Be sure to ask to see before and after photos and to select a surgeon board certified in by the American Board of Plastic Surgery. Speaking with a patient from the practice that has gone through the same procedure(s) can also be very helpful and encouraging.

Douglas L. Hendricks MD
Douglas L. Hendricks MD
280 Newport Center DrNewport BeachCA92660US

Douglas L. Hendricks MD

280 Newport Center Drive, Suite 120,
Newport Beach, CA, 92660, US

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The optimal procedure for reshaping the lips for deep vertical lines is Erbium dual laser. Along with plumping of these deep areas approximately 3-6 weeks after your laser brasion with a Filler like, Restylane Silk, or Belotero. One should and can do the laser resurfacing and Facelift simultaneously in the hands of a Board Certified Plastic Surgeon with expertise in Facial Resurfacing and Facial Reconstruction.

Rod J. Rohrich MD, FACS
Rod J. Rohrich MD, FACS
9101 N Central ExpyDallasTX75231US

Rod J. Rohrich MD, FACS

9101 N. Central Expressway, Suite 600,
Dallas, TX, 75231, US

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