Face modelling Wrinkle treatment mouth
Mouth region

Upper-lip wrinkles


Upper-lip wrinkles, also known as lipstick lines, form vertically above the lips. They mostly appear on the upper lip but, with age and depending on the respective lifestyle (e.g. smoking), they may also appear below the lower lip.


In very severe cases the use a filler in addition to the Botox® treatment may be recommendable as excessively high doses of Botox® might severely affect the ability to move the mouth which might lead to various complications.


Weak connective tissue and age often are the contributing factors of upper-lip wrinkles; however, they may even appear in women under 40, making them look significantly older than their natural age.


Marionette lines


Marionette lines are very distinct creases.

They are deep wrinkles that originate from the corners of the mouth and run downwards creating what is called a “marionette mouth” by pulling the corners of the mouth down and giving the face an unfriendly appearance.

Due to the pronounced nature of these wrinkles it is recommended to use dermal fillers; a treatment of this area of the face with Botox® is not advisable as it might severely affect the facial expression.


Lip augmentation and re-shaping


The most frequent lip correction procedure is lip augmentation.

Size and shape of the red of the lips can be adjusted using filling materials; this can have a very positive effect on a person’s overall appearance. In most cases, both lips are enhanced, but it is also possible to remedy an imbalance between the upper and the lower lip or to balance asymmetries.

Lip augmentation is performed in several steps; in most cases it makes sense to start with enhancing the contours of the lip.


The results of lip augmentation disappear faster after the 1st hyaluronic acid treatment than after subsequent treatments. Please also note that hyaluronic acid breaks down faster in the centre of the lips than at the edges.


The procedure is performed using thin needles for injecting the hyaluronic acid into the lips and takes approximately 30 minutes.


After the treatment, the lips should be cooled and excessive facial movement in the lip region should be avoided. After the intervention, the lips are swollen and the lip region may be overly sensitive; smaller bruises may appear but will soon vanish. Full recovery will take a maximum of 10 days but, depending on a person’s physical condition, may be reached within just a few days.

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