Blog with Dr. Irwin
Tag >> Lips
Dr. Irwin, The vertical lines on my upper lip, are really bothering me. I'd rather not have shots, and I understand lasers can help.. Which type of laser should I be looking at? Judi
Generally the CO2 fractionated or traditional (only in expert hands) is best for these. More on CO2 here. You may need to do your whole face though to avoid a cut off line and blending... more
I am a 45 year old African American woman. For about the past 3 months, the pigment in my lower lip has disappeared. I now have an exact red crescent moon shape starting from the inside of my lip that meets my natural skin tone. The discoloration is increasing and beginning to take over my entire lower lip. I have been anemic for the past year, if that is important. Is there anything I can do to stop this?
This a situation where you really need your doctor or your dermatologist. There are a number of conditions that can cause pigment loss on the lips but the most common one is vitiligo. ... more
How would you address fine lies and sun damage around the mouth? I'm 57 and they seem to be getting worse by the day.I don't really trust lasers and I also have sensitive skin. I use tns essential serum and revalie night cream right now. Thank you!
I'm glad you are thinking about what to do now because this is a complex area where there (unfortunately) isn't just one solution. But first of all, I'm going to assume that you're... more
I had Juvederm put in my lips. The doctor said I could use a little more but with it being so expensive he said he was going to put some botox around my lips to see if it gave me the look I wanted before I bought more Juvederm. What do you think?
I am 78 tears old and have deep upper lip lines. Would botox work for me?
To make a long story short - no!! Botox in the upper lip lines softens them a little. But at 78, my guess is that you probably have moderately deep ones (normal!). In your case, a... more
What is the best treatment for lip wrinkles. Not the smile lines or wrinkles above the lip, but my actual lips. They are full, however, they don't appear smooth. When I put on my lipstick, my lips appear to be full of verticle lines.
It would be very reasonable to try, in this situation, a series of 3 light beta hydroxy peels or light glycolic peels about 2-4 weeks apart. Find someone experienced with these. Then wait... more
I recently went for a consult for the area around my mouth and lips. I have pretty severe wrinkle damage in that area due to years of sun damage and smoking. The MD recommended doing a small amount of botox in five point areas around my mouth BEFORE doing Juvederm. I am confused by this and slightly nervous. Have you heard of this before?
Dear Doctor Irwin, I recently got the vertical lines in my upper lip filled and apart from thje fact that I was bruised for a week, I noticed that my lips for some reason now look smaller. I always used to pride myself in the fact that I had full lips and now they just seem "different"....is that normal?
Again, this is tough to say without seeing you but here are some thoughts. In general, as we age, the upper lip gets longer and loses it slight concave (like a gentle ski jump) shape. ... more
What are good products to use on lips overnight that will possibly renew and re-condition as Retin-A and moisturizer work for skin?
Lips tend to be sensitive like the skin around the eyes. I use the same products I use on my eyelids on my lips with good results. I really don't think you need separate skin care... more
Hello Dr Irwin, Your site is amazing. I have lost a lot of weight and this has affected my face, I am getting sculptra done on the 23rd of June, but what really upsets me is my smoker lines over my lips and my frown lines on my forehead can these be treated with sculptra, I know you might take month to answer as you are so busy but as i am being done on the 23rd of June maybe you could answer me before this. I would really appreciate this. Thank You.
Thank you - I really, really wish I had time to answer all of the great questions you all send me! I'm sad that there's just not enough time in every day.
Sculptra is great for certain... more
I received a Jessner's/TCA 35% medium depth chemical on my face and have a slight line of demarcation on my upper lip just about the outline of my lips. What would be the best way to correct this?
I'm going to assume that you went back to the Dermatologist who did the TCA peel and asked about this??? I'm also guessing that he/she didn't run the peel solution down just over the... more
Hi Dr Irwin I have hispanic skin Im 32 years old and I have smile lines that I want to get rid of I've heard of fillers but I really want to do a treatment that has longer results like laser I heard that fraxel is the best for any tipe of skin would the laser would get rid of smile lines? I also went to a place and I bought a package of 5 skin tightenings they said that It will improve my smile lines I really don't know what to do. I also wanted to know if the fraxel laser would also be good to improve the apperance of old white stretch marks in my tipe of skin Thanks
Okay - so I think you bring up some good issues. It's critically important to understand first why you have the smile lines. Do these same smile lines tend to run in your family in the... more
What is the best treatment for vertical lines over the lips?
I wish there was one "slam/dunk" treatment for vertical upper lip lines. They can be 80-90% corrected but it takes a little time, money and patience. There really is no one treatment... more
Dr. Irwin, as I've aged, the distance from my nose to lip has lengthened and my lips have also flattened. Is there a non-surgical way to shorten the appearance between nose and mouth, and to make my upper lip go up and out so they're not so flat looking?
The answer to this is yes ........but depending on the exact anatomy. You didn't tell me how old you are. If you're 80, it will be much harder than if you are 50. The bony structure of... more
Why don't you use sculptra in the lips. I would like to have my lips made a bit fuller but really don't want to spend 400 every 6 months.
Sculptra becomes bumpy in or around the lips where the muscles around the lips are strong. The same can be true around the eyes. Lumpy lips is not a good look! Dr.... more
Hi doctor I have 2 scars on my lips from 10 years ago. The scars occured after removing warts electrically. One on my upper left side lip and the other on the right side bottom lips and they are all hypertrophic. I had consulted with a plastic surgeon and he said that fraxel laser could help to makr the scars shrink I am so afraid because the lips are so sensitive . Does fraxel cauuse any more hypopigmentation or hyperpigmentation in my case? And does it work well to blur the scars edges because they are so reaised which get me embarassed
Hmmmm. I'd really like you to get an opinion from a dermtologist too. Do you have a good one in your area? Ideally, one who does the full range of medical, surgical and cosmetic... more
I have marionette lines around my mouth. It is due to volume loss in my chin. I had a bad experience with Restylane, (massive swelling after the procedure that scared me into a visit to the ER). Would Artefill be a more permanent option? I also had fat put into this area but it only lasted about 3 months. Could a laser tighten the skin in this area to get rid of it. It is not to bad I am 50.
I wish I could say your situation is unusual but I've heard many similar stories! Let's start at the beginning and think through this. I want you to go back to the mirror because most of... more
Is there a product or exercise to get rid of the small little lines around my mouth? These make my lipstick look funny.
There are 5 issues to think about for this area. But first, what causes these is the constant movement of the lips (so exercises don't work), sun damage and loss of collagen, fat and bone... more
What is the best treatment to correct the turning down of your mouth as you age? Does Botox help this any, or would just a filler be best? And how many units of Botox are generally injected in each site of injection? I am trying to calculate cost. Teresa
Botox should never be used in the lower face except by an expert injector because it can cause facial drooping (like a stroke only temporary) or problems with chewing and drooling. I will... more
Dr.Irwin- I had juvederm injected into the upper lip area to smooth lip lines that are hereditary. My first injections left the areas in approximately two weeks, and the second series left one area more plump that the right side leaving my face asymmetrical. I also had lots of injection problems with hematomas, purplish blistery knots, and swelling that lasts to this day. Continuing to this day (three months later) at this end of the day my lips swell leaving me very self conscious. Can you offer any advice on what the problems may have been, and what I can do to stop the swelling. I do not want to return to this physician (who is board certified in Dermatology). Please help if you can.
It helps me to know your age and how deep the lines are. In general, I don't like Juvederm for upper lip lines, unless they are quite deep for these exact reasons. It tends to be too full... more
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