What DOESN’T fix upper lip lines!

I have lots of bad lines along the area between my top lip and my nose, and had injections of Restylane in these lines. But it's only three weeks and all the lines are back! This happened just the same the last time I had it done, about five months ago. I am aged 71 and have had this type of injection for ten years or so, but it doesn't seem to work for me any more. I am so, so sad, .. do you have any suggestions please? Kind regards, Heather x

In your situation, it would be good to go back and talk to your dermatologist.. Could he/she have changed their technique a little?   Here’s what DOESN’T work!

1)     Any radiofrequency/ultrasound based device on the market currently – like  Thermage, Exilis, Peleve, etc.    You might be able to use them for prevention if you’re 30ish – no data on this yet.

2)     Using just Botox/Dysport – doesn’t work but helps with progression of these and prevention.

3)     Using just a resurfacing  laser like Fraxel 1550 nm or CO2.  CO2 works the best and good for moderate to deeper lines and helps, but is not the whole answer if over 45-50.

4)     Using just filler especially if you already have a long upper lip or a lot of loss of volume around the mouth.   You want to AVOID the duck lip or weird heavy, protruberant upper lip we are all seeing in the media.  Experts often thin existing product a little to get better “flow” into these lines.  A upper lip dental block is good – this area is painful.

5)     Bottom Line –  most people do better with a little expert use of ALL THREE of these techniques.   A few drops of Botox/Dysport,  a light hand with filler and some laser depending on how deep these are.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!