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Vertical Lip (Smokers) Lines


Vertical lip lines are fissures that develop above your upper lip. Most women (but rarely men) get them with natural aging. This is due to loss of tone and elasticity in the skin as well as loss of volume under the skin. Additionally, your lips will also change shape and shrink with aging. The top lip turns down and the cupid’s bow widens. There is also loss of volume in the body of the lips, upper more than lower. This makes the upper lip very thin and unattractive. 



How are vertical lip lines treated?

Stop smoking and using straws. Stay healthy and avoid further sun damage. Use good skin care products. At Physical and Aesthetic Medicine, we offer a wide variety of options to treat vertical lips lines including dermal fillers, Botox, micro-needling, lasers, threads, plasmapen and skin care products.

Dermal fillers

At Physical and Aesthetic Medicine, we use HA fillers to treat vertical lip lines. After numbing cream is applied, a small 30 g needle is used to inject the filler along the vertical lips lines to decrease their size and make the smaller lines disappear. We usually also inject along the vermillion border, cupid’s bow and philtrums.  This gives better lip definition and everts the upper lip creating a fuller-looking, natural lip and more youthful appearance. The cost is about $500.


Three to four units of Botox injected just above the top lip can decrease vertical lip lines for 3-4 months. The results are fair and thus usually done in conjunction with other treatments.  Slight temporary weakness of the lip muscles can occur. The cost is minimal at $30-40.


Micro-needling can decrease fine lines and wrinkles of the face, but not eliminate deep lip lines. Additionally, it is great at treating age spots, enlarged pores and uneven skin tone commonly associated with vertical lips lines.


Our new LaseMD laser can significantly reduce vertical lip lines with four monthly treatments. These treatments are typically used to treat the entire face for fine lines, acne scars, enlarged pores and uneven skin tone.


A few threads gently placed under the skin above the top lip can decrease vertical lip lines. There is minimal discomfort, no downtime, minimal cost (less than $100) with results lasting about 6 months.


Our plasmapen treatments will decrease lip lines by about 50%. There is about 5 days downtime (visible black dots above the lip), but the results last 3 years.

Skin Care Products

Daily application of our professional grade skin care products can decrease small lines and wrinkles throughout the face for minimal cost.






Before and After injection of Volbella above the upper lip, vermillion border, cupid's bow, philtrum and lip body by Dr Kuhlman








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