We now understand that many of the aging changes are due to loss of deeper tissue. One of the most frustrating forms of this, especially for women, is loss of tissue in the lip. This is something that is visible every time one looks in the mirror, and is often noticed by friends and acquaintances. The fine lip lines form chanels encouraging the migration of lipstick.
Previously we did not have a satisfactory answer for this. Laser resurfacing would eliminate the lines but was associated with considerable down time and considerable risk of permanent color change. Injecting filler into the lines was only a partial solution and not infrequently replaced the line with an elevated ridge.
Now we have thinner fillers available to us. These enable us to spread a thin layer of filler across the entire lip, replacing some of the lost tissue and reducing the lines. Furthermore, the filler also induces the skin to make new collagen, so after one or two treatments the results become longer lasting.
The photo above is before filler was added.
This photo is several weeks after filler was added.
This photo was taken several weeks after filler was added. With time the body will create new collagen that will make this result semi-permanent. Furthermore, this approach can be used to repair the skin on other parts of the face where the skin is crepey.
Gerald N. Bock MD
Stockton & Lodi, CA