Peri-oral wrinkles : A challenging area to treat

So many people have this problem of barcode lines (sometimes called Smoker’s lines)
Smoker's lines or lip wrinkles need combination treatment because the cause is a combination of factors - loss of volume, muscle hyperactivity, smoking and habits such as lip biting . Multiple treatments over a long period may be necessary before achieving the desired result.- this is especially true in severe cases
Despite what many people believe, smoker's lines or vertical lines above the upper lip are quite common regardless of whether or not someone smokes. This muscle is quite strong and constricts the lips - appearence of tightly pursed lips. I usually recommend a treatment plan that combines more than one modality. Using small doses of Botox will help relax one aspect of the underlying problem--an overactive muscle
Using cosmetic dermal fillers is a nice option with or without Botox and offers more longevity. An excellent filler to use is the iconic Restylane Vital Pen Injector. The technique for fillers above the vermillion border is important to provide a natural, appealing appearance. Chemical Peels as well as Medical micro needling is also an excellent treatment to improve the texture of the skin. This area benefits from combination treatment.


Also it is important to restore volume to the actual lip and peri-oral area using dermal fillers such as Restylane and Perlane

Lovely Result in Restoring Youthful Contours using Restylane Perlane and the Pix'l Micro-cannula

Patient (60s) before Perlane treatment but after Restylane Lip Treatment

This patient has already had one of my Luscious Lotus Lip Augmentations With Restylane (3 weeks before this procedure) and some Botox around the eyes (so called Crow's Feet) and also the frown lines (those infamous 11 lines between the brows).
Perlane was used to augment cheeks - to restore the youthful contours of the face and to restore the Golden Triangle. Next treatment on the list is a Restylane Vital course for this patient and some perlane in the temple region as well as in the tear troughs.

Earlobe Rejuvenation using the Restylane Range

The earlobes frame the face, and while having your face rejuvenated can bring a great improvement, if you leave the earlobes out, you're leaving behind a telltale aging sign. Just like the hands should match the face should match the chest - the earlobes should be taken into consideration as well. After years of wearing heavy earrings and sun exposure, the earlobes can wrinkle and sag too.
 
A quick and effective way of restoring volume to the earlobe is by injecting a small volume of Restylane or Restylane Perlane. To restore the hydro-balance the Restylane Vital Pen Injector can be used ( at the same time that it being using for full face hydro-balance restoration).

70 year old patient.Large, stretched ear piercing. The lobe
is thin and has lost volume. Patient complains of not being able to wear
"dainty"earrings.

Even though the size of the pierced earring "hole" is relatively the
same, volume is restored to the earlobe giving added support if
patient wants to wear earrings. If a purely surgical intervention is used - the hole may be smaller but earrings will not be able to be used.

Earring twisted in angular position to demonstrate the support
given by restoring the volume of the earlobe with Restylane Perlane.

The dainty earring fully supported .

Other Areas that Restylane can Restore and Enhance

Update : This treatment was done two years ago (early 2010), and the patient is having another treatment this week to maintain the effect. Restylane rocks!