Lip ageing and vertical ‘Barcode’ wrinkles

Close-up portrait of mature woman puckering lips against grey background. Senior woman grimacing. Focus on lips.

The mouth is a symbol of youth, attraction and sensuality.
For anatomical reasons and environmental aggression, the aging of this zone is often more marked than the aging of the rest of the face.
The "bar code", commonly seen among smokers, corresponds to breaks caused by the repeated contraction of the dermis during movements of the orbicularis muscle of the mouth and skin changes due to aging.

Age-related changes to the lips include:
- Drying and discoloration of the red lip.
- Loss of the definition of the hem and lips.
- Red lip thinned and / or returned with decrease of its volume.
- Labial folds sagging and hollow.
- Flattening of the philtric ridges and loss of the definition of Cupid's bow.
-Vertical labial wrinkles, especially at the level of the upper lip (“bar code” or “sun wrinkle”).

STAGES

Several ‘at rest’ stages exist 

Stage 0 

Absence of wrinkles

4

Stage 4

Very deep wrinkles

1

Stage 1 

Light wrinkles

3

Stage 2 

Moderate wrinkles

 

3

Stage 3 

Deep wrinkles

Several ‘movement’ stages

5

Stage 0 

Absence of wrinkles

9

Stage 4

Very deep wrinkles

7

Stage 1 

Light wrinkles

7

Stage 2 

Moderate wrinkles

 

8

Stage 3 

Deep wrinkles

POSSIBLE TREATMENTS

seringue acide hyaluronique

Hyaluronic acid

The injection is done by needle either along the wrinkle from the vermilion (Red lip ) or by the technique known as 'bleaching technique'.
A low crosslinked product such as Emerveltouch or EmervelClassic is used. If the wrinkles are marked and significant photo-aging, we first made a topping of the upper lip white to the cannula, perpendicular to the wrinkles (this gesture is a bit tedious because it is necessary to break the dermic adhesions). Sometimes the topping alone is enough

Ablatif Laser

Cutaneous ablation and laser heat densify the skin of the white upper lip.
If the treatment is done in split mode, we perform 4 sessions at a month and a half apart. Wrinkles improve without disappearing completely. The advantage of this technique is a short social eviction of 3-5 days and the absence of demarcation.
If the treatment is done in continuous mode, a session is sufficient for the disappearance of these wrinkles but there is a risk of demarcation and the consequences are heavier (social eviction of 7-10 days, then pink skin for 3 months).

woman wearing protective glasses, getting laser facial treatment. Facial skin rejuvenation
beauty salon, facial peeling mask with retinol and fruit acids

Medium or Deep Peel

Depending on the depth of the wrinkles we choose a medium TCA peel or a deep phenol peel. This method result and leads to the disappearance of wrinkles. Moreover, the results and the complications are similar to the ones that appear with the continuous ablative laser.


Written by Valeria Romano

Former intern at the Hospitals of Paris Graduate of the Faculty of Medicine, University of Paris 7 – Paris Diderot Registered with the medical board of Paris, n° 75/80452 More informations

 
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