The mouth is a symbol of youth, attraction and sensuality. It should be well formed, and the lips clearly defined and plump.
Due to anatomical reasons, and aggressive environmental factors, this zone often ages more markedly than the rest of the face.
Glogau has defined a photo ageing scale for the lip-mouth area :

Type I

Early photo-ageing

Type II

Early to moderate photo-ageing

Type III

Advanced photo- ageing

Type IV

Severe Photo ageing

Age 20-30 years 30-40 years 40-60 years 60-70 years
Clinical signs Tiny signs of vertical wrinkles, minimal change to the upper lip Light to moderate vertical wrinkles. Starting to see: lip atrophy, nasolabial lines, nasolabial ptosis Increasingly marked vertical lines to the upper lip. Moderate atrophy to red of the lip +/–

Sagging of the edge of the lip (labial commissures) +/–

Nasolabial folds

Lip folds _

Nasolabial folds Deep vertical lines to the upper lip

Lip-chin folds ++/- Atrophy to the red of the lip

More or less marked ptosis

Age-related changes to the lips include:

– Drying and discoloration of the red of the lip.
– The loss of definition of the lip edge and the lips.
– The red of the lip thins/ loses volume.
– The labial commissures (side edges) sag and become hollow.
– The philtral crests flatten and the Cupid’s bow loses definition.
– Vertical wrinkles appear, notably above the upper lip, creating the ‘bar code’ or ‘sun folds’ effect).
photo lips vertical wrinkles

The ‘bar code’, frequently seen among smokers, is due to dermal breakage, caused by repeated contractions of the dermis when the orbicular mouth muscle moves.
image get rid of smoker lines

Several ‘at rest’ stages exist :

gravity and stage of smoker lines and lips wrinkles

and several ‘movement’ stages :
photo cause of wrinkled lips

Aesthetic medical treatment for lip wrinkles

The ‘bar code’ can be treated by:

– Hyaluronic acid injections

Injection is by needle along the line of the ‘red lip’ or by the ‘bleaching technique’.

picture remove lips wrinkles by hyaluronic acid

A very feebly reticulated product is used, such as Emervel touch or Emervel Classic (this is not used for the ‘bleaching technique’). If the wrinkles are accentuated and the photo-ageing too significant, ‘cross-hatching’ is performed via cannula to the white of the upper lip, perpendicular to the lines (this procedure is a bit tedious as the dermal contacts must be broken). Sometimes, just the coating suffices.


– Ablative laser (Erbium Fractionated), or (even better) Continuous laser : this treatment is the equivalent of a phenol peel. (See the details on the Erbium laser)

If one chooses the Fractional laser, four sessions will be needed. If the Continuous laser is chosen, one session will suffice. The result will last about ten years, and rejuvenates without equal, but there is a down time of about two days if by Fractional laser, and ten days for Continuous laser. Please see the details on deep peels where this treatment is detailed.

Aesthetic treatment of lips wrinkles: before and after photos

before after smoker lines removal cosmetic treatment in paris

For more images go to :

This page is purely informative, in accordance with the guidelines of the Ordre of Doctors.It is not a publicity for treatments

Applications of facial aesthetic medicine

occidentalisation visage asiatique

Westernisation of Asian features

visage féminisation

Feminization of facial features

masculinisation visage

Masculinisation of male faces

beautofocation visage esthétique

BeautiPHIcation of faces

visage profil esthétique

Improve face profile

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The babyface

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Frown lines 

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Forehead wrinkles 

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Crow’s feet wrinkles

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Gummy smile 

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Slim down the face, have a v-shaped face

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Treatment for teeth-grinding

augmenter lèvres sourire

Lip plumping, and smile improvement

plis amertume

Bitterness folds

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Sunken cheeks and creased cheekbones

rides du sourire

Smile lines



front acide hyaluronique

Forehead and hyaluronic acid





tempes creuses

Sunken temples

sillon naso-génien

Naso labial folds


Medical rhinoplasty

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