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Can a lip look wrinkled after many lip injections?

“If a person receives lip injections many times, starting at a younger age, can a lip start to look wrinkled, kind of like deflated balloon if they decided to stop?  I know how thin and tender that skin is???”      

Julie T Coto de Caza, CA

As we age, most of us lose volume in our faces, lips, and tops of our hands, while we park fat over our abdomens, thighs or necks.   Lips do become more wrinkled, more so in females than males, for a combination of factors, a natural deflation being one of them. Lines also begin to become more prominent due to chronic muscle contraction, which creates lines perpendicular to the direction of the muscle contraction, leading to mainly vertical lines on the lips.   These lip lines can be improved by filling the lips with either fat or hyaluronic acid, by weakening the muscle action with Botox® (something we do not routinely recommend because the muscles also help with pursing of the lips and function will be lost), or by treating the surface of the skin with either lasers or chemical peels. Which method would be most appropriate for a given patient varies with multiple factors – you should see a qualified physician to go over your options before making this important decision!    Many young and healthy patients who have not had any particular fat loss of their lips or faces choose to enhance their appearance by injecting a filler into their lips to make them appear fuller for purely aesthetic reasons. I know of no scientific evidence that beginning to do so at an earlier age has any long-term effects on the lips.   Specifically, there is no reason to believe that, once the filler absorbs with time, that the patient will be more likely to develop lip lines, or that the lines would be deeper or more pronounced than had the patient never had a filler!

Below are a few different examples of patients whose lip lines were improved with plastic surgical procedures.

Example 1

46 year old female, who was going to surgery for an unrelated procedure, before and after a microfat grafting procedure to restore volume to her lips and consequently, to minimize her vertical lip lines.    Actual patient of Dr. Bunkis of Orange County Plastic Surgery in Newport Beach, CA – your results may vary.

Example 2

And finally, here is an example of a 61-year-old female with marked lines around the mouth, mainly due to muscle action, before and after a CO2 laser resurfacing of the area around the mouth. Actual patient of Dr. Bunkis of Orange County Plastic Surgery in Newport Beach, CA – your results may vary.


If you have any specific questions about cosmetic procedures, your best bet would be to see a qualified plastic surgeon to review your options. Please feel free to contact our office at 949-888-9700 to set up an appointment with Dr. Bunkis or his Physician Assistant, Crystal Osborn; you may also check out our website at www.orangecountyplasticsurgery.com  to see further examples of similar patients.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.