How to remove smoker's lines- update

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Upper lip and smoker’s wrinkles

Due to the high UV index in Brisbane, removing lip wrinkles is in the top 5 most frequently requested treatments that I get asked. Treatments will always depend on the severity of wrinkling- in severe cases, laser resurfacing is needed for the best results, in some cases fillers like Juvederm, Restylane and Radiesse can provide an excellent result with no downtime.


What treatment options do I have for upper lip lines and wrinkles?

There are several options that reliably erase upper lip lines and wrinkles.
My favoured treatment for moderate to severe lines and wrinkles is that of laser resurfacing. Laser works be ‘erasing’ the lines and stimulating new collagen. Results are instant, but recovery times vary.
Another method to treat mild to moderate lines and wrinkles is a combination of Botox and filler. This method is temporary, and needs to be repeated every 3-12 months. The upside is that downtime is zero. I prefer fillers such as Restylane, Juvederm or Radiaesse to treat lines in this area.



Why is laser treatment better than fillers for moderate to severe upper lip lines?

In my opinion laser resurfacing is better than fillers for moderate to severe wrinkles due to the following reasons-
Treatment is permanent and does not need to be repeated every 6-12 months-unlike filler. This does not mean you will never get wrinkles again, but with laser resurfacing I can ‘take your skin back 15-20 years’.
Laser resurfacing gives a much better ‘blend.’ By blending I mean it can treat other areas apart from the lip. Most patients with lip wrinkles and lines will also have wrinkles on the cheeks, lower lip and around the eyes- laser can address all these areas.
Fillers ‘fill and hydrate the skin’ with a natural substance called HA or Hyaluronic Acid. Fillers do not stimulate collagen. Lasers on the other hand can also address sun damage and pre cancer cells, as well as stimulating HA and collagen by your immune system.


What type of laser do I use for treating wrinkles?

My most used treatment is a combination of both CO2 laser and Erbium laser, in the one session. This gives excellent results, but the downside is that it takes up to 10 days before skin recovers. Fraxel laser, in my opinion is only modest in improvement of wrinkles and lines. Up to 3 treatments are needed. The upside is that this is a safe treatment with little downtime- ideal for anxious patients. RF or RadioFrequency treatment is marketed as fractional resurfacing by cosmetic clinics. It is not. RF can stimulate collagen, however it s role is early scar remodelling and compounded collagen stimulation. RF by itself, will need 4-5 treatments, and the outcome will be mild to modest at best. Not my ideal treatment. If I perform RF it is with either the Instensif Endymed system or the Infini with PRP.


Why do filler treatments suit some people better than laser resurfacing?

Filler are ideal for fine lines and moderate wrinkles but most importantly in patients who cannot have the downtime associated with laser resurfacing. Fillers are literally a walk in walk out procedure, whilst laser treatments are conducted in theatre and will be associated with a healing time of 4-10 days; depending on the severity of wrinkles and lines.

Thanks for watching, please subscribe if you like this channel, educational videos every Saturday morning, Brisbane time Australia.

Dr Davin Lim, Aesthetic and laser dermatologist.





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