are they aging can we get rid of them hi
I'm dr. Johnny we're talking about
smokers lines and vertical lip lines how
do you prevent them and how do you get
rid of them so smokers lines or vertical
lip lines there's so many people don't
smoke and get them they're very aging
and they're key to prevent so today I'm
going to go through a few things you can
do at home and in the physician's office
to help prevent and get rid of them you
don't see them in the very young but
they start typically at the age of 25 to
35 in many people especially the lighter
skin lhasa collagen hyper dynamics and
we're learning a lot more about the
movement of the face and how that
affects aging we also know that there's
bone loss and fat loss around the mouth
let's talk about the first two stages
there's really two stages in my mind
number one is I call the flashing stage
it's like the light like a flashing
light and you only see when people are
chewing talking or or whistling that's
when a good friend should tell a person
that it's happening because people don't
know they don't go home and look in the
mirror and talk or eat or two and a lot
of times they don't know until they're
actually seeing the line in the skin but
the early stage is where we want to get
on that stage 1 stage 2 the line is
engrained and etched into the skin these
are very difficult to get rid of we can
reduce them it's expensive and it's
always at the risk of making an
unnatural look if we're not patient with
it so stage 1 is where you can do the
most at home number one a retinal retina
preferably to improve collagen and
dermal thickness number two a vitamin C
works very well for this along with a
retin-a and number three of course
prevention with SPF a couple things for
habits number one don't drink through a
straw no whistling and people don't like
the third one and that is not chewing
gum a lot
people who are gun tours they can't stop
chewing and that chewing is creating a
hyper dynamic environment in the lower
face it females a lot of times you just
see a continual personing of the lips as
a natural expression and a lot of times
people have to tell you that's what
you're doing because a lot of people
don't realize it but it's from a lack of
support of the tissues and loss of
collagen and people sit there in a
pursed position and it just forms those
lines now we're in the office what can
you do in the office there's less
invasive things that you can do such as
radio frequency or ultrasound skin
tightening micro needling the lasers
we're talking non injectables here or
even fractionated radio frequencies
which is what I use a lot next we go in
finally to injectables and these really
have the most punch but they also you
have to be ready for some of the
consequences and also working with your
provider because it's an area that's
dynamic everyone looks at it when
they're talking to you they notice the
mouth you can't overfill the first thing
neural life modulators or Botox like
products works amazing do this early
even at stage one this works just about
six units 90% of people will tolerate it
the first time they get it they might
talk differently be unable to whistle
but that's because it was hyper dynamic
for a while that goes away it's one of
the most cost effective ways almost all
my patients do neuromodulator
around the lip the next one for
injectables of course is fillers and I
don't recommend a lot of people do
permanent fillers here in this clip you
see me use a micro cannula with PMMA
PMMA or Bella fill and I'm just using it
to create a bit of volume where there's
loss you never want to overfill if
you're gonna overfill you want to do a
hyaluronic acid product that you can
then remove if you don't like it because
you have to create that perfect ski-jump
so be very careful with permanent
products here but it can be done this is
the most common people use hyaluronic
acid either in a linear threading
technique or a little droplet along each
line and oftentimes this is where you
use a less robust hyaluronic acid
especially the first time so that you
don't see where you actually put the
filler so those are vertical lip lines a
lot of people ask for an update on that
you basically throw the kitchen sink out
of Eden to prevent it as much as you can
and everything else very judiciously
nothing to be overdone vertical lip
lines prevent them at stage 1 what do
you do what's been successful for you
let us know in the comments below also
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