Prof Berthold RZANY
Dermatologista
Toxin, the pearl of the lip
Objectives: To describe different indications for lip treatment with botulinum toxin (BTX)
Introduction: When it comes to lip treatment – except for gummy smile – BTX plays still an inferior role compared to other interventions. BTX can be used either to modulate muscular activity as well as gland activity.
Materials / method: Eminence based supported by a quick literature search
Results: Four indications come into focus: gummy smile, vertical lip lines, upper lip volume (lip flip) and salivary glands (mucocele or mucous cyst). Most evidence can be found on gummy smile, less on lip lines, lip flip and non on mucoceles. In general, the treatment of gummy smile works very well. The treatment of lip lines is often hampered by asymmetries and functional challenges so that it is mostly used in combination with other interventions as fillers. The treatment of mucoceles is less known. Based on personal experience it can work quite well.
Conclusion: Several indications for lip treatment with BTX exists. One should be award of these pearls and try to include them in the own portfolio when needed.
