Objectives: Botulinum toxin A is well documented as a useful therapy for smoothing dynamic facial rhytides of the upper face. Most controlled studies have focused on the treatment of glabellar frown lines, horizontal forehead lines, and crow’s feet.
Reports of botulinum toxin A use in the lower face are few and we present our experience using botulinum toxin A in the lip as a treatment of vertical perioral rhytides, which resulted in the added cosmetic benefits of lip eversion and enhanced lip fullness.
Introduction: The treatment of perioral vertical wrinkles is a very common request from female patients. Actinic damage, cigarette smoking, loss of deep structures volume, sleep positions, orthodontic deformities, and dynamic components have been thought to cause this aesthetic problem.The application of botulinum toxin in this region is a minimally invasive procedure that leads to substantial improvement in the signs of aging in addition to increasing the volume of the lips.
Materials / method: To maintain competence of the mouth, it is important to be conservative with dosing, and superficial injections are recommended over deep injections. In our practice, optimal results are achieved with doses not exceeding 2 to 4 UI of botulinum toxin per lip (with no more than 2UI per lip quadrant), with no side effects.
(Video demonstration)
Results: Smoothening of dynamic perioral rhytides as well as upper lip eversion/fullness is observed in patients treated with perioral Botox injections.
Conclusion: In select patients, perioral botulinum toxin A results in amelioration of perioral rhytides and enhancement of lip fullness and lip eversion. Botulinum toxin A injections may be considered as an additional treatment modality for dynamic perioral rhytides. Treatment must be individualized according to each patient’s needs.
The patients' satisfaction with the appearance of their lips when assessed by questions regarding to the lip’s shape, volume, attractiveness and beauty, received strongly positive answers.
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