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Smoothing the way: The best treatments for wrinkles above the lips

Coarse wrinkles above the lips can be tough to treat, but there are proven treatments that can help.

Curology Team Avatar
by Curology Team
Updated on Dec 4, 2023 • 11 min read
Medically reviewed by Camille Dixon
Wrinkles Around the Lips
Curology Team Avatar
by Curology Team
Updated on Dec 4, 2023 • 11 min read
Medically reviewed by Camille Dixon
We’re here to share what we know — but don’t take it as medical advice. Talk to your medical provider if you have questions.

In this article

What causes wrinkles above the lips?
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There’s no one-size-fits-all in skincare. What works for one person may not necessarily have the same results for someone else. But it’s only natural to want the best, so our team of licensed dermatology providers reviews and assesses countless products on the market to offer a few recommendations. So here, you’ll find the products that hold up to our rigorous standards.

As we journey through life, our skin naturally shows signs of aging. From the laughter lines that remind us of joyful memories to the inevitable creases that appear from the passage of time—our skin tells a story. How soon these appear can be affected by a multitude of internal and external factors.

Age, smoking, and sun exposure are primary culprits that can manifest as wrinkles around the mouth. Finding the best treatment for wrinkles above the lips can be a challenge, especially given the tougher nature of these wrinkles compared to finer ones. 

Here, we’ll dive into the causes of these wrinkles, explore preventive measures, and highlight the most effective treatments available. Whether you’re considering professional procedures or searching for at-home solutions, we’ve got you covered.

What causes wrinkles above the lips?

Wrinkles above the lips, often referred to as perioral rhytides, are a common concern for many. The development of these wrinkles is influenced by a combination of both intrinsic and extrinsic factors.¹

Intrinsic factors are those that come from within our bodies.² Two of the primary intrinsic contributors to wrinkles are genetics and the natural aging process. As time passes, our skin naturally loses its elasticity and firmness, leading to the formation of fine lines and wrinkles.³

Additionally, the muscles located beneath our mouth area change shape as we age, providing less support for our skin. This decreased support allows the skin to become more lax, contributing to the appearance of wrinkles in the region around the mouth.⁴

On the other hand, extrinsic factors are external elements that can accelerate the skin aging process.⁵ The major culprits in this category are sun exposure, smoking, and air pollution. Prolonged exposure to the sun without protection can damage our skin, leading to premature aging.⁶ Smoking, in particular, has a pronounced effect on the skin around the lips. The repetitive pursing of the lips while inhaling a cigarette can exacerbate the development of perioral rhytides.⁷ In fact, lines around the lips are most evident in individuals who smoke.⁸ 

While intrinsic factors typically result in fine lines, extrinsic factors are more likely to cause coarse wrinkling.⁹ This distinction highlights the significant impact that our external environment and lifestyle choices can have on our skin's appearance. So, protecting your lips and making conscious lifestyle choices can help mitigate the appearance of these wrinkles.

How to prevent wrinkles above the lips

Wrinkles above the lips are a natural part of the aging process. While we may not be able to stop all signs of aging, there are steps we can take to prevent premature aging and reduce the appearance of these wrinkles.¹⁰

Sun protection

One of the primary culprits behind premature aging is sun exposure. The sun’s harmful UV rays can damage the skin, leading to early signs of aging.¹¹ To protect your skin, always wear sunscreen, even on cloudy days or during the colder seasons. If possible, wear wide-brimmed hats and sunglasses when outdoors. This not only protects the delicate skin around your lips but also the rest of your face and neck.

Daily moisturizing 

Keeping the skin hydrated is crucial in maintaining its elasticity and preventing wrinkles.¹² Moisturize your skin daily, focusing on areas that are prone to dryness, such as the region above the lips. Well-hydrated skin is plumper and can help reduce the appearance of fine lines.

Avoid repetitive motions 

Regularly pursing your lips, whether to sip from a straw or smoke a cigarette, can lead to the development of wrinkles in that area over time. Additionally, cigarette smoke is particularly harsh on the skin.¹³ To keep your skin looking youthful, consider cutting down on these repetitive actions and avoid smoking.

Healthy lifestyle choices 

Our skin’s health is a reflection of our overall health. A nutritious diet filled with fresh fruits and vegetables can improve skin health and slow down the aging process.¹⁴ Regular exercise boosts circulation, ensuring that essential nutrients reach our skin cells. By maintaining a healthy lifestyle, you’re promoting overall skin health, which can help prevent wrinkles.¹⁵

So while aging is inevitable, there are proactive steps you can take to maintain a youthful appearance. By protecting your skin from the sun, moisturizing regularly, avoiding certain repetitive actions, and leading a healthy lifestyle, you can reduce the chances of developing premature wrinkles above the lips.

What are the best treatments for wrinkles above the lips?

While wrinkles above your lips don’t represent any health risk, they can be an aesthetic concern for some people. There are numerous treatments available; however, the most effective ones typically require a visit to a licensed dermatology provider or other trained professionals. Here's a breakdown of the top treatments for this area:

Botox

Botox is a popular treatment that involves injecting a substance to relax and temporarily paralyze specific muscles. While it’s more commonly used on the upper face, such as the forehead and around the eyes, smaller doses can be effectively used around the mouth area. When administered by a skilled practitioner, Botox can help smooth out wrinkles, providing a more youthful appearance.¹⁶ 

Fillers

Fillers can be quite helpful in reducing the appearance of vertical wrinkles around our mouth. Fillers are injectable substances used to plump up the skin and reduce the appearance of wrinkles. There are several types of fillers available, including:¹⁷

  • Hyaluronic acid: Fills wrinkles by helping to retain moisture and adding volume to the skin.

  • Calcium hydroxyapatite: Provides a firmer structure to the skin. It can also stimulate collagen production to improve the appearance of the facial skin. 

  • Collagen: A natural protein that supports skin elasticity and helps fill wrinkles.

  • Autologous fat: Using one’s own fat to fill in wrinkles.

  • Polymethyl methacrylate: A permanent filler that remains beneath the skin. This filler material is not reversible. 

Lip Resurfacing

This treatment aims to rejuvenate the skin around the lips. Techniques include:¹⁸ 

  • Dermabrasion: A mechanical method that sands away the top layers of the skin.

  • Light-based therapies: Use light energy to boost collagen production and improve skin texture.

  • Chemical peels: Apply a chemical solution to exfoliate and peel off the skin, revealing a newer, smoother layer.

Laser Resurfacing

This procedure uses focused light beams to remove damaged skin layers, stimulating the growth of new skin cells. It can effectively reduce wrinkles around the lips, giving a refreshed appearance.¹⁹

Microneedling

This treatment involves the use of tiny needles to create micro-injuries on the skin’s surface. These minor injuries stimulate collagen production, a vital protein responsible for skin elasticity and strength. As a result, microneedling can help diminish wrinkles and fine lines.²⁰

While there are many treatments available for wrinkles above the lips, it’s essential to consult with a trained professional. They can recommend the most suitable procedure based on your specific needs and desired results. With the right approach, you can achieve a smoother and more youthful look around the mouth area.

Promote smooth, healthy skin with Curology 

While the most effective treatments for wrinkles above the lips require a visit with a dermatology provider, there are some other treatments that you can apply at home. If you’re concerned about the appearance of fine lines or wrinkles on your face, a prescription-strength topical treatment may help.

Curology’s Future-Proofᴿˣ for anti-aging can help prevent early signs of aging while also helping promote healthy, glowing skin with a prescription-strength formula customized for you. Your formula may contain up to three active ingredients like tretinoin (a prescription strength topical retinoid), azelaic acid, niacinamide, and more. 

Get your personalized skincare routine with Curology

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FAQs

How do I get rid of wrinkles above my upper lip?

To effectively reduce wrinkles above your upper lip, consider consulting a licensed dermatology provider. Professional treatments that have the highest proven efficacy for these types of wrinkles include:

  • Botox²¹ 

  • Fillers²²

  • Dermabrasion²³  

  • Light-based therapies²⁴ 

  • Chemical peels²⁵ 

  • Laser resurfacing²⁶

  • Microneedling²⁷ 

There are also some over-the-counter and prescription-strength topical products that can help diminish these wrinkles.

Is retinol good for smokers’ lines around mouth?

Retinol may be beneficial for addressing smokers’ lines around the mouth. Available in many over-the-counter skincare products, retinol, when applied daily, helps prevent premature skin aging.²⁸ Smoking is more likely to cause coarse wrinkling,²⁹ which can be more stubborn than fine lines. So for the most effective treatment of wrinkles above the lips, it’s recommended to consult with a licensed dermatology provider.

Why am I getting lines above my top lip?

Lines above the top lip, known as perioral rhytides, can develop for a couple of reasons. As we age, the muscles beneath the mouth area change shape, offering less support. This causes the skin to become more lax, leading to wrinkles.³⁰ Additionally, repetitive actions, like pursing the lips, can accelerate the formation of these lines. This effect is especially noticeable in smokers.³¹ So, both natural aging and certain habits contribute to the appearance of lines above the top lip.

Does microneedling help with upper lip lines?

Yes, microneedling can be beneficial for addressing upper lip lines. The procedure involves tiny needles creating micro-injuries on the skin’s surface, which in turn stimulates collagen production.³² Collagen is a vital protein that enhances skin elasticity and firmness. 

By boosting collagen levels, microneedling can help minimize wrinkles and fine lines, including those on the upper lip.³³ So, if you’re looking to reduce the appearance of lines around your mouth, microneedling might be a suitable treatment option for you.

What causes deep wrinkles on upper lip?

Deep wrinkles on the upper lip arise from a combination of factors.³⁴ Intrinsic elements, like genetics and the natural aging process, contribute to fine lines. However, coarse, deeper wrinkles are often a result of extrinsic factors such as sun exposure, smoking, and air pollution.³⁵ The repetitive action of pursing the lips, especially in smokers, further exacerbates these wrinkles. Additionally, as we age, the muscles beneath the mouth lose their shape and support, causing the skin to sag, which can lead to pronounced wrinkles around the mouth area.³⁶

• • •

P.S., We did the homework, so you don’t have to:

  1. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. (October 2021).

  2. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  3. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  4. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  5. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  6. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  7. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  8. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  9. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  10. American Academy of Dermatology Association. How to prevent premature skin aging. (2021, February 25). 

  11. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  12. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  13. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  14. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  15. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  16. Li, K., et al. Application of Nonsurgical Modalities in Improving Facial Aging. International Journal of Dentistry. (2022, February 24).

  17. Li, K., et al. Application of Nonsurgical Modalities in Improving Facial Aging. International Journal of Dentistry. Ibid.

  18. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. (June 2019).

  19. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. Ibid.

  20. Ludmann, P. Microneedling Can Fade Scars, Uneven Skin Tone, And More. American Academy of Dermatology Association. (2023, July 17).

  21. Li, K., et al. Application of Nonsurgical Modalities in Improving Facial Aging. International Journal of Dentistry. Ibid.

  22. Li, K., et al. Application of Nonsurgical Modalities in Improving Facial Aging. International Journal of Dentistry. Ibid.

  23. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. Ibid.

  24. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. Ibid.

  25. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. Ibid.

  26. Rohrich, R.J. and Mohan, R. Role of Ancillary Procedures in Facial Rejuvenation. Plast Reconstr Surg Glob Open. Ibid.

  27. Ludmann, P. Microneedling Can Fade Scars, Uneven Skin Tone, And More. American Academy of Dermatology Association. Ibid.

  28. American Academy of Dermatology Association. How to prevent premature skin aging. Ibid.

  29. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  30. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  31. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  32. Ludmann, P. Microneedling Can Fade Scars, Uneven Skin Tone, And More. American Academy of Dermatology Association. Ibid.

  33. Ludmann, P. Microneedling Can Fade Scars, Uneven Skin Tone, And More. American Academy of Dermatology Association. Ibid.

  34. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  35. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

  36. Swift, A., et al. The Facial Aging Process From the "Inside Out". Aesthetic Surgery Journal. Ibid.

Camille Dixon is a certified Physician Assistant at Curology. She received her Master of Medical Science in Physician Assistant Studies from Midwestern University in Downers Grove, IL.

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Our medical review process:We’re here to tell you what we know. That’s why our information is evidence-based and fact-checked by medical experts. Still, everyone’s skin is unique—the best way to get advice is to talk to your healthcare provider.
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