WRINKLE TREATMENT AROUND THE MOUTH

What are barcode wrinkles ?

Wrinkles around the mouth, also known as barcode lines, are vertical wrinkles located above the lips that gradually appear over time and are promoted by skin ageing, smoking, sun exposure, repeated lip movements and the progressive loss of volume. They make the smile appear older and give the area around the mouth a more creased and less defined appearance.
To reduce lip wrinkles and help prevent their appearance, it is recommended to adopt an appropriate skincare routine, avoid smoking and sun exposure and, if desired, perform facial exercises.
It is possible to smooth the lip contour without surgery.
In Geneva, their treatment is based on a personalised approach that may combine hyaluronic acid injections, fractional laser treatment and, in some cases, chemical peels, depending on the depth of the wrinkles and the quality of the skin. The objective is not only to fill the wrinkles but also to improve skin thickness, hydration and the definition of the lip contour while maintaining a natural-looking result. Clinical studies show that combined treatments for the area around the mouth, particularly those involving hyaluronic acid and complementary techniques, significantly improve these wrinkles and patient satisfaction.

Key facts about barcode lines

  • Area treated : white lip and lip contour
  • Type of wrinkles : vertical and oblique
  • Onset : from the age of 45
  • Treatments : hyaluronic acid, ablative fractional laser, medium-depth chemical peel
  • Visible result : immediately visible after injections, visible after 3 months following laser treatment.
  • Duration of results : 6 to 12 months for hyaluronic acid and laser treatment, 4–5 years for a medium-depth chemical peel.
  • Treatment time : 5 to 15 minutes
  • Satisfaction : 85–95%
  • Number of syringes : usually 1 to 2
  • Number of sessions : 1 for medium-depth chemical peel and injections, 4 for laser treatment
  • Side effects : swelling for 24 hours after injections, redness for 3–4 days after laser treatment, skin healing for 7 to 10 days after a medium-depth chemical peel.
  • Anaesthesia : only for a medium-depth chemical peel
  • Non-surgical treatment
  • Social downtime : 1 day for injections, 3–4 days for laser treatment, 7–10 days for a medium-depth chemical peel
  • Pain : 2/10
  • Return to work : 1 day after injections, 3–4 days after laser treatment, 7–15 days after a medium-depth chemical peel
  • Sports activities : wait a few days after injections, 2 weeks after laser treatment or a medium-depth chemical peel
  • Improvement : 50–80%
  • Optimal result : 7 days after injections, 3 months after laser treatment and a medium-depth chemical peel
  • Maintenance : annually for laser treatment and injections, every 5–10 years for a medium-depth chemical peel
  • Price : CHF 600 per hyaluronic acid syringe, CHF 600 per ablative fractional laser session (4 sessions are recommended), CHF 800 for a medium-depth chemical peel.

Clinical study findings on barcode lines

  • A study published in the Journal of Cosmetic Dermatology shows that hyaluronic acid injections provide a significant improvement in perioral wrinkles, with a high level of patient satisfaction in the short and medium term.
  • A clinical study reported by the National Institutes of Health (NIH) highlights that the loss of collagen and skin elasticity is a major factor in the development of wrinkles around the mouth.
  • According to the American Society for Dermatologic Surgery (ASDS), hyaluronic acid injections are among the most commonly used treatments to correct wrinkles of the lower third of the face, particularly smoker's lines.
  • A study published in the Dermatologic Surgery Journal shows that fractional lasers provide a visible improvement in perioral wrinkles by stimulating collagen production.

summary

photo wrinkles bar code

Causes of lip wrinkles (barcode lines)

Lip wrinkles, also known as barcode lines or perioral wrinkles, gradually develop as a result of skin ageing and several external factors.

  • Natural ageing : reduction in collagen, elastin and skin firmness.
  • Sun exposure : UV rays accelerate skin ageing.
  • Smoking : tobacco reduces tissue oxygenation and accelerates collagen breakdown. Repeated lip movements during inhalation also promote the formation of vertical wrinkles, which is why they are commonly referred to as "smoker's lines."
  • Repeated lip movements : smiling, speaking or drinking through a straw gradually mark the skin.
  • Loss of volume : ageing leads to a reduction in subcutaneous fat and lip volume.
  • Genetic factors : family predisposition influences their development.
  • Dehydration : less hydrated skin makes fine lines more visible.
  • Diet and lifestyle : nutritional deficiencies and stress can accelerate skin ageing.

Severity stages of smoker’s lines

Lip wrinkles, also known as "smoker's lines", may vary in severity.
Each level of severity requires a specific approach. A personalised treatment plan will be proposed during your consultation with Dr Romano.

Stage 1 : mild lines

Characteristics
Appearance of fine lines around the lips.
The wrinkles are visible only when the lips are moving, such as when smiling or pursing the lips.
The skin around the lips may begin to lose some of its elasticity.

Recommended treatments
Skincare with moisturising creams and serums containing retinoids or hyaluronic acid.
Light chemical peels to stimulate cell renewal.
Skinbooster-type hyaluronic acid injections to help prevent the formation of new wrinkles.

Stage 2 : moderate wrinkles

Characteristics
Fine lines become more pronounced and remain visible even at rest.
They may begin to merge, forming more noticeable wrinkles.
Loss of elasticity and firmness around the mouth.

Recommended treatments
Medium-depth chemical peels to exfoliate the skin layers and stimulate collagen production.
Hyaluronic acid injections to smooth wrinkles and restore lost volume.

Stage 3 : deep lines

Characteristics
The wrinkles are deep and well defined, remaining visible at all times.
The skin around the lips is noticeably thinner and less elastic.
Skin folds may develop due to the significant loss of volume and elasticity.

Recommended treatments
Deep chemical peels to treat deep wrinkles and improve skin quality.
Hyaluronic acid injections to fill deep wrinkles and restore lost volume.
Laser treatments to stimulate collagen production and improve the overall appearance of the skin.

Stage 4 : very deep lines

Characteristics
Very deep and pronounced wrinkles, often accompanied by deep skin folds.
The skin around the lips is very thin, with a significant loss of firmness and volume.
The wrinkles may extend towards the cheeks and the chin.

Recommended treatments
Deep chemical peels for intensive skin renewal.
Hyaluronic acid injection to restore volume and fill very deep wrinkles.
Non-surgical lifting techniques to improve skin firmness and overall appearance.

How do you remove "barcode" wrinkles above the mouth?

It is possible to treat wrinkles around the lips using aesthetic medicine techniques.
The proposed treatment protocol will take into account any age-related changes affecting the lips, including dryness and loss of colour of the vermilion, loss of definition of the vermilion border and the lips, reduction in vermilion volume, drooping of the corners of the mouth, flattening of the philtral columns and loss of definition of Cupid's bow.
The treatments proposed for these wrinkles may aim either to eliminate them or to reduce their appearance.
In the first case, Dr Romano will recommend a medium-depth chemical peel. This procedure is relatively invasive and is often discouraged because of the residual skin demarcation that may remain between the area around the mouth and the rest of the face.
Improvement is achieved with hyaluronic acid injections and laser sessions.

Photofilling lip wrinkles with hyaluronic acid

How can smoker's lines be treated with hyaluronic acid injections ?

The hyaluronic acid used for this indication is cross-linked and provides very little volume, as this is a highly meticulous correction.
Dr Romano's choice is a Skinbooster-type hyaluronic acid.
A poorly performed injection in this area may lead to the formation of a visible ridge of product when the lips are moving and/or at rest.
Hyaluronic acid, which is naturally present in our bodies, has the ability to attract and retain water, helping to hydrate the skin and fill wrinkles.
Two techniques are used.

  • The fanning technique : the injection is performed using a cannula, and the hyaluronic acid is placed within the deep dermis of the entire white lip to restore the skin thickness lost over time, thereby smoothing the wrinkles.
  • Wrinkle injection : this technique, also known as the "bleaching technique", consists of injecting very small droplets of hyaluronic acid along the entire length of the wrinkle.
photo laser lip wrinkle treatment

How to reduce wrinkles around the mouth with fractional laser  ?

The principle of fractional laser treatment is to ablate micro-fragments of skin in order to stimulate skin cells to produce thicker skin.
Improvement is therefore achieved through both the superficial “polishing” of the wrinkles and the dermal densification that stretches them.
If the treatment is performed in fractional mode (only a percentage of the area is treated), the protocol involves 4 sessions. The intense redness following the procedure lasts from three days to one week.
If the treatment is performed in continuous mode, only one session is needed. This corresponds to a medium-depth laser peel. Downtime lasts approximately two weeks.

Before / after results of lip wrinkle filler treatments

Lip wrinkles are effectively reduced through aesthetic medicine treatments.
The results include :

  • Smooth and rejuvenated appearance of the lips : vertical wrinkles around the lips are visibly reduced.
  • Improvement of skin quality and firmness.
  • Hydration and wrinkle filling.
  • Lip definition : the lips appear more defined and better contoured. The mouth area is rejuvenated, and the smile enhanced.

The results last for approximately one year. An annual maintenance session should therefore be planned.

What is the cost of getting rid of lip wrinkles ?

In Geneva, the price of a lip wrinkle treatment with hyaluronic acid is CHF 600 per syringe, a Skinbooster costs CHF 400 per syringe, an ablative fractional laser treatment starts at CHF 400 per session, and a medium-depth chemical peel costs CHF 800 for one session.
The treatments offered at Dr Romano's practice in Geneva are performed exclusively by the doctor, using certified products and the latest-generation equipment. The cost depends on the chosen technique, the number of sessions required and the type of treatment.
During the initial consultation, the area is examined in order to establish a personalised treatment plan. The aim is to restore a smooth, naturally rejuvenated appearance to the lip contour without any visible alteration.
The indicative fees for lip wrinkle treatments are :

  • Hyaluronic acid : 600 CHF per syringe.
  • Skinbooster : 400 CHF per syringe.
  • Fractional ablative laser : from 400 CHF per session.
  • Medium peel : 800 CHF (single-session treatment).

Lip wrinkle treatment reviews

Patient reviews of lip wrinkle treatments, whether with laser or hyaluronic acid injections, are generally very positive.
These treatments are widely appreciated for their effectiveness, safety and ability to rejuvenate the lips.
Patients are satisfied with the immediate improvement in wrinkles and report increased self-confidence.
The procedures are considered simple and quick, with long-lasting results.

Frequently asked questions about lip wrinkles or barcode lines

Are there any side effects to aesthetic treatments for lip wrinkles?

Comme pour tout traitement médical, il peut y avoir des effets secondaires. Les plus courants sont les rougeurs, les gonflements, les ecchymoses et une sensibilité temporaire. Il est important de consulter un médecin experimenté pour minimiser ces suites.

No, although smoker's lines are more common in smokers, other factors such as sun exposure, natural ageing and repeated facial expressions can contribute to their appearance in non-smokers.

Yes, combining several treatments can be beneficial to achieve optimal results. For example, hyaluronic acid injections can be combined with laser treatment. Your doctor will be able to recommend the most appropriate treatment plan based on your needs.

The duration of the effects varies according to the treatment chosen.
Injections d’acide hyaluronique : les résultats durent 12 mois.
Laser resurfacing and chemical peels: results can last for years, depending on the type of treatment and the extent of the wrinkles.

A few tips to prevent smoker's wrinkles.

  • Stop smoking: the best way to prevent smoker's wrinkles is to stop smoking.
  • Sun protection: use a sun cream daily to protect the skin from UV damage.
  • Hydration: keep your skin well hydrated by drinking plenty of water and using moisturisers.
  • Skin care: adopt a skin care routine that includes antioxidant products, such as vitamin C, and retinol-based creams to stimulate cell renewal.

Oui, la nicotine contribue à l’apparition des rides. Les mécanismes impliqués sont les suivants :

  • Reduced blood circulation: nicotine causes vasoconstriction, reducing blood flow to the skin. This limits the supply of oxygen and nutrients to the skin, accelerating its ageing process.
  • Destruction of collagen and elastin: nicotine and other toxins present in cigarette smoke break down collagen and elastin fibres, which are essential for maintaining the skin's firmness and elasticity.
  • Oxidative stress: nicotine generates free radicals that damage skin cells, encouraging the appearance of wrinkles.

Smoker's wrinkles, also known as perioral wrinkles or "barcode wrinkles", are vertical lines that appear around the mouth. They are particularly common in smokers due to repetitive lip movements and exposure to harmful chemicals.

Most aesthetic treatments for lip wrinkles are well tolerated. An anaesthetic cream may be used for the patient's comfort. It is normal to feel a slight temporary sensitivity after treatment.

To treat wrinkles around the mouth, it's essential to choose a cream specifically formulated to target the signs of ageing in this delicate area. Here are some key ingredients to look for in a effective anti-wrinkle cream :

  • Retinol: this vitamin A-derived ingredient is known to stimulate collagen production and accelerate cell renewal, helping to reduce the appearance of fine lines and wrinkles.
  • Hyaluronic acid: known for its exceptional moisturising properties, hyaluronic acid helps to plump the skin and fill in wrinkles by drawing in water.
  • Peptides: these chains of amino acids help to reinforce the skin's structure by stimulating the production of collagen and elastin, thereby improving firmness and elasticity.
  • Antioxidants: vitamins C and E, as well as other antioxidants, protect the skin against free radical damage and promote the repair of skin tissue.
  • Ceramides: these lipids help restore the skin barrier, retaining water and protecting the skin from external aggression.

Yes, quitting smoking considerably improves skin health. 

  • Improved blood circulation: when you stop smoking, blood flow to the skin increases.
  • Reduced oxidative damage: without the constant exposure to free radicals from cigarette smoke, the skin suffers less oxidative stress, which slows down the ageing process.
  • Collagen and elastin synthesis: over time, the skin begins to rebuild its collagen and elastin reserves, improving its firmness and elasticity.
  • Improved hydration: skin becomes less dry, more hydrated, smoother and wrinkles are reduced.

Il est possible de réduire l’apparence des rides autour de la bouche en maintenant une bonne hydratation, en ayant une alimentation riche en antioxydants, et en pratiquant des exercices faciaux. L’application d’huiles naturelles, comme l’huile d’argan ou d’amande douce, peut aussi aider à améliorer l’élasticité de la peau.

Fumer accélère le vieillissement de la peau en réduisant la production de collagène et d’élastine. De plus, le mouvement répétitif de succion lors de l’inhalation contribue à la formation de rides autour de la bouche.

Le meilleur traitement dépend du type et de la profondeur des rides. Les injections de comblement à base d’acide hyaluronique sont très efficaces pour les rides profondes. Les traitements au laser ou les peelings chimiques peuvent également améliorer la qualité de la peau et réduire les rides plus superficielles.

Other areas to be treated