Down in the mouth: 5 signs of ageing around the mouth and how to treat them

nasolabial folds treatment

After the eyes, the area around the mouth, known as the perioral area, is one of the first places that patients become conscious of as they get older. Unsurprisingly, as there are many factors behind ageing around the mouth.

Bony reabsorption of the jaw that flattens the lower face combines with volume loss in the mid-face that causes soft tissues to descend. Decline in our natural levels of collagen and elastin causes the lips and surrounding area to become less plump and the skin to thin. The mouth is also a highly mobile area supported by strong facial muscles that are constantly contracting and relaxing. Lifestyle factors such as sun exposure and smoking can also accelerate ageing.

There are several ways that ageing around the mouth presents and an experienced aesthetic practitioner can advise you on how best to treat them – often a combination of treatments is required.

1. Nasolabial folds

The nasolabial fold is the crease that stretches from the corner of the nose and runs down to the corner of the mouth. Everyone has a nasolabial fold – bar newborns and very young children – but as we get older it starts to deepen as the cheek area flattens and there is a descent in soft tissue. This fold often forms a shadow on the face that can be very ageing.

Your treatment options: Facial threads that lift the mid-face are one option, but a popular and highly effective treatment approach for nasolabial folds are temporary dermal fillers. Dr Claudia can inject filler along the cheekbone to lift the heavy skin that forms the nasolabial fold as well as creating higher, more rounded and youthful-looking cheeks. The other approach is to inject dermal filler directly to reduce the depth of the fold and smooth the area.

2. Marionette lines

The marionette lines are defined as the deep groves that stretch from the corners of the mouth down to the chin. Loss of elastin and collagen combined with the overactive facial muscles that surround the mouth make them a common ageing concern from your 40s onwards.

Your treatment options: As with the nasolabial folds, the appearance of marionette lines can be improved by facial threads such as the PDO Thread Lift or dermal fillers injected into the mid-face or directly into the lines.

3. Downturned mouth

Often confused with marionette lines is a downturned mouth where the corners droop, making the patient look perpetually sad or angry when their face is in repose. Volume loss in the cheeks and collagen depletion combine with an overactive muscle known as the depressor anguli oris that runs from the corner of the lips to the chin, to form lines also known as oral commissures

Your treatment options: Dermal fillers can be injected to lift and create structural support to the area, and this can be combined with strategically placed botulinum toxin to relax the muscle that is pulling down the mouth.

4. Thinning lips

Plump, well-defined lips are associated with attractiveness and youthfulness, but as we age our lips start to deflate and thin as we produce less collagen and the cushioning fat pads in our lips shrink.

Your treatment options: Lip augmentation with temporary hyaluronic acid dermal fillers is a very popular treatment with young women wanting enhanced lips, but don’t be nervous about ending up with a trout pout. An experienced aesthetic practitioner can subtly reverse signs of ageing without over-emphasising the mouth and creating an unnatural appearance.

5. Smoker’s lines

Smoker’s lines, also known as lipstick lines or barcode lines, are the very fine vertical lines that appear around the mouth, particularly on the upper lip. These common signs of ageing are due to loss of collagen and elastin combined with the constant pouting and puckering of the mouth – even when a patient hasn’t ever smoked!

Your treatment options: Temporary hyaluronic acid fillers in their finest consistency can be used to plump up this area. Botox can also be carefully administered to reduce the constant muscle contractions, causing the lines to soften and smooth. But for improving these very fine lines, 3D Dermaforce Microneedling/RF is an advanced method of skin rejuvenation that stimulates the body’s natural healing process to encourage collagen production in the dermis resulting in rejuvenated and tighter skin.

New to Dr CP Aesthetics is Lynton Laser’s 3JUVE which combines three skin rejuventation technologies – Fractional Laser, IPL and RadioFrequency – for the effective treatment of fine lines and wrinkles.

For more advice on reversing ageing around the mouth, call 0115 772 2363 to make an appointment with Dr CP.