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Ageing causes the natural substances of collagen, hyaluronic acid and elastin to decrease. This in turn causes the volume of the skin to decrease. Coupled with environmental factors including sun damage, smoking and stress, the skin starts to age quite visibly.

One of the most vulnerable areas of the face is the lips as these have an extremely thin outer layer. The corners of the mouth start to droop over time and the V-shaped area of the upper lip becomes flatter, losing its fullness. Vertical lines will also start to appear around the upper lip causing lipstick bleed.

There are non-surgical treatments available with the precise type of treatment depending on the type of skin, the extent of the problem and age itself.

Options for treatment include the following:

• Topical treatments include creams based on vitamin A (retinoic acid). Peels and microdermabrasion may also be used.
• Wrinkle injections can be used to inject the skin with a muscle relaxant which will lessen lines. When performed regularly over time it will slow the rate of the lines forming and is particularly popular in younger women with a history of smoking or a family history of premature ageing. It is also used in very low dose in combination with dermal fillers to give a longer lasting result with the dermal fillers.

For more information see wrinkle injections

• Dermal fillers are the mainstay treatment for the correction of lip lines. Dermal fillers can be used to hydrate the skin, soften lines and to return volume to the lip area. Dermal filers can also enhance the contours of the lip and definition as well as preventing lipstick run.

For more information see dermal fillers

Deep lip lines can be difficult to completely correct especially if there is a history of past cigarette smoking. These deep lines are often not reversible due to the presence of thickened scar tissue beneath the surface of the skin. This is yet another of the reasons that emphasises the importance of quitting smoking to maintain a healthy appearance.

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