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Does Botox improve smoker’s lines and chin lines?

poutDr. Dean Kane Q & A. Q. Does Botox improve smoker’s lines and chin lines? I am going to have Voluma in my cheeks on Monday and Botox on my forehead. Would Botox help smoker’s line above lips and wrinkles on chin? Can Voluma be used on chin wrinkles? A. ​White patients of northern european descent have the most trouble with lines around the lips and chin. This is due to:
  1. ​Thinning aging lip skin
  2. ​Thinning aging peri-oral fat
  3. ​Inversion of the “pink” lip vermillion
  4. ​Thickening (hypertrophy) of the lip and chin muscles
Depending on the findings at consultation, a well versed and competent Plastic Surgeon, Facial ENT or Dermatologist Injector may consider:
  1. ​Botox or Dysport to relax the tightened lip and chin muscles
  2. ​Various fillers to the fatty soft tissues under the skin or the thinning lip skin itself
  3. ​Thicker gel fillers like Perlane and Juvederm Ultra Plus have worked very well for me in the pink lip
  4. ​Silk has worked very well in the lines around the lips and chin in my hands.
  5. Voluma may be to stiff and projecting in the chin unless you have a weak chin and wish more projection
  6. For other improvements of the lip and chin lines, consider:
  7. Retinoids to exfoliate the epidermis and stimulate thickening of the dermis
  8. Chemical or laser peels to exfoliate the skin and stimulate collagen formation
I hope this has been helpful! All the best!
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