Often called smoker’s lines, lip lines, or perioral wrinkles, vertical lines around the mouth can develop from years of facial movement, collagen loss, sun exposure, and changes in the support around the lips. Smoking can deepen them, but plenty of people who have never smoked develop them too.
At Glo & Sparkle in Lubbock, treatment starts with the type of line you have and what is happening in the surrounding skin. Fine etched lines need a different approach from deeper creases, volume loss, or laxity around the mouth.
Smoker’s lines are vertical wrinkles that form in the skin above and sometimes below the lips. In medical aesthetics, they are often called perioral wrinkles.
The orbicularis oris muscle repeatedly contracts when you speak, sip, whistle, purse your lips, or make facial expressions. Over time, those movements combine with age-related collagen loss and changes in skin quality. The lines may first appear only with movement and eventually remain visible when the mouth is relaxed.
Perioral wrinkles usually develop from several changes happening in the same small area.
Repeated muscle movement folds the skin around the lips throughout the day. Collagen and elastin production also decline with age, so the skin does not rebound as easily after those movements. Sun exposure accelerates collagen breakdown and can make the skin look thinner or more textured.
Smoking can add to the process through repeated lip pursing and the effects of tobacco exposure on skin health. Genetics, natural facial anatomy, dental support, and loss of volume around the mouth can also influence when the lines appear and how deep they become.
These changes are cosmetic and usually painless. A new sore, crusted area, changing skin lesion, or spot that does not heal should be evaluated medically rather than assumed to be a wrinkle.
Home care can support the skin around the mouth, especially while the lines are still fine. Daily broad-spectrum sunscreen helps limit additional UV damage. A well-formulated moisturizer can improve dryness and temporarily soften the appearance of superficial lines. Retinoids may support collagen production when the skin tolerates them.
Established perioral wrinkles generally respond more noticeably to professional treatment because the changes extend beyond surface dryness. Avoiding tobacco and protecting the area from sun exposure can also help slow additional skin damage.
Professional treatment is reasonable once the lines remain visible at rest, makeup begins collecting in them, or home skin care is no longer giving you the improvement you want.
An evaluation is also useful before trying a strong resurfacing treatment on your own. The skin around the lips is mobile and relatively delicate, so treatment depth and product choice deserve some precision.
Smoker’s lines are usually identified during a visual and facial movement assessment. Your provider will look at the lines with your mouth relaxed and while you move your lips.
We also evaluate skin thickness, texture, volume around the mouth, lip shape, surrounding laxity, and previous treatments. That helps separate fine surface lines from bigger structural changes and guides the treatment plan.
Dermal fillers can soften deeper perioral lines and restore small amounts of support around the mouth. Glo & Sparkle offers hyaluronic acid fillers that can be placed precisely according to the depth and location of the wrinkle.
The area requires a conservative hand. Too much filler around the mouth can look heavy, so treatment is planned around facial movement and natural lip shape.
SkinPen microneedling creates controlled microchannels that prompt a wound-healing response and new collagen formation. It can be useful for fine lines and texture around the mouth without adding volume.
Glo & Sparkle may combine SkinPen with PRP/PRF in selected patients to support healing and tissue repair after microneedling.
Genius RF Microneedling combines needle penetration with radiofrequency energy in the deeper skin. The treatment can improve texture and firmness while stimulating collagen and elastin.
It may be a good fit when perioral lines are accompanied by thinning skin or mild laxity around the lower face.
Laser resurfacing can address etched lines and sun-damaged texture by creating controlled renewal in the skin. Glo & Sparkle offers Stellar M22 ResurFX and Solaria CO2, giving our providers options for different resurfacing depths and recovery needs.
The best laser choice depends on skin type, pigment, treatment depth, and the amount of downtime that is appropriate for you.
PDO threads may be considered when laxity around the lower face is contributing to the way the mouth area looks. They provide support within the tissue and stimulate a healing response around the threads.
Threads are generally used for surrounding tissue support rather than directly filling individual lip lines.
Treatment may be appropriate for healthy adults with fine or established perioral wrinkles who want a smoother appearance around the mouth. Good candidates have realistic expectations and are willing to follow aftercare instructions, especially after resurfacing or collagen-stimulating treatments.
Active cold sores, skin infections, significant inflammation, pregnancy, breastfeeding, certain medications, or a history of abnormal scarring may change the treatment plan. Some injectable and laser treatments also require additional precautions based on medical history and skin type.
Recovery depends on the treatment selected.
Dermal fillers can cause temporary swelling, redness, tenderness, or bruising around injection sites. Microneedling and RF microneedling commonly leave the skin pink or sensitive for a few days. Laser resurfacing can require more visible downtime, including redness, peeling, or crusting as the skin heals. PDO threads may cause swelling, soreness, bruising, or temporary puckering.
Your provider will give you specific aftercare instructions based on the procedure.
Some treatments produce an early visible change, while collagen-stimulating procedures improve more gradually.
Filler results can be noticeable shortly after treatment once initial swelling settles. Microneedling, RF microneedling, and resurfacing treatments rely on healing and collagen remodeling, so improvements develop over the following weeks and months.
Deep perioral wrinkles may need more than one treatment method. A smoother mouth area can still look natural when the plan respects normal facial movement instead of trying to erase every line.
Smoker’s lines are a cosmetic concern and do not create a health risk when left untreated. They may become more pronounced as collagen declines and skin continues to age.
Treatment carries its own risks. Fillers can cause bruising, swelling, lumps, asymmetry, and rare vascular complications. Microneedling and laser procedures can cause prolonged redness, pigment changes, infection, or scarring when healing does not go as expected. PDO threads have risks that include swelling, bruising, asymmetry, infection, or thread-related complications.
Careful treatment selection is especially important around the mouth because the area contains many blood vessels and moves constantly.
Cost depends on what is creating the lines and which treatment is selected. A small amount of filler has a different price structure from a series of microneedling sessions or a laser resurfacing treatment.
Combination plans also vary. Your consultation at Glo & Sparkle provides a personalized recommendation and pricing based on the treatments included.
Glo & Sparkle offers several ways to treat perioral wrinkles in one Lubbock practice, giving our providers room to choose according to the line rather than relying on one standard procedure.
Care is guided by Dr. Edwin Onkendi, MD, FACS, and board-certified nurse practitioner Fa-Tia Johnson, APRN, MSN, AGPCNP-C, MHA. Our treatment menu includes dermal fillers, SkinPen microneedling with or without PRP/PRF, Genius RF microneedling, PDO threads, and laser resurfacing.
Your plan is built after looking at the skin in motion, the depth of the wrinkles, surrounding volume, and skin quality. That keeps treatment focused and conservative in an area where small changes can make a visible difference.
Perioral wrinkles can come from years of movement and normal skin aging, and there are several ways to soften them without changing the character of your smile.
Schedule a consultation with Glo & Sparkle in Lubbock to discuss the treatments that fit your skin and the type of smoker’s lines you want to address.
Yes. Smoking can contribute to perioral wrinkles, but it is only one factor. Repetitive lip movement, collagen loss, genetics, sun exposure, skin thickness, and volume changes can all create vertical lines around the mouth.
The best option depends on the depth and cause of the lines. Fine etched wrinkles may respond well to microneedling or resurfacing, while deeper creases may benefit from carefully placed filler. Some patients benefit from a combination.
It can if too much product is used or the filler is poorly matched to the area. Conservative placement is especially important around the lips. Your provider will assess the wrinkle depth and surrounding anatomy before recommending filler.
Microneedling can improve fine perioral lines by stimulating collagen and remodeling the skin. Results develop gradually and may require a series of treatments. Deeper creases may need another treatment alongside microneedling.
The number varies by treatment and wrinkle depth. Filler may create an early change after one appointment, while microneedling, RF microneedling, and laser treatments are often planned as a series or adjusted according to response.
Treatment can soften existing lines, but facial movement and skin aging continue. Maintenance skin care, sun protection, and periodic treatment can help preserve the improvement over time.
schedule your consultation with Glo & Sparkle
We are a one-of-a-kind top-tier MedSpa in Lubbock with the latest, widely studied, scientifically proven, and FDA cleared technology, including the Emsculpt NEO, Emsella, Stellar M22 Laser, Genius Radiofrequency Microneedling, SkinPen Microneedling, OxyGeneo, Advanced PDO thread Lifts and 3D photography.. So you can be comfortable knowing that at Glo and Spa-rkle, you will get a thorough and detailed consultation, with an optional but recommended low-cost, state-of-the-art 3D photography evaluation of the face and body.
This thorough consultation will give you accurate information and “before-photos” to develop your aesthetic plan and follow-up “after-photos” to help you get precise information and visual data to track your progress along your aesthetic journey!
4513 114th St, Lubbock, TX 79424