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Shumaila’s Insights

Smoker’s Lines & Lip Wrinkles

Perioral lines, or smoker’s lines, are vertical wrinkles around the mouth. They result from muscle movement, collagen loss, and environmental factors.

Close-up of a woman's mouth showing fine vertical lip lines above and below the lips
Overview
Primary Concerns
Also Known As
Common Causes
Affects
Primary Non-Surgical Solution
Supporting Treatments
Time to See Results
Results Duration
Details
Vertical Wrinkles Above and Around the Lips
Perioral Rhytids, Lipstick Lines, Lip Wrinkles
Orbicularis Oris Muscle Contraction, Smoking, Sun Damage, Ageing, Collagen Loss
Adults, particularly from late 30s onwards
Dermal Fillers (for static lines), RF Microneedling(for skin texture)
Anti-Wrinkle Injections (for dynamic lines), Profhilo, PolynucleotideTreatment
Immediate (Fillers); 2 weeks (Anti-wrinkle injection); 3-6 months (Microneedling)
3-4 months (Anti-wrinkle injection); 9-12 months (Fillers)

Understanding Perioral Lines (Smoker’s Lines)

  • Perioral rhytids, commonly known as smoker’s lines or lip lines, are the fine vertical wrinkles that radiate outwards from the border of the lips. While they are associated with smoking, they can and do affect non-smokers. The primary causes are multifactorial:

    • Muscle Contraction: The repetitive pursing of the lips from the contraction of the underlying orbicularis oris muscle is the main cause. This occurs when smoking, drinking from a straw or bottle, or even just through habitual facial expressions.
    • Sun Damage: UV radiation breaks down collagen and elastin, the proteins that give skin its strength and elasticity. The skin around the mouth is particularly susceptible to sun damage.
    • Ageing & Volume Loss: As we age, we lose collagen, elastin, and underlying soft tissue volume around the mouth. The skin becomes thinner and less able to resist the creasing caused by muscle movement, leading to the formation of permanent, static lines.
    • Smoking: In addition to the pursing motion, the thousands of chemicals in cigarette smoke generate free radicals that accelerate the breakdown of collagen and elastin, significantly worsening these lines.

How we at Shumaila’s can treat this

Effective treatment of smoker’s lines often requires a combination approach to address both the dynamic muscle movement and the static, etched-in lines. Our clinical approach is to assess the specific cause of your lines and recommend a tailored protocol.

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Non Surgical

Primary Treatments

  • Practitioner in black gloves performing RF microneedling on a woman's forehead

    RF Microneedling

    This is a powerful collagen-stimulating treatment that is highly effective for improving the texture of the skin around the mouth. By creating controlled micro-injuries and delivering radiofrequency energy into the dermis, it triggers a healing response that builds new collagen. This thickens and strengthens the skin, making it more resistant to creasing.

    Ideal for
    Patients with etched-in static lines and poor skin texture around the mouth

    Results
    A gradual softening of lines and improvement in skin quality over 3-6 months

    Management
    A course of 3-6 treatments is often recommended for optimal results

    Learn More about RF Microneedling
  • Smiling mature woman with grey hair touching her cheekbone

    Dermal Fillers (for lines)

    For lines that are visible even when the face is at rest (static lines), a very soft, fine-line hyaluronic acid filler can be meticulously injected directly into the wrinkles. This provides immediate plumping and smoothing of the individual lines without adding unwanted volume to the lip itself.

    Ideal for
    Patients with visible, etched-in smoker’s lines

    Results
    An immediate softening and reduction in the appearance of the lines

    Management
    Results typically last around 9-12 months. There is minimal downtime

    Learn More about Dermal Fillers (for lines)

Progressive Treatments

Supporting Treatments

  • Close-up of a cheek and nose with uneven texture and small red marks

    Profhilo® & Polynucleotide Treatment

    These bio-revitalising injectable treatments improve overall skin quality. Profhilo provides deep hydration with hyaluronic acid, while Polynucleotides are powerful bio-stimulators that signal the skin to repair itself. Both improve skin health, making it more resilient and reducing the appearance of fine lines.

    Ideal for
    All patients with perioral lines, to improve the overall health and quality of the skin

    Results
    Improved skin hydration, texture, and radiance

    Management
    A course of 2-3 treatments is typically recommended

    Learn More about Profhilo® & Polynucleotide Treatment

Why choose Shumaila’s for Lip Line Treatment?

  • Combination Therapy Approach: We understand that a single treatment is often not enough and create tailored protocols for the best results
  • Advanced Treatment Portfolio: We offer a full range of solutions from fillers and anti-wrinkle injection to advanced collagen-stimulating devices
  • Focus on Natural Results: Our goal is to soften lines and rejuvenate the area without creating an unnatural or “done” look
  • 9 CQC-Registered London Clinics: Our dermatologist-led environment ensures the highest standard of professional care

Frequent Asked Questions

  • Yes, but it must be done with extreme caution and expertise. A very small, precise amount of a neuromodulator can be injected into the orbicularis oris muscle to relax the pursing motion. This is often called a “lip flip.” It can be very effective for dynamic lines but carries a risk of affecting speech or smiling if done incorrectly. It is often combined with filler for the best results.

Request a Consultation

One of our friendly consultants will contact you to answer your questions, and to book a consultation for your chosen treatment.