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Guide · Mouth wrinkles

Treating mouth wrinkles: understanding the area involved

Fine lines above the lip, downturned corners of the mouth and a crease towards the chin may bother you in similar ways, but they need different approaches. In Berlin, I help you understand your concern and weigh up a suitable treatment.

Close-up of fine vertical lip lines around the mouth
Understanding your wishes and taking time to weigh up the options.

The short answer

Which mouth wrinkle do you mean?

Mouth wrinkles is an umbrella term. Vertical lip lines mainly affect the skin around the lips. Marionette lines run downwards from the corners of the mouth, while nasolabial folds run from the nose to the mouth. The horizontal crease between the lower lip and chin is a different finding again.

  1. Identify the area

    The course of the line helps you understand the area involved, but does not replace an examination.

  2. Clarify the cause

    The skin surface, volume, tissue position and muscle pull can all interact.

  3. Read more about your area

    The dedicated pages explain each area, along with the treatment possibilities and limitations.

From your wishes to understanding

Understanding mouth wrinkles in more detail

The following distinctions help you make sense of what you have noticed and bring relevant questions to your consultation.

01Lip lines

Fine vertical lines around the upper and lower lips

Smoker’s lines, also known as pleated lip lines, can develop even in people who have never smoked.

Understand the connections

Movement, skin ageing and UV exposure influence these fine lines. Lipstick can settle into them. Treatment often focuses on skin quality; this does not automatically mean wanting bigger lips.

A conservative filler treatment may be suitable in selected cases. Skin surface treatments have a different aim. The most appropriate option depends on the depth of the lines, skin thickness and existing lip contour.

02Corners of the mouth

Marionette lines and downturned corners of the mouth

Volume loss and the position of tissues in the lower face can make the lines below the corners of the mouth more pronounced.

Understand the connections

Treating a loss of volume is different from relaxing a muscle that pulls the corner of the mouth down. Where there is significant excess skin, adding filler may have limited benefit. A blanket promise to treat every mouth wrinkle with injections would therefore be inappropriate.

The nasolabial fold lies above this area. Both types of line can occur together, but they should not be treated using the same approach.

03Chin & function

Consider lip closure and the skin of the chin too

Dimpling of the chin during movement is not simply a lack of volume.

Understand the connections

The chin muscle may be involved in what is sometimes called a cobblestone chin. The horizontal crease between the chin and lower lip, and a receding chin, each need their own assessment. The condition of your teeth and your bite can also be important for lip closure.

I assess speech, smiling and lip movement. An aesthetic correction must not overlook the importance of these functions. If you have functional difficulties, an assessment by a dentist or another medical specialist may be helpful.

Comparing procedures

Which option suits which findings?

The choice is guided by the examination and your wishes. Benefits, limitations and recovery are discussed for the specific procedure.

Hyaluronic acid fillers

The aim
Address a loss of volume or support a contour where appropriate.
The limitation
Not a universal solution for loose skin or every fine line.
Recovery
Swelling and bruising may be visible.

Botulinum toxin

The aim
Reduce the pull of selected muscles.
The limitation
Often used off-label around the mouth and chin; speech and lip closure must be considered.
Recovery
The effect develops over several days; temporary changes in function are possible.

Skin treatments

The aim
Treat the skin surface and fine lines according to the findings.
The limitation
Cannot correct larger volume deficits.
Recovery
Recovery depends on the procedure, skin type and treatment intensity.
Andrea Caletti during a personal consultation.A decision that fits your life

A closer look

Considering the mouth area as a moving whole

During the consultation, you describe the changes you see and the result you would like. I assess the skin at rest and during facial expressions, the lip contour, both corners of the mouth and the transitions to the chin. Previous fillers and recurring cold sores are part of your medical history.

We then discuss a limited treatment or several steps spaced over time. The time needed for anaesthesia and treatment varies by procedure. Several areas can be treated together, but this is neither automatically necessary nor included in the price for a single area.

  • Do not equate fine skin lines with a lack of lip volume.
  • Choose the relevant in-depth information for your area.
  • Weigh up the result, function and recovery together.

Costs in Berlin

Costs and scope
for your planning

A single price for “mouth wrinkle removal” would group together very different treatments. The following starting prices offer guidance on the different methods. Your quotation depends on the number of areas, material, procedure and any follow-up sessions.

The treatment prices shown are indicative figures for the scope described in each case. Before you decide, you will receive a personal cost plan detailing the treatment included, follow-up checks and possible additional costs. Further areas or repeat treatments are not automatically included.

Discuss the scope of your treatment

Deciding together

Preparation, daily life and aftercare

Your individual advice depends on the findings, procedure and progress.

  1. 01

    Before treatment

    Discuss any existing fillers, cold sores, dental treatments and medication.

  2. 02

    After treatment

    Allow for swelling and bruising, and follow the agreed plan for skincare, heat exposure and exercise.

  3. 03

    In the long term

    Skincare, UV protection and not smoking support the skin. No method stops ageing completely.

Personal consultations in Berlin-Charlottenburg
Kurfürstendamm 200 · 10719 Berlin
c/o Vita Aesthetica

Contact & directions

An informed decision

Safety and risks
considered carefully

A symmetrical smile, lip mobility and lip closure are particularly important. Muscle-relaxing treatments can temporarily affect these functions.

  • Pain, redness, swelling and bruising are possible after injections.
  • Fillers can cause nodules, infections or, rarely, vascular occlusion with tissue damage and damage to vision.
  • Botulinum toxin can affect neighbouring muscles; skin treatments carry their own risks of irritation and pigmentation changes.

When you need immediate helpSevere pain, unusual skin discolouration or rapidly increasing swelling must be assessed immediately. If you experience problems with vision, breathing or swallowing, seek emergency medical help straight away.

Dottore Andrea Caletti with a warm smile.

The person caring for you

Andrea Caletti

Specialist in Plastic and Aesthetic Surgery

I want you to recognise yourself in your appearance and feel comfortable with it.

My professional journey

Exploring the connections further

Lip lines

Treating fine lines without automatically adding volume.

Marionette lines

The corners of the mouth, volume and tissue position.

Good to know

Frequently asked questions:
Mouth wrinkles

A website can offer guidance. We will discuss your personal situation during your medical consultation.

Ask your question
01

Which treatment is best for lines at the corners of the mouth?

That depends on whether the main issue is a loss of volume, muscle pull or sagging tissue. The term alone is not enough to choose a treatment. The page on marionette lines explains this distinction.

02

Can I have mouth wrinkles treated without making my lips bigger?

Yes, treatment can focus on the skin around the mouth or another area. Increasing lip volume is not a necessary part of treatment. An examination will show whether and how a correction is possible.

03

Do creams or facial exercises help?

Moisturising can soften lines caused by dryness. Creams, massage and exercises cannot reliably remove deep wrinkles or address sagging tissue. Even so, cosmetic treatment is not a necessity.

04

When will the results be visible?

Fillers change volume immediately, although swelling initially obscures the result. Botulinum toxin takes effect over several days; skin treatments take longer, depending on the method.

05

How long do the effects last?

Several months or longer, depending on the procedure and area. There is no single duration that applies to all mouth wrinkle treatments. Further treatments are decided on an individual basis.

06

Is the treatment also suitable for men?

Planning is based on anatomy, function and personal wishes. Treatment is not restricted to any particular gender.

Sources & medical background

Further medical information on the procedures described, their limitations and risks.

Dottore Andrea Caletti in a friendly conversationDottore Andrea Caletti

Let’s start with a conversation

Personal consultation
about your wishes

Tell me what matters to you.
I will take time for your questions.

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