唇部皱纹与再生

We have been rejuvenating lips for the past 15 years! Our specialist team of injectors & dermatologists apply the latest techniques, laser & energy device as well as minimally invasive surgery to address the aging lip. 

We think beyond the lip & treat the perioral area for a seamless blend. This is especially important for the aging patient.

Look beyond the lip – especially important in the mature patient. It is more than just volume & definition. Defining the borders on a 55-year-old look not only looks silly, but it’s also unnatural & not age appropriate. The same goes for volume. 

Our motto at Cutis ‘Age-Appropriate Rejuvenation”. 

We look at the entire structure of the lip & perioral area, looking carefully at the ratios, corner support, skin quality of the upper & lower lip & the adjacent cheeks. We consider the level of eversion & importantly, support. We then apply appropriate treatments. In many cases it involves dermal soft tissue treatments, but we also employ lasers, deep peels, & surgery where required. 

treatments can replace lip volume, provide structure & support to the perioral area & stimulate collagen to reduce upper lip lines. 

At Cutis Dermatology we use an array of treatments, including hyaluronic acid & collagen stimulating treatments for the lip area. 

20s-30s: one to two syringes. 

30s-40s: Two to three syringes, including the perioral areas. 

50s & beyond: Three to five, this includes the perioral areas. 

treatments last between 7 to 18 months, depending on the type & your metabolism. 

Yes, our dermatologists are trained to perform fat transfer. Consider fat if there is a significant amount of volume loss. Fat is the lip itself does not look good – think 2 big sausages. The downside of fat is that it provides very little structural & definition properties, as compared to treatments.  Structure & definition are important for lip rejuvenation. 

Fat can be useful in the perioral area for volumetric filling, nano fat & ASC or adipose stem cells can provide marginal skin rejuvenation. 

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CO2 lasers are best for collagen remodelling & rejuvenation. They can be dialled in according to the depth of wrinkles, & the extent of surface imperfections.

• Fully ablative lasers are gold standard, albeit high costs & downtime. 
• Fractional hybrid lasers give 80% of the results with much less downtime & costs. 

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Structural treatments provide support to the lip, including the corners of the mouth, the upper & lower lip. This is especially important for the aging lips (over the age of 40). 

We use both hyaluronic acid treatments & collagen stimulating treatments for structural work. Most cases require 2 sessions, spaced between 1-4 weeks apart. Remember, if we are treating lips in the fifth decade of life, always start off with structure before volume. 

Tox or anti-wrinkle injections reduce muscle moments, in turn relaxing dynamic wrinkles. These wrinkles follow the folds when you pout. Injections are just enough to relax wrinkles without affecting speech, drinking, or eating. This last 2-4 months. 

Your dentition, namely your jawbone & teeth. This supports soft tissue. Mouth & lip size involute with age. In some cases, the answer is a lip lift. 

In some cases, a lip lift surgical procedure is the treatment of choice. This can be done-

• Early as some patients have a long upper lip to nasal spine ratio. 
• Late as the aging lip elongates this distance. Dermatologists will remove enough upper lip tissue to provide better elevation of the upper lip, enabling better teeth show, & eversion of the upper lip itself. 

Scar are hidden in the nasal crease. Ideal patients have a wide alar base as this redistributes the forces evenly. 

Microneedling is best for very fine lines & wrinkles. It is not great at lip rejuvenation as the skin thickness is the greatest surrounding the mouth. The downside of microneedling is the inefficiency of the procedure as no heat is generated. A simple laser resurfacing procedure is far more effective, cost effective & has a shorter total recovery time.

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RFM or radiofrequency microneedling is better than microneedling because it uses controlled heating. It is 3-5 times more efficient at generating collagen than microneedling, but not as efficient as CO2 Hybrid laser resurfacing. We do offer Genius RFM at Cutis, but lasers do a better job.

Threads are great to improve skin tone, turgor & firmness. They are not great for the upper lip (in isolation). They can give some structural improvement when combined with lasers, treatments or HIFU. 

Learn more. (link to PDO threads)

Lots, but having some fold is natural. In some patients we approach the NL fold with direct filling of the area. In other cases, we use treatments to support the fold from above. As guide, NL folds require between 1-2 syringes of hyaluronic acid treatment.