All Smiles: Rejuvenating the Perioral Region

In Birmingham, AL

By Blake Raggio MD

lip lift woman | Raggio Facial Plastic Surgery

Published on December 2021

All Smiles: Rejuvenating the Perioral Region

As mask mandates loosen and ZOOM calls become more commonplace, more attention is being placed on the area that lies beneath the mask-the smile. So too the Holiday Season has officially begun, meaning that more close interactions with family, friends, and loved ones will be had. That said, this month’s article will focus on how to reverse the signs of aging around the mouth using a variety of non-surgical and surgical modalities befitting any budget or aesthetic. As theys ay, “nothing you wear is more important than your smile.”

Lines and Wrinkles: Injectables, microneedling, chemical peels
Over time, fine lines and wrinkles manifest around the mouth due to the constant use of the underlying lip muscles as well as other factors, namely sun and weather exposure. That said, a great way to correct these troublesome perioral wrinkles includes the use of small amounts of botulinum toxin (e.g., Botox) or precisely placed dermal fillers (e.g., Juvederm) to decrease muscle activity and to fill in fines lines. Additionally, one may consider a series of in-office chemical peels, microneedling sessions, or microdermabrasion (i.e., DiamondGlow) with the goal of improving skin texture and tone. Lastly, don’t forget the importance of a daily skincare, with key anti-aging ingredients to include antioxidants (Vitamin C/E), Retinol/ tretinoin (Vitamin A), and sunscreen (SPF 30 or greater). Remember that with any skincare, daily use is key!

Lip shape/volume: Filler, Botox Lip Flip, Surgical Lip Lift
A healthy lip displays appropriate volume, height, lip pout, and well-defined borders (i.e., cupid’s bow and philtral columns).

One of the best ways to recreate this youthful lip appearance is with dermal filler, a non-surgical in-office procedure associated with minimal discomfort, virtually no downtime, modest cost (average $750 per session), moderate durability (~12 months), and a high safety profile.

A “lip flip” represents using botulinum toxin to relax the superficial muscles around the mouth and thus promote more lip pout and vertical lip height. For most patients, anywhere from 8-10 units of Botox is recommended, with results lasting 3-5 months.

For those patients interested in a more durable alternative to filler and Botox, you may consider undergoing a surgical “lip lift” wherein a small amount of skin under your nose is removed to decrease the length of your upper lip skin. This quick, in-office procedure is performed under local anesthesia (numbing injections) and represents a great way to create a more youthful but natural appearance to the upper lip, oftentimes negating the need for future lip filler. Moreover, the surgical lip lift has minimal downtime (1 week), high safety profile, and long-lasting results.

Downturned corner of the mouth: Injectables
Injectables such as Botox and filler can also be used to treat a downturned corner of the mouth. In short, adding support to the outer aspects of the mouth and relaxing downward-pulling muscles converts the resting appearance of the face from a frown to a more neutral and approachable look. The change is subtle but effective.

“Gummy smile”: Botulinum toxin
Excessive gingival show represents a relatively common smile characteristic and affects up to 10% of the population. For those bothered by their “gummy smile,” a small amount of Botox targeted to the upper lip retractors can help soften this aspect of the smile. Normally, only 10 units are required for maximal effect.

How can I learn more?

If you are interested in learning more about mouth/smile rejuvenation, I suggest consulting with a surgeon experienced in facial rejuvenation procedures. This will ensure that you receive a comprehensive, non- biased assessment and treatment plan. As a fellowship-trained Facial Plastic Surgeon, I always encourage patients to understand the treatments available to them before deciding on their plan of action, as frequently, a combined modality (surgical and non-surgical) represents the best option.

Lastly, choose a surgeon whom you trust.
There are few things more important than
your relationship with your doctor.
In Good Health,

Blake Raggio, M.D
Double Board Certified Facial Plastic Surgeon

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Patient reviews

  • Torrey

    5 Star Review

    I am a week post-op from my cosmetic rhinoplasty with Dr. Blake Raggio, a Facial Plastic Surgeon here in Birmingham, Alabama. I just had my cast removed today and I could not be happier with my results already!

  • Jessica

    5 Star Review

    Thank you, Dr. Blake Raggio, for the excellent work on my nose. The Rhinoplasty to correct the deviated septum and nostril closure went so smoothly. My breathing has improved and the before and after pictures were amazing. Your knowledge and skills improved my health and facial profile.

  • Pamela

    5 Star Review

    Dr. Blake Raggio is an amazing Facial Plastic Surgeon. I am one week out from having my
    Blepharoplasty and Browlift and could not be more pleased. Not only is he a talented Facial Plastic Surgeon he also has a wonderful bedside manner.

  • Elizabeth

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    Dr. Raggio and staff get an A+ for their superb care! From the time you walk in the door to the time you leave, you will be treated like family! Best of all you’ll leave looking younger and feeling good! You can’t beat the care and compassion from Dr Raggio and his staff!

  • Chelsea

    5 Star Review

    Dr. Raggio is the absolute best! He listens and is very precise with his injections. I am extremely happy with the results I have gotten with him. He does not push any services on you, either. I have uploaded two pictures to show the difference. I get Botox and lip filler.

  • Sheila

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    I went to Dr Reggio for my eyelids. They were folding over. I was scared to have the surgery but the right eye was bothering me. So I decided to have the surgery and this Doctor is such a delight and kind-hearted. I am very, very happy with the way my surgery turned out. I would highly recommend Dr. Raggio to anyone!

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