As we get older, it’s natural for our skin to change. One of the most common signs of ageing is the appearance of lines and wrinkles around the mouth. These fine lines, which are sometimes referred to as “barcode lips”, “lipstick lines”, “marionette lines”, “smile lines”, or “smokers’ lines”, can make the face appear older, tired, or less vibrant than it once did. While the ageing process is inevitable, there are many ways to reduce or soften these lines. From skincare and lifestyle changes to professional treatments, it’s possible to help restore a more youthful and refreshed appearance around your mouth area.

We’ll discuss everything you need to know about how to get rid of lines around the mouth. We’ll cover what causes them in the first place, which non-invasive treatments can help, when to consider more advanced procedures, and how to maintain the results you’ve achieved.

Understanding Lines Around the Mouth

What Are “Smile Lines,” “Lipstick Lines,” and “Marionette Lines”?

• Smile lines (nasolabial folds) are the creases running from the sides of the nose to the corners of the mouth. They become more pronounced with repeated facial expressions and as the skin loses elasticity.

• Lipstick lines, also known as barcode lips or smokers’ lines, are the fine vertical lines that appear on the upper lip. These can cause lipstick to bleed, hence the name “lipstick lines.”

• Marionette lines are the lines that run from the corners of the mouth down towards the chin. As the face loses volume, these lines can create a downturned appearance, sometimes making a person look sad or tired even when they are not.

The Role of Ageing in Wrinkle Formation

As we age, our skin naturally undergoes changes. Decreased collagen and elastin make it more prone to wrinkling. Repeated facial movements, combined with weaker structural support, allow lines to form around dynamic areas such as the mouth. Additionally, the fat pads under the skin begin to shift, causing some hollows and folds to appear more pronounced.

Lifestyle Factors That Contribute to Mouth Wrinkles

Environmental influences are critical. Sun exposure, smoking, poor diet, inadequate hydration, and insufficient sleep all contribute to the formation of wrinkles around the mouth. Addressing these factors is often the first step in a comprehensive anti-ageing strategy.

Skin Anatomy and How Wrinkles Form

Collagen, Elastin, and Hyaluronic Acid

Collagen and elastin are fibrous proteins responsible for skin firmness and elasticity. Hyaluronic acid, a natural molecule in our skin, helps retain moisture and plumpness. Over time, production of these substances slows down. According to studies, this reduction leads to thinner, drier skin that’s more susceptible to fine lines.

The Impact of UV Radiation and Oxidative Stress

Ultraviolet (UV) radiation from the sun breaks down collagen and elastin, leading to early wrinkling, especially around the mouth. Oxidative stress, triggered by factors like pollution and unhealthy diets, can also speed up the ageing process. Wearing a high-factor sunscreen and following a healthy lifestyle can significantly reduce these effects.

Muscular Movements and Expression Lines

Every time you smile, laugh, speak, or smoke, the muscles around your mouth contract. Over the years, these repeated expressions create lines on the skin’s surface. While these lines are natural, minimising the factors that deepen them, like smoking, can help keep them at bay.

At-Home Skincare Approaches

Choosing the Right Moisturisers and Serums

To combat dryness and fine lines, opt for skincare products containing ingredients that support the skin’s barrier. Look for moisturisers with hyaluronic acid, ceramides, and peptides. Serums with retinol, vitamin C, or niacinamide can improve skin texture and reduce visible signs of ageing over time.

Ingredients That Support Collagen Production

Retinoids (vitamin A derivatives) are widely studied and have been shown to increase collagen production and improve fine lines. Vitamin C, a potent antioxidant, supports collagen synthesis and brightens the complexion. Peptides encourage firmer skin, while hyaluronic acid helps to attract and retain moisture, giving a plumper look.

Exfoliation and Gentle Skincare Routines

Regular, gentle exfoliation helps remove dead skin cells, promoting a smoother texture and allowing active ingredients to penetrate better. However, do not over-exfoliate, as this can cause irritation and dryness. Choose a mild exfoliant and incorporate it into your routine one to two times per week, adjusting as needed based on your skin’s reaction.

Lifestyle Changes to Reduce Mouth Wrinkles

Sun Protection Strategies

Apply a broad-spectrum sunscreen with an SPF of at least 30 daily. Reapply every two hours if outdoors. Wear wide-brimmed hats and sunglasses to further protect the delicate skin around your mouth and eyes. Minimising UV exposure is one of the most effective ways to prevent premature wrinkles.

Dietary Considerations and Nutritional Support

A balanced diet rich in antioxidants, vitamins, and minerals supports healthy skin. Foods rich in vitamin C (such as citrus fruits, berries, and leafy greens) assist in collagen production, while omega-3 fatty acids (found in oily fish, flaxseed, and walnuts) help maintain the skin’s barrier. Limiting refined sugars and processed foods is beneficial, as these can contribute to collagen breakdown.

Smoking Cessation and Its Effects on Skin Health

Cigarette smoke exposes your skin to oxidative stress and constricts blood vessels, reducing the delivery of essential nutrients. The repetitive pursing of lips when smoking also contributes to “smokers’ lines.” Quitting smoking can lead to healthier, more radiant skin and help prevent the formation of these persistent vertical lines.

Hydration and Sleep Quality

Drinking sufficient water ensures your skin cells remain well-hydrated, making your complexion appear plumper and more resilient. Aim for at least 6-8 hours of quality sleep each night. During sleep, the skin performs essential repair functions, and lack of rest can accelerate the ageing process.

Non-Invasive Cosmetic Treatments

Chemical Peels and Microdermabrasion

Chemical peels use acids to remove the top layer of dead skin cells, encouraging cell turnover and revealing fresher, smoother skin beneath. Microdermabrasion also exfoliates the surface layer, improving the appearance of fine lines and evening out skin texture. Both treatments can be performed in a clinic or medical spa.

Microneedling and Dermarolling

Microneedling involves using tiny needles to create micro-injuries in the skin. This stimulates collagen production, improving overall texture and reducing fine lines. Home dermarolling kits can provide mild improvements, but professional microneedling with sterile devices often yields better, safer results.

Radiofrequency and Ultrasound Therapy

Radiofrequency (RF) and ultrasound devices deliver energy deep into the skin to heat tissue and encourage collagen synthesis. These treatments help tighten the skin around the mouth and can reduce moderate wrinkles. They are non-invasive and usually require multiple sessions for best results.

Laser Treatments for Fine Lines

Lasers can target the superficial and deeper layers of the skin, improving tone, texture, and elasticity. Fractional lasers, for example, create controlled micro-injuries that trigger collagen remodelling. Over time, the skin around the mouth becomes smoother and younger-looking.

Injectables and Minimally Invasive Treatments

Dermal Fillers: Hyaluronic Acid and Beyond

Dermal fillers, such as those containing hyaluronic acid (HA), can instantly add volume and support to areas that have thinned with age. Injecting small amounts of filler around the mouth can help smooth marionette lines, lipstick lines, and other wrinkles. HA fillers are temporary, lasting around 6-12 months, depending on the product and the individual.

Botulinum Toxin Injections to Relax Expression Lines

Botulinum toxin injections (commonly known by brand names like Botox®) relax the muscles that cause dynamic wrinkles. By reducing the intensity of muscle contractions, the skin around the mouth has time to smooth out. These treatments typically last 3-6 months and can be combined with fillers or other therapies for enhanced results. A special technique used around the mouth is a lip flip.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves drawing a small amount of your blood, then processing it to isolate growth factors and platelets. When injected or applied topically to the skin, PRP stimulates the body’s natural healing processes, boosting collagen and elastin production. This can improve skin texture and fine lines over time.

More Advanced Aesthetic Procedures

Surgical Options for Perioral Rejuvenation

Aesthetic surgery may be an option if you have significant lines around the mouth or if non-invasive approaches are not delivering the desired results. Procedures such as a facelift or perioral lift can address skin laxity and deep grooves. These surgeries remove excess skin and tighten underlying tissues for a more youthful appearance.

Lip Lifts and Corner Lift Procedures

A lip lift shortens the distance between the nose and the upper lip, improving lip shape and reducing some vertical lines. Corner lifts raise the corners of the mouth to create a more positive, youthful expression. These procedures are usually done under local anaesthesia and can have a long-lasting impact on mouth aesthetics.

Fat Transfer and Structural Rejuvenation

Fat transfer involves harvesting fat from one area of your body (such as the abdomen or thighs), purifying it, and injecting it into areas that need more volume. This can add fullness to the areas around the mouth, softening wrinkles and improving overall facial harmony. Fat transfer results can be very long-lasting, and because the filler is your own tissue, the risk of allergic reaction is minimal.

Maintaining Results and Preventing Future Lines

Long-Term Skincare Regimens

Once you’ve improved the lines around your mouth, maintaining a consistent skincare routine is crucial. Continue using antioxidant-rich serums, nourishing moisturisers, and sunscreen daily. Consider retinoids and peptides to keep stimulating collagen.

Seasonal Skin Adjustments

Your skin’s needs can change with the seasons. During colder months, you may require richer moisturisers. In warmer weather, a lighter lotion and consistent sun protection are key. Adjusting your routine ensures ongoing skin health and prevention of further lines.

Follow-Up Treatments and Reviewing Results

Periodic touch-ups, whether with injectables, laser treatments, or surgical procedures, may be necessary to maintain your results. Regular consultations with a qualified aesthetic practitioner can help you identify when and if additional treatments are needed.

Frequently Asked Questions

How Long Do Treatment Results Last?

• Dermal fillers last between 6-12 months, sometimes longer, depending on the type of filler used and your metabolism.

• Botulinum toxin injections need repeating every 3-6 months.

• Laser and microneedling treatments often produce improvements lasting several months to a couple of years, depending on your skincare routine and lifestyle.

• Surgical solutions, like lip lifts or facelifts, can last for many years, but natural ageing continues, meaning you may still develop some new lines over time.

Are There Any Side Effects or Risks?

All procedures carry some level of risk. Mild redness, swelling, or bruising can occur after non-invasive treatments. Injectables may cause temporary discomfort or lumps that usually resolve within a week or two. Surgical procedures come with more significant risks, such as infection, bleeding, or scarring. Always consult with a qualified doctor or surgeon to discuss potential side effects and how to minimise them.

When to See a Specialist

If you’ve tried at-home strategies without success, or if the lines around your mouth are significantly impacting your self-confidence, consider seeking professional advice. An experienced doctor or plastic surgeon will help you explore suitable treatment options tailored to your goals and medical history.

Conclusion

Wrinkles around the mouth, including barcode lips, smile lines, marionette lines, lipstick lines, and smokers’ lines, are a natural part of ageing. However, thanks to modern skincare and aesthetic treatments, there are many ways to reduce their appearance and achieve a rejuvenated, youthful look. Starting with a foundation of healthy lifestyle habits—such as sun protection, smoking cessation, a nutritious diet, and adequate sleep—lays the groundwork for long-term skin health.

Investing in a good skincare regimen that includes ingredients proven to support collagen and elastin production, like retinoids and vitamin C, can provide noticeable improvements over time. Non-invasive treatments, like chemical peels, laser therapy, and microneedling, offer incremental benefits, while injectables like dermal fillers and botulinum toxin can deliver more immediate, tailored results.

For individuals seeking more dramatic changes, surgical options, such as lip lifts and facelifts, can provide long-lasting transformations. Whichever path you choose, working with a professional is essential. At CLNQ in Manchester and Cheshire, our experienced team can assess your skin’s needs, recommend the most appropriate treatments, and guide you toward realistic, achievable goals.

By combining preventative measures, good skincare practices, and the right blend of professional treatments, you can significantly reduce the appearance of lines around the mouth. Ultimately, the aim is not just to turn back the clock, but to look and feel like the most confident, refreshed version of yourself—at any age.

CLNQ Manchester, 11 Owen Street, Manchester, M15 4YB