Plastic Surgery 101

How to boost lips and soften lines around the mouth

Q. I’m 40 years old and I have the mouth of a 60 year old! I have used fillers and I found them not to be effective for a very long time. Is there anything new that’s coming out that might help me?

A. Lucky for you there’s a new product just approved by the Food and Drug Administration. The product is called Juvederm Volbella XC. The product was found to increase lip fullness and soften the appearance of lines around the mouth in a majority of subjects for one year. This product is very similar to other highly Ronek acid products but this one lasts about a year.

I’m assuming that the aging part of your lip is that you have wrinkles around your mouth and that you were not a smoker or you were a smoker and still have these wrinkles. If you were not a smoker, you can blame this one on your parents!

JV is a hyaluronic acid (HA) that allows for longevity and fullness achieved around the lips.

I would not jump ship just yet and give up any other HA products because they are very good products with proven results. In the hands of experience injectors, results are excellent with reasonable longevity. Since I have not used this product, I would temper the one-year results until more experiences are had by end users. I have found that when a product is approved by the FDA, the product can actually last longer or slightly less than the average time stated in the FDA approval.

If you want something more permanent, you can also consider doing needling or perioral laser treatments. Naturally, you should be evaluated by a board-certified facial plastic surgeon, plastic surgeon or dermatologist. Perioral injections should be evaluated and treated by experienced physicians.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at