Take it from the experts at Castleknock Cosmetic Clinic, Dublin…..one of the first visible signs of aging appears around the mouth: those faint, curving lines that resemble parentheses. The causes of these lines range from exposure to the sun and harsh elements of weather and pollution, as well as smoking and simply making facial expressions. However, while you can stop the process of aging, there are ways to minimize the lines around your mouth.
The most common wrinkles treated in the perioral area (area around the mouth) are lipstick lines, marionette lines and parentheses lines. Small lines that etch the lips and may extend vertically from the lips are commonly referred to as lipstick lines or smoker lines. They are typically not a result of smoking (although smoking can contribute). These lines can cause lipstick to bleed, which is how they have come to be called lipstick lines. Wrinkles, lines and folds may form in the oral commissures around the corners of the mouth. In many instances the oral commissure lines will extend downward from the mouth, which is where the terms ‘marionette’ and ‘puppet’ lines are derived. Oral commissure lines may also radiate from the corners of the mouth. Another set of wrinkles may form from an extension of the nasolabial folds. These lines typically arc around the corners of the mouth, looking in many instances like a set of parentheses.
Treatment of Parentheses Lines
Some individuals develop lines that arc around the corners of the mouth and look somewhat like a set of parentheses. These lines are usually an lateral (outward) extension of nasolabial folds. They are often shallow, fine lines that are treated much the same way as the marionette lines with advanced dermal fillers, such as Emervel, Radiesse, Juvedermtm or Restylane. The filler is usually placed along the line to help lift and fill the line. Due to the vasular nature of the skin on the outer cheek are, a soft cannula is used to administer the dermal filler rather than a sharp needle.
As with other lines in this area, patients may see subtle improvement of parentheses lines with liquid face lift treatment of other facial areas, such as the cheeks. Liquid cheek augmentation, for example, will oppose some of the sagging that contributes to lower facial wrinkles.