lines around the mouth (perioral rhytides)

Lines and wrinkles around the lips—often called “smoker’s lines” or “barcode lines”—are a common concern as we age. These fine vertical lines can affect both the upper and lower lips, leading to changes in lip definition, volume, and overall facial expression. While these lines are a natural part of ageing, modern dermatology offers safe, effective solutions to help restore a smoother, more youthful appearance.

why do perioral lines develop?

Perioral rhytides are caused by a combination of factors:

Natural ageing: Gradual loss of collagen, elastin, and fat leads to skin thinning and reduced support.
Repetitive muscle movement: Everyday actions like speaking, pursing the lips, or drinking through a straw contribute to wrinkle formation.
Sun exposure: Chronic UV damage accelerates collagen breakdown and skin ageing.
Lifestyle factors: Smoking and dehydration can make lines deeper and more prominent.

What do Perioral Lines look like?

Vertical wrinkles on the upper (and sometimes lower) lip
Blurring of the lip border (vermilion border)
Loss of lip volume and definition
Fine lines that may extend onto the surrounding skin

treatment options with Dr Liz

Dr Liz Dawes-Higgs offers a layered, personalised approach to treating lines around the mouth, always focusing on natural, refreshed results.

Skin Lines Support

Our “Skin Lines Support” treatments use advanced techniques to relax the tiny muscles around the mouth, softening dynamic lines and helping to prevent new ones from forming. This approach is carefully tailored to maintain natural movement and avoid affecting speech or eating.

Facial Volume Support

“Facial Volume Support” treatments gently restore lost volume and definition to the lips and surrounding areas. By supporting the natural structure of the mouth, these treatments help smooth static lines and rejuvenate the overall appearance.

Skin Collagen Support

“Skin Collagen Support” treatments stimulate your skin’s own collagen production using energy-based devices and biostimulatory injectables. This approach improves skin texture, firmness, and resilience, reducing the appearance of fine lines over time.

Laser & Energy-Based Skin Resurfacing

Fractional ablative laser , Fraxel Dual Laser and Radiofrequency treatments target deeper lines and improve skin quality by encouraging new collagen formation. These therapies are excellent for smoothing the skin, minimising lines, and enhancing overall lip and perioral rejuvenation.

Topical Maintenance

Daily use of SPF 50+ lip and skin protection, topical retinoids (as advised), and antioxidant-rich skincare help maintain results and prevent further ageing.

your personalised plan

Dr Liz will assess your unique needs and design a treatment plan that may combine several of these options for best results. Ongoing maintenance—like repainting the Harbour Bridge—helps keep your results fresh and long-lasting.

why choose dr liz dawes-higgs?

With over 20 years’ experience as a specialist dermatologist, Dr Liz offers personalised, evidence-based care using advanced laser technology and tailored solutions for smoother skin lines, restored facial volume, boosted collagen, and enhanced skin hydration and glow. Every patient receives a thorough assessment, clear communication, and a treatment plan tailored for natural-looking, long-term results.

Ready to take the next step?

For more information, please book a consultation with Dr Liz — Sydney’s skin expert in laser and skin support treatments, or contact the clinic on (02) 9958 1555.