Dermal fillers are excellent in this area, and used carefully can give a lovely strong lip, which looks untouched. Even with deeper lines, they can give a significant but natural looking improvement. The lines are still present, but are softened and the lip looks very youthful. You can expect to have bruising with this treatment, which may last 3-4days.
Wrinkle Reducing Injections/Botulinum Toxin Injections, when applied carefully, can give an excellent softening of these lines, and is often a starting point of such treatments.
A recent development has been the use of Nano-Fat with PRP, which has resulted in remarkable rejuvenation in the most damaged of lips. In this area there is 4-5 days of marked swelling, after which the resulting transformation has amazed us.
Carbon Dioxide Laser Resurfacing or Deep Phenol Peels used to be the gold standard for deep lines on the upper-lip, but the recovery time is considerable in both (1-3 months).
Fractional Carbon Dioxide is also used here, but the number of treatments required (up to 6) and the downtime with each (4-6 days) means we are now suggesting Fat Transfer and Nano-Fat more these days.