Perioral Aging: Understanding the Causes and Treatment Options
What Is Perioral Aging?
The perioral area, which includes the lips, mouth, and surrounding skin, is one of the first areas to show visible signs of aging. Over time, changes in bone structure, fat distribution, and skin elasticity lead to wrinkles, volume loss, and sagging, making the lower face appear aged and tired.
At Clemens Face + Body in Coolidge Corner, Brookline, we specialize in advanced injectable treatments that target perioral aging, helping to restore smoothness, volume, and definition for a youthful, natural look.
What Causes Perioral Aging?
Aging in the perioral region is driven by internal and external factors that contribute to skin thinning, deep wrinkles, and loss of volume.
1. Loss of Bone Structure
As we age, the jawbone and maxilla (upper jaw) shrink, causing less support for the overlying skin and tissues. This results in:
A weaker foundation for the lips, leading to flattening and loss of definition
Increased sagging around the mouth
The formation of marionette lines (lines extending from the corners of the mouth downward)
2. Fat Loss and Redistribution
Facial fat pads provide support and youthful fullness to the face. Over time:
Fat pads in the perioral area shrink, leading to a hollowed, aged appearance
The upper lip loses volume, appearing thinner and less plump
Fat shifts downward, exaggerating jowls and marionette lines
3. Decreased Collagen and Skin Elasticity
Collagen and elastin are key proteins that keep the skin firm and smooth. With age, the natural production of these proteins declines, causing:
Fine lines and vertical lip lines (smoker’s lines)
Skin laxity, leading to wrinkling and sagging around the mouth
Poor lip definition and structure
4. Repetitive Muscle Movements
The orbicularis oris muscle, which surrounds the mouth, is constantly in motion from talking, eating, and expressions. Over time, repeated movement leads to:
The development of static wrinkles that remain even when the face is at rest
Deeper etched-in lines around the lips
5. External Factors (UV Damage & Lifestyle Habits)
Sun exposure and lifestyle habits accelerate perioral aging by breaking down collagen and weakening skin structure. Contributing factors include:
UV exposure, leading to thinner skin and hyperpigmentation
Smoking, which causes premature vertical lip lines and skin damage
Dehydration, making the lips and surrounding area appear dry and aged
Signs of an Aged Perioral Area
The combination of bone loss, fat redistribution, and skin changes leads to several visible signs of aging in the lower face, including:
Wrinkles Around the Mouth – Fine lines above and below the lips, often called smoker’s lines or lipstick lines
Loss of Lip Volume – Thinning lips with less definition and border structure
Marionette Lines – Deep folds extending from the corners of the mouth to the chin, contributing to a sad or tired expression
Nasolabial Folds – Prominent folds running from the sides of the nose to the mouth, creating a shadowed appearance
Skin Sagging & Jowls – Loss of support causes the skin to droop, leading to jawline laxity and an aged look
How to Treat Perioral Aging
At Clemens Face + Body in Brookline, we offer a range of non-surgical treatments to address perioral aging, restoring youthful contours, volume, and skin texture.
1. Dermal Fillers for Volume Restoration
Hyaluronic acid fillers, such as Juvederm and Restylane, help:
Restore lip volume and definition for a naturally fuller look
Smooth marionette lines and nasolabial folds by replacing lost volume
Support the perioral structure, reducing sagging and improving facial balance
2. Botox/Dysport for Wrinkle Reduction
Neuromodulators like Botox and Dysport relax the orbicularis oris muscle, preventing excessive movement that deepens wrinkles. These treatments:
Reduce vertical lip lines for a smoother appearance
Lift the corners of the mouth, preventing a downturned, sad look
Prevent further deepening of expression lines around the mouth
3. Collagen-Stimulating Treatments
To address skin laxity and texture, collagen stimulators like Sculptra or Radiesse promote natural collagen production to adjacent areas, improving:
Skin firmness and elasticity
Fine lines and wrinkles around the mouth
Overall facial support and youthfulness
4. Skin Resurfacing & Microneedling
For fine lines, skin texture, and pigmentation, resurfacing treatments like:
Microneedling with PRP or PDRN (salmon sperm DNA) to boost collagen and cellular renewal
Chemical peels to improve hyperpigmentation and sun damage
When Should You Start Treating Perioral Aging?
Prevention is key! Starting early with preventative treatments like Botox, light fillers, and skin rejuvenation can slow the aging process and maintain a youthful appearance. If signs of aging are already visible, customized treatment plans can restore volume and smooth out wrinkles effectively.
At Clemens Face + Body in Coolidge Corner, Brookline, we personalize every treatment based on your unique facial anatomy and aging concerns.
Book a Consultation for Perioral Rejuvenation in Brookline, Boston
If you’ve noticed wrinkles around your mouth, thinning lips, or sagging in the lower face, we can help! Our expertise in dermal fillers, neuromodulators, and skin rejuvenation ensures that you receive natural-looking, balanced results tailored to your needs.
📍 Location: Clemens Face + Body, Coolidge Corner, Brookline, Boston
📅 Book Now: Call 929-501-5181 or schedule your consultation online
