Nose To Mouth Lines, Folds & Wrinkles

At The London Cosmetic Clinic we offer effective treatments to improve concerns such as lines, wrinkles and folds around the mouth and lip area. The common areas of concern include smokers lines, nose to mouth lines, drooping mouth corners and marionette lines. All procedures are carried out by our highly experienced, female doctors in our Knightsbridge clinic.

The aging problems around the mouth area include:

Smoker or lipstick bleeding lines & wrinkles around the lip area
Drooping mouth corners
Marionette lines (lines that come down from the mouth corner towards the chin)
Nose to mouth lines (Nasolabial folds)
Lines and wrinkles at lower the cheek and chin area

What are causes?

The main causes are the movement of the muscles in your lips and around your mouth when you talk, smile, smoke or kiss can cause creases on your skin and over a long period of time these may become permanent.  Lines and wrinkles can even be caused even when the underlying muscle are still. This happens because the aging process reduces the production of collagen, hyaluronic acid and elastin. Sun can also degrade your skin so much that it loses it’s ability to snap back in to place. Ageing also causes the sagging of your cheeks, consequently, creating nose to mouth folds, marionette lines and drooping mouth corners.

What are the available treatments?

Dermal filler injections: The treatment involves the injection of filler to plump up and fill the lines or folds. This treatment is very effective for static lines and folds around the lips, cheeks, nose to mouth folds, marionette lines and mouth corner lifting

Botox (botulinum toxin injections): Botox can reduce the movement of the muscles around the lip which causes smoking lines and the muscle that excessively pulls the mouth corner downward. Therefore, it helps improve smoker lines and a drooping mouth corner

During your medical consultation, the specialist doctor will carefully examine and advise you the best treatment options for you individually.

What is Botox ?

Botox (Botulinum toxin) is a protein produced by the the bacterium Clostridium botulinum. It relaxes muscles by temporarily blocking nerve impulses to the injected muscles. This reduces muscle activity that causes lines and wrinkles.The cosmetic effect of Botox was first documented as early as 1989 and was approved by the FDA in 2002. It is now regularly used by many, both male and female, as it is less intrusive and less artificial in appearance than the traditional form of treament such as plastic surgery

What is a dermal filler?

Dermal fillers are materials that are frequently used to correct scarring, lines, folds and other depressions in the skin. They are a kind of soft tissue designed to be injected into the skin for purposes of improving the appearance. Generally, they are made of several types of materials of synthetic, man-made and natural categories. They have been developed into various standards depending on the level of usage.

Which type of dermal filler is used during the treatment?

The most common dermal filler used is a temporary filler called Hyaluronic acid (such as Restylane and Juvederm)

Hyaluronic acid is one of nature’s most versatile and fascinating substances. It is found throughout the body as well as in most other living organisms. It has many functions, from giving the skin elasticity and providing our skin with volume, giving it a youthful appearance. Restylane and Juvederm are sterile gels consisting of non-animal, cross-linked, hyaluronic acid (HA) that are made in a laboratory. They contain no human or animal DNA and have the best safety profile of all the fillers currently on the market as it is the only type of filler that is reversible.These products are FDA approved for use in the nasolabial folds and are used “off-label” in other areas

What is the treatment process of the dermal filler injections?

Prior the treatment :

Topical anaesthetic will be applied for 15-30 minutes prior the treatment for additional comfort

The procedure :

The dermal filler is injected in precise locations into the skin. The doctor will then massage to smooth the product. During the procedure, you are fully awake and will be given a mirror to hold to enable you to see the results

Post treatment :

You should avoid touching or applying make up on the treated area for 6 hours in order to prevent infection. The results are immediate and last from 6-12 months. As the results are relatively temporary, adjustments can be made as your face changes over time to ensure you always retain a natural look. Specific post treatment instructions will be given during your visit by our Clinic Coordinator


 Before & After Gallery (Photos currently being updated)


What is the treatment process of Botox?

Before the treatment :

A full medical consultation with the doctor will determine whether you are a suitable candidate for the treatment. The doctor may examine your ability to move certain muscles to determine location, size and use of the muscles that create your wrinkles. Then, the treatment goal will be discussed and finalised and a customised treatment plan will be created for you

The treatment :

No anaesthesia is required. However, the doctor may choose to numb the area with a cold pack or anaesthetic cream. Discomfort is usually minimal and brief. A few tiny injections of Botox will be administered directly into the muscles that causes the lines. The treatment will take approximately 15 minutes to complete

After the treatment :

Avoid touching, rubbing or applying make up on the treated areas for 4 hours. Excessive exercise should also be avoided for 24 hours post treatment. The procedure will take around 15 minutes to complete. Specific after care instructions will be given to you on the day of your treatment by our Clinic Coordinator

Please find the dermal filler and Botox injection treatment video in our video section

Am I suitable for the Botox treatment?

Only you and your doctor can decide if the treatment is right for you and your concerns. During your medical consultation, our expert Botox doctor will asses your medical history and make sure you are suitable for the treatment.

Ensure to tell the doctor about all of your medical conditions, including:

  • A disease that effects your muscles and nerves such as Myastenia gravis or Lambert-Eaton syndrome
  • Allergies to any Botulinum toxin products
  • Medication that you are currently taking
  • Whether you have had any facial surgery or plan to have surgery
  • If you are pregnant or plan to become pregnant or breast feeding

Who should NOT use Dermal filler?

Do not use if you are pregnant or breast feeding

Are there any side effects?

Botox: Injection related side effects are minimal and temporary such as redness, swelling and bruising. Spreading of the Botox to the muscles nearby can be easily prevented by avoiding rubbing or massaging the treated areas for 4 hours

Dermal filler: After the treatment(s) some common injection-related reactions might occur, such as swelling, redness, pain, itching, discoloration and tenderness at the injection site. These typically resolve spontaneously within 2 to 10 days. Mild bruising or a slight blush might appear at the injection site immediately following treatment and may last for 2-10 days.

If you’ve previously had cold sores around the mouth (facial herpes simplex), the treatment might provoke an outbreak. Be sure you have a supply of the oral tablets (prescription) Valtrex, Famvir or acyclovir or topical cream such as Zovirax.

How do I avoid bruising?

To avoid swelling and bruising, you should:

  • Not take aspirin, exedrin, ibuprofen, aleve or advil for 1 week before and 2 days after treatment. Tylenol is always fine
  • Not take Vitamin E (multivitamin ok) or St. John’s Wort for 2-3 days before or after
  • Avoid exercise except for walking for 24 hours after the procedure
  • Take arnica tablets up to 2 weeks prior to the treatment

How long will the results last?

The Botox results generally last 4-6 months whereas the dermal filler results last 6-12 months.

The longevity of these products is variable and each individual may obtain a different result. A plan for regular follow-up treatments to maintain the initial result can be created for you. Our treatment provides a long-lasting but not permanent result leaving you the option of refining your treatment in tune with changing taste and fashion

Why Should I have the treatment at The London Cosmetic Clinic?


1. SPECIALIST DOCTOR: You will be treated by one of the UK’s leading cosmetic doctors who are highly experienced in the Hyperhidrosis procedure


2. SERVICE & CARE: We pride ourselves on patient care and experience, therefore, our experienced team will ensure that your visit and treatment is as informative, comfortable and professional as possible


3. CLINIC LOCATION: The treatment is carried out at our clinic in the heart of vibrant Knightsbridge. We are based a 5 minute walk from Knightsbridge tube station


4. HIGH PATIENT SATISFACTION: Our patients are very happy with their results resulting in many returning to have additional areas. We also have many that recommend friends and family to the clinic


5. PREMIUM MEDICATION : We use only premium and FDA approved products for the treatment ( Botox, Dysport, Vistabel, Azzalure, Restylane and Juvederm)


Standard price list

Botox: Small areas such as smoking lines around the mouth or drooping mouth corner treatments are priced at £199

Dermal filler: The cost depends on the amount of product used. The treatment price starts from £250 (the average amount is £395)

We offer expert treatments at competitive prices and a free, medical consultation appointment to discuss your suitability. Please subscribe to our newsletter to receive the latest special offers and clinic news


“I love my results after the Botox and filler treatment for my smoking lines! Dr Johnson did it perfectly and it also made my lip shape a hundred times better! Thank you so much” Lisa*, Knightsbridge

“After having my marionette lines treatment with Dr Ame, I don’t look miserable anymore. I only experienced a little bruise which was gone in three days. Thank you so much for your nice work. I would definitely recomend you to my girl friends” Heidy*, Oxford

*Names changed to protect patient identity*

Suggestions of other treatments :

Non Surgical Rhinoplasty (Nose), Lip Enhancement, Cheek and Chin Enhancement