Age-related changes in the perioral region: a beautiful smile is the key to youth

The perioral area is one of the most problematic areas for cosmetic correction. At the same time, it is she who is one of the first to undergo age-related changes, which is why beauty industry experts are so attentive to the area around the mouth and lips.

Smile – this is the most attractive feature of the face after the eyes, and a beautiful smile with proportional lips – twice as attractive.

Dermatocosmetologist, member of the All-Ukrainian Association of Specialists in Applied Aesthetics, expert in anti-age methods, international IBSA coach Svetlana Gnatiuk.

What are the current trends in the perioral zone

S.G.: Aesthetic correction of the perioral zone – this is not only a lip correction, although the lips – a very important and attractive aspect of this area.

Beautification of the perioral zone generates many pseudo-trends in the size and shape of the lips. But the real and sought-after trend for all time – beautiful lips that blend harmoniously with the shape of the face, which look fresh and natural. Anything "hyper" - no longer in trend.

To date, the safety of injections and the naturalness of the result – above all that is connected with technique and with the choice of drugs.

Since rejuvenation of the perioral zone is not equal to volumization, the approach should be different in the choice of hyaluronic acid preparations: from native to stabilized, with different gel densities.

The selection of preparations is carried out depending on the initial state, the degree of involutive changes and desired result.

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What drugs do you use in your practice

S.G.: In my practice, I prefer IBSA –Viscoderm, Hydrobooster, Prophilo and Aliaxin.All these products contain the highest quality hyaluronic acid produced by the pharmaceutical company IBSA, presented by
Cosmetic Group, therefore, they fully comply with my requests for the safety and naturalness of the result.

To moisturize and restore lip color, I use Viscoderm biorevitalizants and biorestructurants (native hyaluronic acid concentration 0.8%, 1.6% and 2.0%).

I select the concentration depending on the age of the patient. For the most aged, I use Viscoderm 2.0%.

This drug has also proven itself very well in the treatment of purse-string wrinkles – in the lattice technique on the skin part of the upper lip and linearly retrograde along the contour of the lips.

Native hyaluronic acid 20 mg/ml has a powerful stimulating effect on fibroblasts, restoring the structure of the dermis.

There is no "monkey face" effect, because even large amounts of biorestructuring agent do not volumize to such an extent as to cause an undesirable and unnatural phenomenon.

Read also: Techniques and drugs for correcting the perioral region and increasing lip volume

What properties do innovative injectables have

The next drug of choice for the treatment of age-related involution in the perioral zone is an innovative product from IBSA based on hybrid complexes of hyaluronic acid – Prophilo.

The drug has unique characteristics: superdiffusion, ability to remodel tissues at different levels, low inflammatory activity, cohesiveness, high concentration of hyaluronic acid (32 mg/ml), resistance to hyaluronidase 8 times compared to high molecular weight native hyaluronic acid.

All this makes it possible to use Prophilo in the bolus technique to eliminate skin laxity, as well as to treat atrophic phenomena in the perioral zone. Application protocol unchanged – 2 sessions 1 month apart and a third session 2 months later.

In order to erase wrinkles and creases in the mouth area, there is another magic drug – Viscoderm Hydrobooster based on weakly stabilized hyaluronic acid.

The effect that this drug causes is called hydrostretching: wrinkles are literally "erased"; like an eraser in 2 sessions 2 months apart.

Prevention of age-related changes: the incredible possibilities of innovative drugs

Which line of injectables is your favorite

S.G.: My favorite line of fillers – Alixian. I never get tired of talking about the safety, plasticity and excellent distribution of these drugs in the tissues at my master classes.

Today, IBSA (

Cosmetic Group) line of fillers includes 5 products, among which Aliaxin FL and Aliaxin GP are the drugs of choice for lip contouring.

To achieve the result of "natural lips", as well as with the initial sufficient volume, I choose Aliaxin FL – soft gel designed for the dynamic zone of the orbicular muscle of the mouth.

The advantage of this drug is the absence of post-injection edema. For more contouring and volume I use Aliaxin GP (Global Perfection) – a denser gel, but with the same excellent rheological characteristics.

The preferred technique I choose with these fillers – this is the "Paris sponge" technique: safe, beautiful, natural, but with a WOW effect.

Highly purified hyaluronic acid: innovative fillers and biorevitalizants