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"Rejuvenating the lips and perioral region in mature women demands a conservative, anatomyguided, and psychologically sensitive approach."
Background: Lips are central to facial beauty and one of the earliest features to show age-related changes. Mature patients increasingly seek perioral rejuvenation that appears natural rather than transformative. Objective: To review age-related changes of the lips, psychological considerations in older patients, and outline a structured, anatomy-based approach for safe and harmonious treatment. Methods: This review synthesizes current literature and practical injection techniques, emphasizing layered correction, deep support restoration, and integration of minimally invasive tools.
Conclusion: Treating aging lips requires more than simple augmentation. Addressing structural support, correcting perioral lines, and integrating full-face balance are key to achieving subtle, age-appropriate, and lasting outcomes.
Lip rejuvenation, perioral region, aging, hyaluronic acid, fillers, neuromodulators, anatomy-guided technique, facial harmony
The lips and surrounding perioral structures are essential to facial expression, aesthetics, and identity. In women, they are closely associated with attractiveness, youth, and femininity. However, the lips are also among the first areas to show signs of aging. Older patients often express reluctance toward dramatic changes; they fear overfilling, distortion of natural features, and visible evidence of cosmetic intervention. They seek refinement rather than transformation — a fresher, softer, and authentic appearance.
To meet these expectations, clinicians must understand not only the anatomy and age-related changes of the lips, but also the psychological profile of mature patients and the principles of safe, layered rejuvenation.
Soft Tissue and Skin Changes
With age, the orbicularis oris muscle becomes thinner and weaker, while surrounding connective tissue thickens. This imbalance between skin and muscle aging leads to vertical perioral rhytids, lip retrusion, and loss of structural support.
Maxillary and mandibular bone resorption reduces the bony foundation, accelerating soft tissue collapse.
Older patients rarely want «new lips.» They want familiar lips that look younger. They fear excessive lip volume, disproportionate results, and being visibly recognized as treated. They value subtle improvement, restored definition, and natural integration with the rest of the face. Therefore, consultation and expectation management are critical.
Rejuvenating the lips and perioral region in mature women demands a conservative, anatomyguided, and psychologically sensitive approach. By rebuilding deep support, restoring natural definition, and refining surface wrinkles in a layered manner, clinicians can achieve subtle, harmonious, and long-lasting results. Modern techniques using HA fillers, neuromodulators, and full-face planning respect both facial proportions and the patient’s desire to look refreshed, not transformed.
