Summary
Smoker lines are those fine vertical wrinkles above your mouth that form because of repeated muscle use and skin ageing. The good thing is that it can be treated with Bot ox by relaxing the orbicularis oris muscle, allowing these lines to soften gradually over around 10-14 days. Results typically last 3-4 months. The treatment is quick (often under 15 minutes), minimally invasive, and best suited for those who have dynamic wrinkles rather than volume loss. You may need a professional consultation to know if you need the Botox alone or with a filler or booster combination.
What Are Smoker Lines
Definition & Appearance
Smoker’s lines are vertical wrinkles that form above the upper lip, which sometimes extend slightly below the lower lip. They are most visible when you are talking, smiling, or pursing your lips. But over time they can become noticeable even when your face is at rest.
These lines are sometimes called:
- Lipstick lines
- Perioral lines
- Vertical lip wrinkles
Although they are often associated with smoking, their development is influenced by several factors, not just cigarettes alone.
Risk Factors & Causes
As we age, our skin naturally produces less collagen and elastin, making it thinner and less resilient. Repetitive movements of our mouth, such as when we speak, pucker, or drink liquids using straws, gradually crease our skin.
Below are the common risk factors:
- Collagen breakdown and natural ageing
- Smoking
- Sun exposure and UV damage
- Genetic predisposition
Causes of Smokers’ Lines
Lifestyle & Environmental Influences
How early and how deeply your smoker’s lines develop depends on your lifestyle choices.
These are some factors that can cause your smoker’s lines to develop.
- Smoking can accelerate your skin’s ageing because it reduces blood flow and breaks down collagen.
- Exposure to UV can damage your skin’s structure and can speed up wrinkle formation.
- Dehydration can make fine lines appear deeper and more pronounced.
- If you are not using skin protection, particularly SPF, because it can contribute to premature ageing around your mouth.
Understanding these causes can help you set realistic expectations for Botox and shows why prevention and aftercare are important.
How Botox Works on Smoker Lines
Mechanism of Action
Botox for smoker’s lines works by relaxing the orbicularis oris muscle. It is a circular muscle around your mouth responsible for pursing and repetitive movements.
When this muscle is gently relaxed:
- The skin above your lip folds less.
- Dynamic lines soften gradually.
- New deep creases will be prevented from developing.
But you need to take note that Botox does not add volume. Unlike dermal fillers, Botox treats your muscle movement, not filling the areas where your skin loses its fullness or becomes thin.
Ideal Candidates
Botox is most effective for you:
- If you have early to moderate smoker’s lines.
- Your wrinkles appear because of repetitive movement.
- You are seeking subtle, natural improvement.
You may need to combine Botox with fillers or skin boosters if your lines are deep and etched into your skin so you can get optimal results.
Effective & professional doctor-led Botox at our central London clinic
Verified Before & After
Verified Before & After
Treatment Process
Consultation and Suitability Assessment
A professional consultation is important before your treatment. During this assessment, your doctor will:
- Examine your lip movement and muscle strength.
- Assess your skin quality and the depth of your wrinkle.
- Discuss your medical history and your expectations on the treatment.
This step will help ensure that Botox will be used for you safely and appropriately.
Procedure Overview
- The procedure is quick and done with precision.
- Small amounts of Botox are injected into specific points around your lips.
- The process usually lasts 10-15 minutes.
Timeline for Results
To prevent you from experiencing stiffness or problems with speech or drinking, it’s important that Botox is carefully dosed by your injector.
- Initial effects: 3-5 days
- Gradual softening: 7-10 days
- Full results: around 2 weeks
Correct dosing will result in subtle and natural improvement, not frozen or overdone.
Benefits of Botox for Smokers’ Lines
Immediate vs. Gradual Effects
Unlike fillers, Botox does not provide instant results. Instead, it will soften your lines gradually. That’s the reason why many patients love Botox because of its natural-looking outcomes.
Your family and friends may notice that you look fresher, but they will not think that you have been aesthetically treated.
Cosmetic Advantage
Key benefits include:
- No need for surgery or incisions
- Minimal discomfort
- No downtime. Most people can go back to their normal routine.
This is why Botox is ideal for those people with busy lifestyles.
Longevity of Results
The results of your Botox treatment will usually last for 3-4 months. But still it depends on your:
- Metabolism
- Muscle strength
- Lifestyle factors (such as smoking)
Some patients who are getting regular treatments find their lines become less pronounced over time.
Botox for Smokers’ Lines Before and After: What to Expect
Typical Visual Timeline
Before your treatment:
- Vertical lines are visible with movement
- Your lipstick may bleed into creases.
After your treatment:
- Lines around your lips appear softer and smoother.
- Your lip area looks more relaxed.
- The texture of your skin improves gradually.
It will enhance your appearance without altering your natural expressions.
Complementary Treatments
Most people achieved their best results because they combined Botox with:
- Dermal fillers: Good if you have deeper static lines
- Skin boosters: For more hydrated and elastic skin
- Microneedling: To improve your skin texture
Your doctor may advise the best combination approach for you based on your assessment.
Risks and Considerations
Common Side Effects
You will experience mild and temporary side effects. These may include:
- Redness and swelling at the injection sites
- Minor bruising
- Temporary asymmetry
But you don’t need to worry, as these usually resolve within a few days.
Rare Complications
Although rare, it can still happen after the treatment:
- Slight drooping of your lip
- Altered sensation
- Allergic reactions
Importance of Skilled Injector
Our mouth area is delicate and needs precision. Your speech may be affected as well as your smiling and drinking if overly treated with botulinum toxin. This is why choosing a skilled, experienced injector is important. This will also prevent you from experiencing rare complications.
Aftercare Tips for Botox Treatment
Immediate Post-Treatment Care
You need to follow these guidelines for the first 24 hours:
- Avoid rubbing or massaging the treated area.
- Skip intense exercise
- Avoid heat (saunas or hot environments).
- Remain upright for several hours
Skin Care Support
To help prolong your results:
- You need to use broad-spectrum SPF.
- Stay well hydrated.
- Consider using retinoids or antioxidant serums (as advised).
Maintaining a good skincare routine can help support your Botox results and prevent your skin from further wrinkle formation.
Good skincare supports Botox results and helps prevent further wrinkle formation.
Conclusion
Smoker’s line Botox is a simple, minimally invasive treatment that helps smooth the vertical wrinkles around your lips. It is often caused by repeated movements and natural ageing. While it doesn’t restore lost volume in your lips, it can be a useful part of your anti-ageing plan.
Consulting a qualified practitioner in the UK is important. They can make sure that the treatment is safe for you, will explain what results you can realistically expect, and will decide whether you need Botox alone or combined with other treatments to give you the best outcomes.
FAQs
- How long will the results last?
The results may last 3-4 months.
- Is it painful, or does it require downtime?
You may experience minimal discomfort. The process is quick (done in 15 minutes), and there’s no downtime, you can go back to your usual routine right after your treatment.
- Can I combine Botox with fillers?
Yes. You can pair it with fillers for volume and skin boosters for hydration.
- What are the risks of side effects?
You may experience temporary side effects such as redness, bruising, and asymmetry. There are also rare risks that can occur. This may include drooping of your lips, as well as altered sensation and allergic reactions.
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Book AppointmentSylvia Bittleston
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Such a wonderful experience! Dr Glancy and Dr Tee are superb… would highly recommend.
21st January 2026
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Thank you so much to the team at Harley Street Skin. They go out of their way to accommodate you, make everything so easy to understand and make it a great experience. Big thank you to Paula!!
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Dr Khan was fantastic. Explained everything thoroughly and made the procedure easy, quick and painless. Very happy with the results.
20th January 2026






