Lip lines treatment in Marylebone, London. Doctor-performed anti-wrinkle injections, lip filler and Profhilo, with movement always preserved.
Dr Joney De Souza Clinic treats lip lines for people who noticed them first in a photograph, then in lipstick that wanders, then everywhere. These fine vertical creases around the mouth are earned honestly: the lips purse thousands of times a day to speak, sip and kiss, and over years that repeated folding etches lines into skin that sun exposure and collagen decline have made thinner and less springy. Smoking accelerates the pursing and the skin damage at once, which is why they are unkindly called smoker’s lines even in people who never smoked.
Three things drive them in different proportions: an overactive pursing muscle folding the skin, a lip border that has lost the volume that once held the skin taut, and skin around the mouth that has gone crepey and dry. Which one leads on your face decides the plan, and getting that diagnosis right is most of the result.
Every injectable here is performed by our doctors, conservatively and with movement protected, because a mouth that cannot purse or smile naturally is a far worse look than the lines ever were. Soften, support and resurface in the right measure, then protect the result: that is the longevity minded way to treat a mouth.
Lip lines fall into four patterns, and each responds to a different hand. Find the one that sounds like your mouth, then follow it through. Your doctor confirms the mix at consultation, watching your mouth move before planning anything, and if your quiet worry is a frozen or overdone mouth, relax: protecting natural movement is our planning rule, not an optional extra.
There in motion, gone at rest
Lines that appear around a straw, a cigarette that was given up years ago or a whistled tune, then fade when the mouth relaxes, are muscle driven and beautifully treatable early. Tiny, conservative doses of anti-wrinkle injections soften the pursing action while sipping, speaking and smiling stay completely natural.
Etched in, visible at rest
Creases that stay put when the mouth is relaxed, and that lipstick bleeds into by lunchtime, have etched into skin where the lip border has deflated. Precise filler restores that support and sharpens the edge, and deeply set versions take a staged plan mapped honestly at consultation.
Texture, not single lines
Fine crosshatched crepiness around the mouth is a skin quality story: dehydrated, thinning skin folding everywhere at once. Profhilo and polynucleotides rebuild hydration and firmness through the area, softening the texture without adding volume.
The volume story leads
Where the lines arrive alongside lips that have visibly deflated, the volume story leads and the lines follow. Our thin lips page covers the restoration options properly, and the two plans are usually one appointment.
Real results from our Marylebone clinic, photographed under consistent lighting. Every mouth starts from a different place, so treat these as an honest illustration of the natural style we work in rather than a promise of your own outcome.
Lip fillers
| Compare | Anti-Wrinkle InjectionsSoften the pursing action | Lip FillersSupport the border | ProfhiloRebuild the skin quality |
|---|---|---|---|
 |  |  | |
| Best for | Anti-Wrinkle Injections Early lines that show on pursing and fade at rest | Lip Fillers Etched lines where the lip border has deflated | Profhilo Crepey, dehydrated skin texture around the mouth |
| Typical course | Anti-Wrinkle Injections One appointment, refreshed every few months | Lip Fillers One appointment, reviewed at two weeks | Profhilo Two sessions, a month apart |
| Downtime | Anti-Wrinkle Injections None, tiny marks fade within hours | Lip Fillers A day or two of swelling, occasional bruising | Profhilo Small bumps settling within a day or two |
| Movement | Anti-Wrinkle Injections Preserved by conservative dosing | Lip Fillers Fully preserved | Profhilo Fully preserved |
| Price from | Anti-Wrinkle Injections £190 | Lip Fillers £385 | Profhilo £400 |
| View anti-wrinkle injections | View lip fillers | View Profhilo |
Short clips from the treatment room at our Marylebone clinic: injectable appointments with our doctors.
Three routes to a softer mouth, every one performed by our doctors and usually blended: calm the fold, support the border, rebuild the skin. Polynucleotides join the plan where the skin around the mouth wants regeneration as well as hydration, and deeply etched lines sometimes add a resurfacing stage planned at consultation.
Calm the fold
Tiny, precise doses soften the pursing muscle around the mouth so the skin stops being folded so hard, easing early lines and slowing how new ones etch. Movement stays completely natural.
From £190, refreshed every few months.
Support the border
Restores the volume and definition along the lip border that once held the skin taut, smoothing etched creases from beneath and sharpening the edge lipstick keeps crossing.
From £385, reversible, doctor performed.
Rebuild the skin
Spreads stabilised hyaluronic acid through the skin around the mouth, rebuilding hydration and firmness so crepey texture smooths and the whole area holds light better.
Two sessions, a month apart.
Every plan at Dr Joney De Souza Clinic starts with watching your mouth work. Your doctor looks at the lines at rest and in movement, checks how much the pursing muscle contributes against how much the border has deflated, and reads the skin quality around the mouth. Lines that vanish when the lip is gently stretched are skin and volume stories; lines that deepen on pursing are muscle stories; most mouths are a blend, and the proportions set the plan.
The mouth punishes overtreatment faster than anywhere on the face, so we plan it conservatively by principle and build in stages where needed.
“My ‘less is more’ approach has become the mainstay of my practice and clients appreciate that they will have natural looking results.”
Dr Joney De Souza, speaking to The Sybarite
Here is what happens before, during and after treatment at our Marylebone clinic.
Your consultation maps the muscle, volume and skin contributions and agrees the sequence, including exactly what will and will not be treated. We suggest avoiding alcohol and blood thinning supplements for a couple of days beforehand, since the mouth area can bruise.
Numbing cream goes on first where filler is planned. The injection work itself takes fifteen to twenty five minutes depending on the combination, with your doctor checking movement and symmetry as they go, and showing you the result before you leave.
Expect small bumps or a touch of swelling for a day or two, easily concealed. Anti-wrinkle results build over one to two weeks, filler settles into its true shape within two, and skin quality treatments improve over the following month. Your review at two weeks keeps everything honest.
Meaningfully at the skin end. Daily SPF on and around the lips slows the sun damage that thins the skin, a retinoid used carefully around the mouth rebuilds collagen gradually, and consistent hydration keeps the area springier. If you smoke, stopping is the single most effective lip line treatment in existence, and we say that kindly.
Where home care runs out of road is the fold and the deflation. No cream calms an overactive pursing muscle or restores a faded border, which is why the doctor performed routes exist, and why they work best on top of good habits rather than instead of them.
What treatment will not do. We would rather say this plainly. Deeply etched lines soften rather than vanish, results are temporary and maintained rather than permanent, and outcomes vary between people. We will not treat a mouth into stillness, and we will say no to work we believe would show.
You may also want to read about related concerns we treat alongside lip lines, including thin lips and fine lines and wrinkles.
The questions our Marylebone team hears most often about lip lines, from what causes them to what treatment involves and costs. If yours is not here, message us on WhatsApp and one of the team will answer properly.
Repetition plus time. The lips purse thousands of times a day, and as collagen declines and sun exposure thins the skin, that folding starts to etch in. A deflating lip border removes the tautness that once resisted it, and smoking accelerates both the pursing and the skin damage at once.
It depends which driver leads. Early, movement driven lines respond to conservative anti-wrinkle injections. Etched lines with a deflated border want lip filler support, and crepey skin around the mouth wants Profhilo. Many mouths do best with a measured blend.
Not at our clinic, and protecting movement is a planning rule rather than a hope. Doses around the mouth are deliberately tiny, placement is precise, and your doctor watches you talk and smile before and after planning. A natural mouth that moves well is the entire brief.
Very well on the early, movement driven kind. Softening the pursing action eases the folding that creates the lines and slows how new ones etch, with results building over a week or two and lasting a few months. Etched lines at rest need support or skin work as well.
By restoring the scaffolding. A deflated lip border stops holding the skin above it taut, so creases settle in. Precise, conservative filler along the border rebuilds that support and definition, smoothing lines from beneath without making the lips obviously bigger.
That is a skin quality story rather than a line by line one. Profhilo and polynucleotides rebuild hydration, firmness and resilience through the whole area, so the crosshatched texture softens and makeup stops gathering. Two to three sessions is typical.
Our doctors, every time. The mouth is technically demanding and aesthetically unforgiving, so dosing and placement judgement matter more here than almost anywhere on the face, and injectables are never delegated to a non medical injector at our clinic.
Less than expected. Numbing cream goes on before filler, the anti-wrinkle doses use a very fine needle, and the whole appointment is typically done inside half an hour. A little swelling or a small bruise for a day or two is the usual worst of it.
Anti-wrinkle effects last a few months and are refreshed in rhythm. Filler support typically lasts six to twelve months, fading gradually. Skin quality gains hold for months after a course and are maintained with occasional top ups. Nothing here is permanent, which most people consider a feature.
Honestly, no. Long established lines soften convincingly with a staged combination plan, but skin that has folded for decades keeps a memory of it. We aim for a mouth that looks softer and well rested in normal light, and we set that expectation before anything is booked.
Because the name is unfair. Any mouth that purses, sips through straws, plays an instrument or simply lives long enough can etch vertical lines, with genetics and sun exposure setting the pace. Smoking accelerates them, but their real cause is ordinary movement over time.
At our clinic, anti-wrinkle injections start from £190, lip fillers from £385 and Profhilo from £400, all performed by our doctors. Our full price list has the detail.
Verified Google reviews from patients treated by our doctors at Dr Joney De Souza Clinic in Marylebone.
Had lip fillers for first time with Dr Joney and was so nervous but I was absolutely shocked at how easy and painless the whole procedure was. The results were beautiful and so natural that nobody could tell I had anything done.
The treatments themselves are second to none. Dr Joney is absolutely incredible with fillers, the results are always natural and exactly what I asked for.
Had an excellent experience today getting the Profhilo treatment done by Dr. Joney De Souza. The entire team was so friendly, and prepped me about what I should expect during and after the treatment.
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