Aesthetic Medicine

Thin lips, dry and wrinkled lips

Thin, dry, and wrinkled lips occur when the lips lack volume, have a poorly defined border, show vertical lines, and have downturned corners—caused by genetic lip structure or age-related tissue atrophy, smoking, and sun exposure. Soft hyaluronic acid (HA) fillers help define the lip border, restore subtle volume, and hydrate the lips, while skin boosters improve fine lines.

Medically reviewed by BS.Ths.CKI Kim Kha — BonBoz Clinic

How do lips change with age?

Youthful lips feature a well-defined border, full vermilion, and prominent philtral columns. Over time, the loss of collagen and subcutaneous fat causes the vermilion to thin and roll inward, the lip borders to blur, and perioral vertical lines to become more pronounced (exacerbated by smoking or frequent use of drinking straws), while downturned oral commissures create a perpetually sad appearance. Naturally thin lips, present from a young age, are often more proportionate to the overall facial structure than commonly realized.

Why do some lip fillers look "fake"?

Three common mistakes include: injecting excessive volume into the vermilion, causing unnatural projection that disrupts facial harmony; using a filler that is too firm or placing it in the incorrect tissue plane, resulting in stiffness and visible lumps; and effacing the vermilion border, creating a "duck lip" appearance. The natural upper-to-lower lip ratio in Asian faces is typically between 1:1 and 1:1.3; forcing the upper lip to match or exceed the volume of the lower lip is the primary reason for an unnatural look.

What can lip augmentation achieve?

Soft hyaluronic acid (HA) fillers specifically designed for the lips help redefine the border, restore subtle central volume, gently lift the oral commissures, and deeply hydrate for a smoother texture. For vertical perioral lines, micro-doses or skin boosters are utilized; for lips that curl inward, specific eversion techniques gently flip the border outward. The product gradually degrades over 6–12 months—dissolving faster than in the cheeks due to frequent dynamic movement of the mouth.

What determines a natural result?

Key factors include a conservative product volume (typically under 1 ml for the initial session), the appropriate soft-grade HA filler, an injection technique that respects native lip anatomy, and proper proportion relative to the nose and chin. Physicians often prefer an under-correction approach, adding subtle refinements after 4 weeks once all swelling has fully resolved, rather than over-injecting in a single session.

How does BonBoz approach thin, dry, and aging lips?

Our aesthetic dermatologists comprehensively evaluate the upper-to-lower lip ratio, vermilion border, philtrum, oral commissures, and dynamic movement during speech and smiling. Treatment plans prioritize conservative volumes of soft HA to define the border, replenish central volume, and subtly elevate downturned corners; vertical lines are addressed using skin boosters or micro-aliquots. Procedures are performed directly by physicians using needles or cannulas depending on the targeted zone, with hyaluronidase always readily available. Longevity and potential risks—such as bruising, nodule formation, or vascular occlusion—are thoroughly explained prior to treatment.

Severity levels

1

Mild — Blurred lip border, slightly dry lips, no volume loss

Skin booster or micro-doses of HA for border definition and hydration; lip care, sun protection.

2

Moderate — Noticeable lip thinning, early vertical lip lines

Soft HA filler under 1 ml for the initial session: define the border, restore central volume, subtly lift lip corners; touch-up after 4 weeks if needed.

3

Severe — Lip atrophy, inward curling, deep vertical lines, drooping mouth corners

Combination of HA for lip eversion, staged volume restoration, and micro-doses of botulinum toxin for vertical lines and oral commissures.

When should you see a doctor?

  • Had lip fillers elsewhere resulting in hard, lumpy, asymmetrical lips, or a loss of lip border definition.
  • Experiencing worsening pain, pallor, or localized purplish discoloration after lip injection—signs of vascular compromise requiring immediate medical evaluation.
  • Persistent dry, cracked, and peeling lips despite moisturizing—possible cheilitis that needs treatment prior to lip enhancement.
  • History of recurrent cold sores (herpes simplex) on the lips—inform your doctor to receive prophylactic treatment before the procedure.

How BonBoz treats it

Soft HA Dermal Fillers for Lips

Defines the lip border, restores moderate central volume, and subtly lifts the mouth corners; administered in small amounts across multiple sessions rather than all at once.

Learn about this method →

Skin Boosters for Lips and the Perioral Area

Micro-injections of low-viscosity HA deliver deep hydration and smooth fine vertical lines without adding volume.

Learn about this method →

Perioral Botulinum Toxin

Micro-doses soften vertical lines caused by lip pursing and lift downturned mouth corners; low dosing is essential to avoid affecting speech.

Learn about this method →

Cost guidance

Lip fillers are priced based on volume (ml) and the specific soft formulation designed for lips; skin boosters and botulinum toxin are charged per session or treatment area. The doctor will provide an exact quote after consultation; the cost estimation tool provides an approximate reference range.

The final price follows the doctor’s recommendation after an in-person exam. A confirmed quote has no hidden extras.

Chân dung BS.Ths.CKI Kim Kha

BS.Ths.CKI Kim Kha

Aesthetic Dermatology

  • Graduated as a General Practitioner — Tay Nguyen University (2018)
  • Specialist Level I in Dermatology — Pham Ngoc Thach University of Medicine, degree awarded in 2025
  • Medical Practicing Certificate No. 009784/ĐL-CCHN — Issued by the Department of Health of Dak Lak Province on 15/10/2021
  • Over 8 years of experience in aesthetic dermatology practice (since 2018), including over 4 years of practice with an official Medical Practicing Certificate
  • Primary Specialization in Plastic and Reconstructive Surgery; Certificates in Dermatological Procedures & Minor Surgery, Microsurgery, and Lasers & Light Therapies in Dermatology
  • Certificates in Dermal Fillers, Botox, and Thread Lifts; Certificates in Emergency Resuscitation and Infection Control
  • Formerly practiced at the Aesthetic Dermatology Unit — Post and Telecommunications General Hospital (2019–2021) and Venus Sunrise Clinic (2022–2024) before joining BonBoz Clinic (2025)
  • Former lecturer in Aesthetic Dermatology Theory at Ana Aesthetic Training School (2018–2019)
  • Over 5,000 clinical dermatology cases treated
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Frequently asked questions

How many ml of lip filler looks natural?

For first-timers, usually less than 1 ml for both lips; a touch-up can be done after 4 weeks if needed. Injecting too much at once is the primary cause of an unnatural, overfilled look.

How long do lip fillers last?

Typically 6–12 months due to frequent lip movement; softer fillers dissolve faster than firmer ones but provide a more natural feel.

Are lip filler injections painful?

Topical numbing is applied and the filler usually contains lidocaine, so you will mostly feel pressure; swelling lasts 2–3 days, with mild bruising possible for up to a week.

Will I get "duck lips"?

This happens when too much filler is injected into the lip border or when the upper lip becomes larger than the lower lip. Maintaining proper proportions and conservative amounts prevents this.

Are lumps normal after lip injections?

Small lumps caused by swelling usually soften after 2 weeks. Persistent, hard lumps should be evaluated by a doctor, who may massage them or use a dissolving enzyme.

Can I get lip fillers if I am prone to cold sores?

Yes, but you must inform your doctor so they can prescribe prophylactic antiviral medication before and after the procedure, as injections can trigger an outbreak.

Is getting lip fillers dangerous?

The lips contain the labial arteries; injecting into the wrong layer can lead to vascular occlusion. Doctors inject slowly in small amounts, aspirate first, and keep dissolving enzymes on hand for immediate management if needed.

What should I avoid after getting lip fillers?

Avoid intense kissing, rubbing your lips, excessively hot or spicy foods, and saunas for 2–3 days; keep your lips well-moisturized.

Does exfoliating make your lips plumper?

No. It only smooths the lips temporarily. Lip fullness depends on structure and volume; moisturizing and sun protection help maintain lip volume as you age.

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