I recently attended the 5th European Congress in Aesthetic Dermatology and Surgery in Anti-Aging Medicine, hosted by the European Masters in Aesthetic & Anti-Aging Medicine (or EMAA) in Paris, France. The conference focused on a plethora of anti-aging information and news in the field, but what I found interesting were the procedures tailored toward dental medicine. Botox, or Botulinum toxin, is a neurotoxic protein that is in fact one of the most poisonous substances known to man! Despite the dramatic definition, the use of very small amounts of this toxin to treat muscle spasms in anti-aging medicine is widespread. Botox relaxes muscle spasms in a way that can reduce wrinkles, by training specific muscle groups to relax and lower tension.  Botox effects wear off between three and six months, and will need to be re-administered to maintain results.

From the dental aspect, Botox can be used to control a gummy smile. Botox relaxes the muscles in a person’s upper lip – known as hyperactive upper lip – which contributes to a gummy smile. When Botox is injected into the muscle group in a person’s lip, the toxin actually relaxes the muscles and restricts the muscle’s ability to overly contract upward thus showing excessive gum tissue . Botox can also be used to control facial muscle spasms that contribute not only to wrinkles and frown lines, but to headaches as well. By undergoing Botox therapy, the muscles in the lips and face can be trained to eventually relax on their own.

Although Botox may sound like a miracle drug for reducing the appearance of gummy smiles, fine lines and even headaches, one must remember that any anti-aging treatment plan is dual-fold: the patient must be committed to their health in order to achieve long-lasting results. Patient compliance is key in any medical treatment plan, but when it comes to anti-aging, a healthy lifestyle can make all the difference in the world. Diet is one of the most important factors in patient compliance. Everyone has heard the age-old saying “you are what you eat,” – it is absolutely true.

A patient who is concerned with his or her physical health and appearance – and is willing to go through Botox therapy to achieve anti-aging results – must realize that his or her diet is vital to achieving long-lasting results. Vegetables, lean proteins and minerals are all vital in achieving healthy skin, bones and organ function. A poor diet high in refined sugars, fat and carbohydrates with poor habits (like alcohol consumption and smoking, staying up late and no exercise) all will contribute to a faster aging process. We all wishto be young and healthy forever – it all starts with healthy choices.

There are ways to gain full lips if you weren’t lucky enough to be born with them! For woman, lip-plumping make up is one option as well as lip augmentation (implant surgeries or injections) which artificially give sexy lips, but for some women, the results are not very natural looking – or even attractive. The first exercise works the Musculus Levator Anguli Oris (or Caninus), which is located immediately under the lower medial rim of the orbital cavity (which lifts the corner of the mouth). Lift the corners of the mouth by pulling your lips in and over your teeth (almost making your lips disappear into your mouth). From this position, pull up both corners of the mouth into a pseudo-smile. Repeat this exercise ten times!

The second exercise works the Musculus Orbicularis Oris, which consists of the sinewy fibres of the corners of the mouth. These muscles start above the upper and below the lower lip, providing the basis for the structure of the lips (and also function as the opening and closing mechanism of the mouth). To exercise this muscle and help bring out fuller lips, with forceful tension, pucker your lips as if getting ready for a kiss. Repeat this exercise ten times, holding the pucker for at least one full second. You can support the exercise by tightly pressing your nostrils together. Repeat ten times!

The third and final exercise works the same muscle group (Orbicularis Oris Muscle) but the exercise is different. Press your lips tightly together, as if pursing them tightly to prevent something from parting your lips. To avoid creating wrinkles, position the tip of your middle fingers at the corners of your mouth and pull slightly to the outside.  Again, repeat ten times! By following these simple and easy “facial yoga” exercises, you will begin to develop fuller, stronger lips. Keep in mind that water intake will help maintain your lip plumpness (8 glasses of water every day is essential for your body to maintain itself), and keeping your lips moisturized will help as well. These exercises stimulate collagen production in your lips and will eventually build up your smile to a beautiful one! These exercises can also help to improve muscle tone and skin elasticity!

Often times, our lips become dry because the layer of oil that is naturally produced by the body to coat the lips is removed, or is lacking. It can be difficult to pinpoint the exact cause of chapped lips, as it can often be multi-factorial. The sometimes-painful condition affects many many people!

Lip balm (or petroleum jelly like Vaseline) can sometimes provide relief for chapped lips, but this also depends on the degree of cheilitis in the lips. Medical grade lanolin USP can help to stimulate and repair lips, and is used in several lip repair products. Other steps you can take to eliminate or cure chapped lips are: Stay indoors and avoid windy, dry weather. Avoid alcohol, no spicy/salty or acidic foods, drink plenty of water and use a humidifier in your room if you are a mouth breather! Use lip care products from old remedies (like honey or duck fat) to products containing petroleum, lanolin, coconut oil, sheabutter, olive oil, jojoba oil, avocado oil, beeswax, vitamin E oil or aloe vera gel. An improved diet rich in Vitamin B2- riboflavin may also help, or take a supplement.

Avoid licking your lips: certain enzymes present in saliva can irritate the lips, and the evaporation of the water in saliva saps moisture from them. If you do have chapped lips, do not play with dead skin cells on the lips – pulling or peeling tissue from the lips can be damaging, the dead skin should naturally exfoliate or can be removed with small, sterilized sugical scissors.

When the corner of the mouth is cracked, this condition is called angular chelitis, and can be an indication of a riboflavin deficiency (and possible a yeast infection). Apart from improving one’s diet and taking a B vitamin supplement, try cutting down sugar intake and applying a lip moisturizer / antifugal cream. Avoid using lip gloss with a sponge wand applicator. Avoid kissing with your pets (I am sorry!) and regarding medication, it is known that Retinoids (isotretinoin and acitretin) are the most frequent drug-induced causes for chapped lips.

If you have tried different approaches to eliminate chapped lips and do not see improvement, it would be best to consult with a medical professional. Evaluate whether there is any underlying conditions requiring attention and/or treatment. Chapped lips can often be a sign indicating that there is health attention needed, so let’s have some lip care for our own good for health and beauty!