All About Lips

Some amount of facial aging can be anticipated as we get older. Fine lines or wrinkles, and thinning lips are just some of the ways volume loss can impact our appearance. With volume loss, it’s as though our face is losing its essential support, causing our features to droop and sag. Smoking and sun exposure can also contribute to perioral aging. Fortunately, there are many innovative cosmetic treatments that can restore a more youthful appearance around the mouth and lips.

Lip Treatments – Lip Fillers & Injections

Dr. Elisa Burgess always recommends that patients layer treatments for optimal results. For example, patients with deep perioral wrinkles and significant volume loss to the lips may consider starting with Smart Skin to the perioral area to resurface the skin’s texture, followed by Lip Ultherapy and ThermiSmooth to lift and tighten the skin around the mouth. Lastly placing dermal fillers to add volume to the lips and deep set in wrinkles. Combining these treatments result in a softer and more elegant lip area.

burgesslips before
burgesslips after

Medical Grade Skincare

In our office we always advocate for patients to start the anti-aging process with a good skin care line. We highly recommend that every patient invest in our excellent skin care lines to protect and rebuild the skin’s youthful appearance.


Ultherapy® Lips is a non-surgical ultrasound treatment that targets the deeper layers of the skin and simulates new collagen growth, improving the overall tone and tightness of the skin around the mouth.


ThermiSmooth uses radiofrequency heat to help tighten the skin around the mouth providing a softening of the lines. Patients say this treatment feels like a “warm stone massage”. This therapy is noninvasive and is typically done in a sequence of 3-4 sessions. The focus is to address the droopy skin around the mouth gradually over time.


The SmartSkin™ laser is a fractional carbon dioxide (CO2) laser. Smart skin works by splitting up the laser into smaller beams that can penetrate the skin at a precise and controlled depth. This treatment is used to improve skin texture and tone, reduce the appearance of fine lines and wrinkles and correct sun damage to the skin, thus providing patients with natural looking perioral area.


For patients that struggle with natural depletion of the fullness to the lips and vertical lip lines our hyaluronic acid fillers are a great option. Applying filler to the perioral area and to the lips provides patients with youthful fullness to the area instead of a recessed appearance.

SkinPen Microneedling

Microneedling is a nonsurgical procedure designed to improve the appearance of fine lines and wrinkles. Skinpen simulates your skin’s natural ability to repair itself by creating thousands of precise micro channels in the skin, stimulating the skin’s natural production of new collagen and elastin. Overall this provides patents with a refreshed perioral area.

Layering facial treatments provides an overall younger, refreshed look. Contact the office of Portland’s board-certified plastic surgeon, Dr. Elisa Burgess at Burgess Plastic Surgery to learn more about facial procedures.

Get in Touch Today

* All fields must be completed.
Please include non-medical questions and correspondence only.


16865 Boones Ferry Rd, Suite 101
Lake Oswego, OR 97035

Monday-Thursday: 8:00am - 5:00pm
Friday: 8:00am - 4:00pm
Saturday hours available by appointment

Accessibility Toolbar

Scroll to Top