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What Causes Smoker Lines

What Causes Smoker Lines?

Smoker lines (perioral lines) are fine, vertical lines that etch the lips and extend down from the lips towards the nose, generally more prevalent on the upper lip.

They’re often linked to the repetitive pouting motion of smoking, as well as the ageing effects of smoking itself – smoking breaks down collagen production in the skin, which can lead to thinning skin and an increase in wrinkles. But the same lines can also form from any repetitive bunching of the tissue around the mouth caused by overactivity of the orbicularis oris, the muscle that surrounds the mouth. Loss of collagen through ageing is also commonly involved, which can cause the lips to lose volume and the surrounding skin to slacken and wrinkle.

Other contributing factors may include:

  • Sun exposure
  • Repeated facial expressions such as pursing the lips and drinking through a straw
  • Playing musical instruments that require a pursed mouth position (embouchure)
  • Loss of subcutaneous facial fat with age
  • Genetics
  • Ageing generally
Smoker Lines and the Orbicularis Oris Muscle

Lip Lines and the Orbicularis Oris Muscle

Smoker lines commonly develop due to repetitive movement of the orbicularis oris muscle, which encircles the mouth and plays a key role in puckering, pursing and speaking. With repeated contraction over time, this muscle contributes to dynamic wrinkles – lines that appear during facial movement or expression.

As skin naturally ages, elasticity decreases and collagen production declines. These dynamic wrinkles can gradually become static lines – visible even when the muscle is at rest, which is what makes them more noticeable around the mouth. 

Anatomically, the orbicularis oris consists of both superficial and deeper muscle fibres arranged circularly around the mouth; its contraction narrows or protrudes the lips, creating repetitive stress on the surrounding skin. Over time, this repeated activity combined with age-related changes in skin structure, leads to the permanent etching of these vertical lines.

Smokers lines or another lip concern - how to know which

Is It Smoker Lines, or a Broader Lip Concern?

Smoker lines are about skin and texture around the mouth. They’re not the same as lip shape, volume or position. Working out which applies to you (or whether it’s a combination) is part of your consultation, but here’s a guide:

Your concern Starting point
Fine vertical lines around the mouth, skin texture and firmness Smoker Lines (this page)
Overall lip shape, proportion, height and projection Lip Enhancement
A subtle upward curl to the upper lip, without added volume Lip Flip
A structured, defined lip border with added height Russian Lips

In your consultation, we’ll work out what your concern relates to and from there, recommend suitable treatment approaches. 

Ways to Address Smoker Lines in Sydney & Brisbane

Ways to Address Smoker Lines

Your consultation involves a thorough assessment of your facial structure, muscle activity, skin condition, lip movement and overall facial balance. Depending on what’s contributing to your concern, areas that may be discussed for treatment include:

  • Skin volume – evaluating areas of volume loss around the mouth and discussing options that may improve fullness
  • Skin texture and firmness – examining thickness, texture and elasticity, and discussing tailored approaches that may be suitable including CO2 laser, Morpheus8 radiofrequency skin needling, skin needling or PDO mono threads
  • Facial contouring and balance – considering facial harmony in relation to lines around the mouth, and reviewing approaches that may enhance skin quality and smoothness
  • Skin-supporting treatments – approaches that aim to support skin thickness and texture around the mouth over time. Your practitioner can discuss in more detail based on your suitability.
Co2 laser to address smokers lines in Sydney & Brisbane at Contour Clinics

CO2 Laser Resurfacing for Smoker Lines

CO2 laser resurfacing is one option for addressing smoker lines. It’s often recommended when skin texture changes and fine lines around the mouth are a concern – including deeper, more persistent lines visible even at rest. This treatment delivers targeted micro-columns of energy into the skin to stimulate collagen regeneration and resurface the outer layers.

During consultation, your practitioner assesses your skin quality, lifestyle factors and how these lines appear at rest and with movement, before explaining realistic outcomes, downtime (which varies by individual), aftercare and any risks or limitations.

Smokers lines consultations and options in Sydney and Brisbane

What to Expect in Your Smoker Lines Consultation

  • A 1:1 discussion about your concerns, lip texture, movements and what you’d like to change
  • Medical history and suitability screening, including relevant medications and health factors
  • Anatomy-led assessment of your skin, structure and how lines behave at rest and with movement
  • Standardised clinical photography and, where appropriate, Vectra 3D imaging to establish a baseline
  • A practitioner-led discussion of the options that may be suitable for you, including limitations, trade-offs and realistic expectations
  • Clear explanation of risks, aftercare and recovery considerations, tailored to your circumstances
  • A written plan and next steps you can review in your own time, with space to ask questions and decide without pressure

How Much Do Smoker Lines Treatment Cost in Sydney & Brisbane?

Costs for smoker lines treatment in Sydney and Brisbane cannot be published online due to Australian medical regulations. Pricing is discussed in full during your consultation, once your practitioner has assessed your anatomy and can give you a clear picture of what may be appropriate for your goals.

Consultations at Contour Clinics are complimentary, comprehensive and obligation-free. A $75 deposit is payable upon booking your appointment and is credited to your treatment if you proceed, or refunded immediately in full if you decide not to. 

There is no expectation to proceed with treatment after your consultation – your practitioner will provide you with a tailored, written plan that you can take away and decide on in your own time. If you would like to proceed, same-day treatment may be available depending on availability. 

For further information, call, send us a message or book a consultation.

Prices

The Contour Clinics Guarantee

At Contour Clinics, we’re committed to providing safe, ethical, and personalised cosmetic care. Our experienced doctors focus on delivering balanced, realistic consultations tailored specifically to your needs.

Book your complimentary consultation today to discuss suitability, cosmetic options and experience the patient-focused care that sets Contour Clinics apart. Individual results can vary, and your practitioner will guide you through what could be achievable for you.

  • Complimentary, obligation-free consultations with experienced doctors
  • Strict safety and hygiene protocols aligned with industry-leading standards
  • Advanced 3D photography to aid in a collaborative, comprehensive facial analysis
  • Products and technologies selected based on quality, safety, and efficacy
  • Medical-grade clinical environments thoughtfully designed for patient comfort and convenience

Frequently Asked Questions

Does the treatment of smoker's lines hurt?

Comfort levels vary from person to person. Some people experience mild discomfort or brief sensations during treatment, while others find it easily manageable. Your practitioner will discuss potential sensations and comfort measures – such as topical numbing cream, ice packs or stress balls – based on your individual sensitivity.

Can I get smoker's lines treatments while pregnant or breastfeeding?

No – we advise against smoker’s lines treatments for those who are pregnant or breastfeeding. If you would like to learn more about pregnancy safe skin treatments read our blog Pregnancy Safe Skin Treatments.

CO2 Laser Sydney & Brisbane | Fractional Laser Resurfacing

Fractional CO2 laser penetrates deep to rebuild collagen and restore skin—targeting wrinkles, scars, and pigmentation in one powerful session. Results keep improving for months.

Lip flip consultation in Sydney and Brisbane at Contour Clinics

Lip Flip

Personalised consultations to discuss lip shape and proportion, with suitability and expectations explained one-to-one.

Lip Volume Enhancement Sydney and Brisbane with Contour Clinics

Lip Shape & Volume Enhancement

Lip enhancement consultations from experienced Cosmetic Doctors and Nurses can address harmony and definition.

Best PDO threadlift sydney brisbane near me

PDO Mono Threads

PDO Mono Threads aim to improve the appearance of facial and body skin by providing subtle tightening, lifting, and rejuvenation effects

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