Originally Posted by: Vivre 
Hi, what treatment would be suitable for lines above top lip?
I had some silicone + Artefill(or Artecoll) injected in the lips about 20-25 years ago. Of course it migrated a little bit around, but it is OK.
I never had any problem with it, but I have never put more fillers in the area or anywhere on my face, as I want to avoid problems.
Now I have a few lines over my top lift and wish to erase them.
I am so scared of heat or chemical (peeling) on that place that could create hardening or granuloma...
What would be riskless? Dermabrasion?
Thank you for your comments,
You can think about it this way - you can either fill them from the inside (filler) or try to get your body to fill them in from the "outside" (I.e. plump the collagen in the dermis via chemicals, dermbrasion or laser)
chemical peeling, dermbrasion and lasers don't create granulomas. Dermbrasion isn't really any better or worse than chemicals or lasers... it's just three different ways of doing controlled damage to the skin in order to create (hopefully smoother/less wrinkled) regrowth. they all have the potential for poor healing with accompanying possibility of hypo or hyper pigmentation. Microneedling does the same, but it's just less invasive. With PRP, I think a good amount of the benefit is caused by the microneedling itself rather than the PRP
I had erbium laser under my eyes to address "bunching" when I smile and it did help. That did require hiding out for a week though. (went out behind sunglasses, but the area was red, gloppy, etc). After that I was able to cover the redness with makeup
If you are risk averse then a series of mild chemical peels might be the place to start. But as with any of the things we discuss here... less invasive = less results.