Full lips usually curve upwards slightly and give a young, vibrant and sexy appeal. When we age the connective tissue in the lips will shrink, then because of the facial skin above in the mid-face also becomes saggy downwards, the upper lip is allowed to roll inwards. The overall effect is a thin, flat and even downward curving upper lip, giving a sad look.

Improvement need to be done as an overall consideration. The temples and the cheeks can be hold up with more support by injecting Sculptra, while the lips can be augmented with Hyaluronic Acid Dermal Filler.