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What are Thin Lips?

Facial Concerns

March 1, 2026

AUTHOR
Khaled Mahmoud
MBBS, Menofia University

    Causes, Prevention, And Treatment

    Thin lips, also known as small lips or a thin upper lip, are often an early sign of facial aging. The vermilion is the border between the lip and the surrounding skin, the zone where lipstick sits. It tends to lose volume and develop fine lines and dryness as the rest of the lip ages, and the change can start as early as the late twenties.

    Thin lips on a front-facing portrait, with a dashed callout magnifying the mouth
    Figure 1

    The vermilion sits at the centre of the lower face, so even a small loss of fullness gets noticed fast. The callout magnifies the mouth, where the change is easiest to see.

    Why Does Thin Vermilion Affect Facial Aesthetic?

    Thin vermilion is natural and perfect if you like it. However, it can be one of the early signs of aging if you used to have fuller lips. Notice your lips and see your old pictures. You will find that they are getting thinner and losing their full appearance because they start losing collagen and the surrounding muscles start losing their tone. Thin vermilion is usually associated with the formation of fine lines and wrinkles leading to aging the entire face.

    Lips thinning across four stages, full to very thin, on one unchanged face
    Figure 2

    The same face from full to very thin lips, with lighting and framing held steady so only the vermilion changes. The grades follow the clinical aging-lip classification of Raphael et al., 2014.

    Thinner lips averaged 2.5 points below thicker lips on a 0-to-10 attractiveness scale
    Figure 3

    On a 0-to-10 panel, thinner lips averaged 3.89 while thicker lips averaged 6.38; filling already-full lips actually dropped their score to 5.82 (Hernandez et al., 2023).

    What Causes Thin Vermilion?

    Decreased Collagen Production

    Decreased collagen production is the most common cause of thin vermilion and lip thinning in general. Collagen is responsible for making our skin elastic, which leads to an increase in the support of our lips. As we get older, collagen production starts to deteriorate, which leads to making your vermilion thinner. (1)

    Sun Exposure

    Exposure to the Sun is great for your overall health. However, too much exposure can make damages your skin. It is why we need to wear sunblock. The same is applied to our lips. When you get exposed to the sun for a long time, the collagen in our lips starts to breakdown. Eventually, your vermilion and lips will become thinner and lose their fullness over time. (2)

    B Vitamins Deficiency

    B vitamins, especially vitamin B12, play an essential role in the health of our skin and hair, including our lips. When you have a lack of B vitamins, your skin loses its collagen and becomes cracked including your lips. Over time, the vermilion and the entire lip becomes thinner. (3)

    Genetics

    The shape of your lips is the result of your genes. Some people are born with full lips while others have thinner lips and vermilion by hereditary. (4)

    Lifestyle Choices

    Certain lifestyle choices such as smoking, lip biting, and drinking beverages through a straw can enhance the aging process of the lips. Smoking worsens the condition significantly since it causes skin inflammations and damages. (5)

    Dehydration

    Vermilion and lips do not have sebaceous or sweat glands. Sweat glands keep our skin hydrated while sebaceous glands keep it oily. That is why lips become dry faster than any other area of the body. (6)

    Actinic Cheilitis

    Actinic cheilitis is a serious lip condition resulting from the damage of the epithelium of the lip. It increases the risk of having skin cancer, but it is not a serious condition itself. The condition is associated with vermilion problems. It develops mostly on the lower lip but may also develop on the upper lip too. (7

    How To Prevent Thin Vermilion?

    Stay Hydrated

    Dehydration and drinking too much caffeine put too much stress on your skin and accelerate the breakdown of collagen. Try to keep yourself hydrated all the time and drink enough water.

    Stay Away from Harmful Activities

    Smoking, too much sun exposure, lip biting, and drinking using straws break down collagen and reduce its production. Also, try to prevent your teeth from wearing down. When your teeth wear down, the lips sink inside the oral cavity, which makes your lips and vermilion thinner.

    Increase Your Protein and Vitamin C Intake

    Make sure that your diet is full of proteins and vitamin C since they enhance the production of collagen and make it stronger and healthier. Chicken, beans, and nuts are good sources of proteins and green veggies are rich in vitamin C.

    Always Hydrate Your Lips

    Certain products such as lip ointments and oils can keep your lips hydrated all the time. Coconut oil and sweet almond oil are the best compounds that keep your lips moisturized. Put a layer on your lips before going to sleep to keep them hydrated overnight.

    How To Treat Thin Vermilion?

    Lip Fillers

    Lip fillers are the first choice for treating thin vermilion and thin lips. There are many types of lip fillers such as Voluma, Perlane, Juvederm, and Restylane. Your doctor will assess your lips’ and vermilion condition, take pictures to be able to determine the best shape and symmetry for your lips, and determiner where the fillers will be applied. The procedure takes about 15 to 30 minutes and you will be able to go home immediately after the procedure. It is not a permanent solution, but it can solve an urgent problem such as weddings. (8, 9)

    Lip Implants

    Lip fillers are temporary and last for 6 to 8 months. The best alternative for lip fillers is lip implants. They last longer than lip fillers. Your doctor will determine the best size of the lip implant. It is a simple procedure that lasts for 30 minutes and you can go home on the same day, but you will need a regular follow-up until the sutures are well-absorbed. (10)

    Fat Grafting (Autologous Lip Augmentation)

    Fat grafting uses the person’s own tissues for lip augmentation. Autologous lip augmentation is one of the best alternatives to implants and lip fillers since it is more natural. The fat is usually extracted from the abdominal area and transferred into the vermilion and your lips. It is usually performed under local anesthesia and the patient can go home on the same day. Autologous lip augmentation lasts for more than 5 years. (11)

    Tissue Grafting

    Tissue grafting is another type of autologous lip augmentation. It depends on the use of the person’s own skin or dermis. Skin is usually removed from the lower abdominal wall area. The upper layer of the skin is removed and remaining is implanted in the lips. It is performed under local anesthesia and the person can go home the day of the procedure. It usually lasts for 60 to 90 minutes. Tissue grafting can keep your lips full for more than 5 years. (12)<

    References

    1. 1

      Kim, D.-U., Chung, H.-C., Choi, J., Sakai, Y., & Lee, B.-Y. (2018). Oral Intake of Low-Molecular-Weight Collagen Peptide Improves Hydration, Elasticity, and Wrinkling in Human Skin: A Randomized, Double-Blind, Placebo-Controlled Study. Nutrients, 10(7), 826. doi:10.3390/nu10070826

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      Hoel, D. G., Berwick, M., de Gruijl, F. R., & Holick, M. F. (2016). The risks and benefits of sun exposure 2016. Dermato-Endocrinology, 8(1), e1248325. doi:10.1080/19381980.2016.1248325

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      Kannan, R., & Ng, M. J. (2008). Cutaneous lesions and vitamin B12 deficiency: an often-forgotten link. Canadian family physician Medecin de famille canadien, 54(4), 529–532

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      Cole, J. B., Manyama, M., Larson, J. R., Liberton, D. K., Ferrara, T. M., Riccardi, S. L., … Spritz, R. A. (2016). Human Facial Shape and Size Heritability and Genetic Correlations. Genetics, 205(2), 967–978. doi:10.1534/genetics.116.193185

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      Multani S. (2013). Interrelationship of smoking, lip and gingival melanin pigmentation, and periodontal status. Addiction & health, 5(1-2), 57–65.

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      Hitz Lindenmüller I, Itin PH, Fistarol SK. Dermatology of the lips: inflammatory diseases. Quintessence Int. 2014;45(10):875-883. doi:10.3290/j.qi.a32638

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      Mello, F., Melo, G., Modolo, F., & Rivero, E. (2019). Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil. Journal of Clinical and Experimental Dentistry, 0–0. doi:10.4317/jced.55133

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      Luthra A. (2015). Shaping Lips with Fillers. Journal of cutaneous and aesthetic surgery, 8(3), 139–142. https://doi.org/10.4103/0974-2077.167269

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      Vedamurthy, M., & Vedamurthy, A. (2008). Dermal fillers: tips to achieve successful outcomes. Journal of cutaneous and aesthetic surgery, 1(2), 64–67. https://doi.org/10.4103/0974-2077.44161

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      Guida, S., Mandel, V. D., Farnetani, F., Manola, C. M., Rubino, G., Ruzzu, S., … Urtis, G. G. (2017). Permanent implants for lip augmentation: Results from a retrospective study and presentation of tips and tricks. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70(5), 699–704. doi:10.1016/j.bjps.2017.02.005

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      Gatti, J. E. (1999). Permanent Lip Augmentation with Serial Fat Grafting. Annals of Plastic Surgery, 42(4), 376–380. doi:10.1097/00000637-199904000-00005

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      Castor, S. A., To, W. C., & Papay, F. A. (1999). Lip Augmentation with AlloDerm Acellular Allogenic Dermal Graft and Fat Autograft: A Comparison with Autologous Fat Injection Alone. Aesthetic Plastic Surgery, 23(3), 218–223. doi:10.1007/s002669900271

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      Baumann, D., & Robb, G. (2008). Lip reconstruction. Seminars in plastic surgery, 22(4), 269–280. https://doi.org/10.1055/s-0028-1095886

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      Raphael, P., Harris, R., & Harris, S. W. (2014). Classification of the Aging Lips: A Foundation for an Integrated Approach to Perioral Rejuvenation. Aesthetic Plastic Surgery, 38(4), 746–757. doi:10.1007/s00266-014-0415-2

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      Hernandez, P. M. de Q., Cotrin, P., Valarelli, F. P., de Oliveira, R. C. G., Bispo, C. G. C., Freitas, K. M. S., & Oliveira, R. C. (2023). Evaluation of the attractiveness of lips with different volumes after filling with hyaluronic acid. Scientific Reports, 13. doi:10.1038/s41598-023-31332-1