(Please zoom in to see the pictures correctly). 

35F. I posted here back in October about having lip lines developing around my upper lip (mainly two vertical lines). While I received a lot of support and really appreciate it, it wasn't what I was truly looking for. Now we're in April 2026 and I just feel like the Iines are getting worse. I've been doing lip flips (botox) since November-December, it worked for 2 months then just stopped working. I'm at a loss. 

What to consider:

\- I got light fillers in my upper cheeks aroung August 2025 and in my marionette lines (corners of my mouth) in September 2025. This was the first time I ever got fillers. I had some of the filler removed in the marionette lines in October 2025 because too much product was injected. Now I'm wondering if the marionette line fillers are too heavy and could be the cause of this weird shadow around my mouth AND of the worsening of the lines around my mouth. Is that possible?

\- I'm still doing the botox for 'prevention', but quite frankly I'm scared it's making it worse. 

\- I have been under extreme stress since August 2025. My mom attempted suicide in October 2025 and I was the one who found her. I'm also her primary caretaker and I live with her. 

\- I have been in and out of psych wards since November 2025 since I have my own battle with mental health. I am on several psych meds and am currently on sick leave. 

\- My mom has these same lines around her mouth but they only started to appear later on in her life (she's 68). I just feel like I am way too young at 35 to have them. 

\- I currently have a pimple at the top of my lip. I tend to develop pimples where the nurse injects botox. 

\- I have some melasma, especially around my mouth. 

\- I have downturned mouth corners. 

\- I put on about 15lbs in a month in February 2026 because of one psych med. 

  
Please help. 

Should I take an appointment with my dermatologist? (not the person who injected, that was a regular doctor)? Is the botox/injector making things worse? Should I get fillers injected in the lines?

Thank you so much for reading. 

Lip lines getting worse. Complex story, please read.