
Dr. Cristina Cobaleda specialist in aesthetic medicine
Aesthetic physician
Medical license no. 51612
Leading doctor in perioral lines
The doctor sees patients in BarcelonaView medical profile
So-called barcode lines are the vertical lines that appear above the upper lip with age or because of habits such as smoking.
Price: 350 €

Treatment duration:
20-45 minutes
With EcoDerm NESAI® ultrasound:
To consider
Duration:
6 to 12 months
Visible result:
From 1-2 weeks
Final result:
3 to 4 weeks
"Barcode lines" are the small vertical lines that appear above the upper lip with age or because of habits such as smoking. They are treated by combining a low-dose medical treatment with, when necessary, microinjections of low-density hyaluronic acid to fill the lines and rehydrate the area.
Perioral lines are the result of aging of the orbicularis muscle and thinning of the upper lip, made worse by smoking and sun exposure. The Academia Española de Dermatología y Venereología (AEDV, Spanish Academy of Dermatology and Venereology) describes the condition as one of the most characteristic signs of facial aging. The combined aesthetic medicine approach (botulinum toxin + low-density hyaluronic acid ± peel) is validated by the Sociedad Española de Medicina Estética (SEME, Spanish Society of Aesthetic Medicine) as a first-line non-surgical treatment.

The treatment is performed entirely in the doctor's office at Instituto de Benito in Barcelona or Madrid, in an outpatient session always designed and supervised by a licensed aesthetic doctor. It consists of the following steps:

Before the treatment, you have a consultation with the aesthetic doctor at Instituto de Benito, who studies your case, listens to your goals, rules out contraindications and designs a personalized plan. The first aesthetic medicine consultation costs €50 (deductible from your first treatment).

Preparation is simple: the area must be clean and free of creams. The doctor will tell you whether you should avoid any medication (anticoagulants, NSAIDs) in the days beforehand to minimize bruising, and will discuss with you any circumstances relevant to your safety.

The doctor disinfects the area, applies topical anesthesia if necessary and performs the microinjections with very fine needles, following the plan designed. The session is carried out entirely in the doctor's office and the patient returns to their routine immediately.

Results appear within the timeframe expected for the treatment, with a natural, harmonious finish. The doctor gives you home care instructions and schedules your follow-up appointments.


Hyaluronic acid €350 · Complementary chemical peel €150.
The final price depends on the area or areas to be treated, the product or cocktail used and the number of sessions the doctor recommends after the consultation. The first aesthetic medicine consultation costs €50 (deductible from your first treatment). We offer financing for extended treatments and treatment packages.
Barcode lines (perioral lines) treatment is indicated for people in good general health who fit any of these profiles. Final suitability is confirmed by the doctor after the personalized consultation.
The so-called "perioral lines" or "barcode lines".
When the upper border of the lip becomes blurred.
As part of a perioral skin quality plan.
Smoking accelerates the appearance of barcode lines.
When lipstick bleeds into the perioral lines.
For a comprehensive result in deeply lined skin.

Patient safety comes before any aesthetic result. Barcode lines (perioral lines) treatment should not be performed, or should be postponed, in the following cases:
| Contraindicación | Motivo |
|---|---|
| Pregnancy and breastfeeding | There are not enough safety studies on the fetus or the breastfed infant. |
| Clotting disorders or anticoagulants | High risk of extensive bruising or bleeding. |
| Active infection in the area | Folliculitis, herpes, infected eczema: risk of spreading. |
| Active autoimmune diseases | Lupus, scleroderma, dermatomyositis: unpredictable tissue response. |
| Immunosuppression | Active cancer treatment, uncontrolled HIV, transplant recipients. |
| Known allergy to the product | Risk of anaphylaxis. |
| Tendency to keloids | Risk of scarring. |
| Under 18 years of age | Unless very specifically prescribed by a doctor. |
Remove wrinkles

Barcode lines (perioral lines) treatment is safe when performed by a licensed doctor in an authorized center with approved medical products. Even so, every medical procedure has a profile of possible effects that it is only honest to share with you.
An aesthetic doctor from the IdB team decides how to treat barcode lines in each case.





The vertical lines of the upper lip are one of the most technically demanding areas; at IdB we precisely combine low-dose anti-wrinkle botulinum toxin with superficial hyaluronic acid.
At Instituto de Benito, patient safety comes before any aesthetic goal. We work with audited clinical protocols, medical products with medical CE marking and batch traceability, single-use instruments, dedicated aesthetic medicine rooms and personalized follow-up between sessions. We never delegate a medical-aesthetic procedure to non-medical staff.
A combination of skin aging, movement of the orbicularis muscle and factors such as smoking or sun exposure.
A combination of medical procedures. In advanced cases it is complemented with a chemical peel.
Visible from the first week, optimal at 2 weeks. Duration: 8-12 months depending on the product and technique.
Very much so. Smoking accelerates the appearance and deepening of barcode lines through the combination of the repeated movement of smoking and the effects of tobacco on collagen. If you smoke, the doctor will let you know, and the result will be more limited and shorter-lasting than in patients who do not smoke.
Partially. Preventive measures include: not smoking, daily facial sun protection, consistent hydration of the perioral area with active ingredients (hyaluronic acid, retinoids), and regular facial mesotherapy or biorevitalization from the age of 30-35.
When the texture is very marked or the patient wants a deeper treatment: a specific chemical peel (€150) renews the surface layer and improves the skin quality of the upper lip, complementing the effect of the filler and the botulinum toxin.
Visible from the first week, optimal at 2 weeks. Duration: 8-12 months depending on the product and technique. Patients notice an improvement in the mirror by the first weekend, before the result has fully settled.
Average rating: 4.8 / 5