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Beverly Hills Lip Augmentation with Juvederm

Beverly Hills Lip Augmentation with Juvederm, Juvederm Ultra, and Juvederm Ultra Plus is a great start to plump, beautiful lips…

In my Beverly Hills, Glendora, and even now in the Dubai offices, I do quite a bit lip augmentation with Juvederm. I would state that half of the patients I am seeing now never had lip augmentations. As such, this blog is devoted to the lip augmentation newbies.

Some of the most common questions are how long will it last and will it hurt?  I’ll address those questions in a bit.  Let me entice you first.   I like to use Juvederm Ultra or Juvederm Ultra Plus. These are both hyaluronic acid fillers similar to Restylane. The Ultra Plus has lidocaine in the syringe. Thus there may be added comfort to using this product, but it costs a bit more. Generally, Juvederm in the lips last approximately six months. However,  some people note that the fullness is retained longer. I am not sure if this is related to prolonged Juvederm life or just a remodeling of the tissues from the injection.

“Is this going to hurt?”.   Well, a little. There are ways to alleviate the discomfort of these injections. Some of them include nerve blocks similar to the one that you get from a dentist. These are done prior to injecting the lips which are much more sensitive than the cheek and the mandible where the nerve blocks are performed. Two is topical cream. This could be applied to the lips. This probably has a minimal relief with topical application of lidocaine cream. Some people use ice to numb the lips. I often use a combination of all of these. Very rarely I have a patient who wants nothing at all and just wants the injection. This is rather courageous and is very atypical.

Then next common questionJuvederm Ultra Logo is,  “How much Juvederm do I need?”. Well, that depends on what kind of augmentation you desire. As a rule, the smaller the lips, the less volume is needed to make them noticeably larger. Very large lips need larger amounts of products to make a noticeable difference. A common request is patients asking to simply fill their upper lips in order to either save money or because they do not see the benefit of adding volume to the lower lip. This is a big no-no. I have never injected just an upper lip. The consequence of simply injecting the upper lip and ignoring the lower lip is creating a very fake looking lip augmentation. It is important to know that the bottom lip should be 1.5 times the size of the upper lip. But it is not just the volume; it is the shape and curvature of the vermillion border. This is the area between the skin and the lip. When you inject a lip along the border like we do with Juvederm, we curl it. To curl an upper lip and not a lower lip makes the lips look obviously augmented. In addition, there are certain aesthetic units of the lip which should be injected and certain areas of the lip that should not be injected. Violation of these aesthetic lip units (like the mid-line of the lower lip) can create an unnatural appearance. In addition, the injection should not extend beyond the middle third of the upper lip. As the injection moves towards the corners of the mouth, a trout pout develop. This is another big no-no. I generally explain all of this to the patient before we conduct a lip augmentation.

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