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Lip Augmentation “Secrets”: Shape First, Then Size

Beautiful lips aren’t built by volume alone. They’re the sum of proportion, light, and support.
Here’s how I create fuller lips that still move and photograph naturally—without the “duck” look.

The anatomy behind natural-looking lips

  • Proportion: upper : lower vermilion commonly reads best near 1 : 1.3–1.6 (face-dependent).
  • Landmarks: Cupid’s bow, philtral columns, central and lateral tubercles, and the white roll define shape.
  • Frame: teeth and chin support affect lip projection and balance in profile.

For aesthetics and landmarks, see what makes lips beautiful.

Who does well with lip augmentation

  • Thin lips that disappear when smiling
  • Flattened Cupid’s bow or poor column support
  • Age-related deflation, fine “barcode” lines, or corners that turn down
  • Asymmetry that shows in photos

Your options at a glance

Option Best for Upsides Considerations
Hyaluronic acid fillers Most patients seeking definition or subtle volume Immediate; adjustable with hyaluronidase Longevity ~6–12 months; technique-dependent
Lip lift Long upper lip with low tooth show at rest Permanent change to length and show Scar under the nose; candidacy critical
Fat transfer Broader softening with surgery Your own tissue; can be long-lasting Take varies; more swelling; not as adjustable

My filler technique: definition over bulk

  • Sequence: restore philtral columns & Cupid’s bow → define border lightly → add deep, tiny aliquots for body.
  • Planes: micro-boluses at the wet–dry border for body; very superficial threads only for fine lines.
  • Shape rules: keep volume inside commissures; protect the white roll; respect the central–lateral tubercle pattern.
  • Staging: build in two visits 2–4 weeks apart to avoid stiffness and keep motion natural.

Longevity, feel, and maintenance

  • Longevity: ~6–12 months (faster for very active mouths; slower for deep, structural placement).
  • Feel: soft and flexible when bulk is avoided at the border.
  • Maintenance: small touch-ups preserve shape better than big single sessions.

Risks and how we reduce them

  • Bruising/swelling → cold packs, arnica, careful technique
  • Lumps or Tyndall effect → correct plane, micro-aliquots, and guided massage
  • Vascular events (rare) → depth control, slow injection, reversal protocols on hand

Where lips fit in a full-face plan: injectables that help with anti-aging.

FAQ

Can I keep it subtle

Yes—subtle definition around the bow and a small lift of the body reads fresh without looking “done.”

Can filler be dissolved if I change my mind

Yes. HA fillers are adjustable with hyaluronidase.

Will I look unnatural when I smile

Not when volume stays inside the natural borders and motion is respected. Overfilling the white roll causes the stiff “shelf.”

Next step Bring relaxed, smile, and pucker photos. We’ll map proportion and choose the fewest moves with the biggest impact.
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Posted on: October 2, 2015
Author:
Categories: Face Articles, lip augmentation

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