The safest, most predictable, and most reliable form of lip augmentation uses dermal fillers containing hyaluronic acid. This includes Juvederm Ultra (r), Juvederm Ultra Plus (r), Restylane (r), and Perlane (r), among others.
Hyaluronic acid products are the most commonly used fillers for lip enhancement. Less common, but equally safe, is autologous fat. Silicone implants also exist, but are less commonly used because of cost, complexity of implantation, implant firmness, and size limitations.
Hyaluronic products in the lips last between six and eight months in most patients.
The most common reason for duck lips or trout pout are improper injection technique, NOT excessive volume. In fact, large volume of product can be used to create beautiful, natural looking lips. When product is injected in wrong proportions or in undesirable areas, the results can look fake.
Bruising and swelling are the most common side effects of lip injections. Less common are asymmetry, nodules, and mucoceles. Nodules can often be massaged out within two weeks of injection if they develop. Because the hyaluronic acid products attract water, swelling inside the mucosa in the form of mucocele can develop. These often resolve on their own.
Yes. Assuming the product is hyaluronic acid-based, hyaluronidase (Vitrase (r)) can be injected to dissolve the product.
A generation ago, everyone asked for Angelina Jolie lips. How the times have changed. The most common request when it comes to lip augmentation in young women today is Kylie Jenner lips. One thing to keep in mind when it comes to lip enhancement is not only size, but shape. Equally important, is application of make up. Many woman apply lipstick above and below the natural borders of the lip to create the illusion of larger lips.
To enhance lips like Angelina Jolie or Kylie Jenner (including lipstick enhancement size), you may require anywhere between one and three syringes of dermal filler. Importantly, some people will never have similar lips if they are significantly deficient in mucosal show (the red portion of the lip), or elongated lips that have become involuted with age.
The shapes of the lip can certainly be modified to some degree. But everyone has their own limitations based on anatomy that may only be enhanced with additional procedures such as a lip lift.
Most patients remain swollen for two days after injection. In some people, swelling improves the following day. By day three, most swelling is gone and you may even miss the post procedure puffiness. During injection it is a good idea to slightly over-correct the desired look since the on-the-spot size will decrease within 72 hours.
The injections do hurt without anesthesia. Topical anesthesia can reduce discomfort by more than fifty percent. Nerve blocks can be performed, but have the disadvantage that they hurt also and leave the lips numb for well over an hour.
Just about all of the dermal fillers are combined with lidocaine, an anesthetic, which makes subsequent injections in each area less painful during the session.
Different strategies for anesthetizing the lips include ice, topical anesthesia, nerve blocks, or simply allowing the lidocaine in the filler to take effect after injection.
The best candidates for lip fillers include men and women who can tolerate a possible bruise or swelling for several days, live with a minor asymmetry, have realistic expectations, and understand the limitations of their own anatomy (explained by their plastic surgeon) as it relates to shape augmentation.
In addition, ideal candidates will refrain from taking aspiring for one week prior to their procedure, since aspirin can cause bruising. Candidates are not on any form of blood thinners, and are not pregnant. Those with connective tissue disease may be at higher risk for complications.
Generally, not. Lip enhancement will enlarge the lip, and if injected along the border of the upper lip give the lip a slight curl, but lifting the lip will require surgery in the form of a lip lift. A lip lift is a simple, in-office procedure that elevates the lip to reduce the distance between the lip and nose and expose more of the upper teeth.
It is almost always a bad idea to fill the upper lip and ignore the lower lip. Even when the upper lip is much smaller than the lower lip, an injection in the upper lip will impart a different curl and projection that will not match the lower lip. This is the main cause of duck lip. The lower lip should be at least 50 percent larger than the upper lip. These facts and recommendations should be kept in mind for those insisting that they only need their upper lip injected.
Bruising is not likely to develop after lip filler. However, if the potential of leaving the office with a bruise or waking up in the morning with a bruise is big problem, lip augmentation is probably not the right choice for you. To reduce the chance of bruising, aspirin products and NSAIDS such as ibupfroen and Advil (r) should be avoided for at least a week prior to injection.
Anyone who cannot tolerate the risk of a bruise, swelling, or mild asymmetry should avoid lip fillers. These are all risks even in the most experienced hands. In addition, those who are pregnant or breastfeeding should probably not proceed with fillers.
The two most common techniques for permanent lip enhancement are silicone implants (not injections – which are banned) and autologous fat grafting.
Silicone implants are placed in the office under local anesthesia through the corner of the mouth. They carry the risk of more firmness than fillers, infection, and extrusion. They are more expensive than dermal fillers and are limited to just a few sizes.
One’s own fat may also be used for lip enhancement but it is unpredictable in nature. A large volume of fat must be injected to achieve potentially small, final results.
Autologous fat can be used for lip augmentation but a lot of fat must be injected to appreciate results. Fat transfer carries the added disadvantage of prolonged swelling and a much higher likelihood of bruising.
Yes, silicone lip implants exist. They have limited sizes. The are permanent and can be placed into the lips under local anesthesia in the office.
You will certainly want to avoid silicone lip injections. They can cause granulomas and lip deformities that are very challenging to correct.
To produce the fullest, poutiest, and most natural looking lips, there are specific units in the lower lip that must be injected in varying degrees – and some that must not be injected at all. Both the bottom lip and top lips should be injected, often with slightly more volume in the lower lip.
After Dr. Neavin finds you to be an appropriate candidate for lip augmentation, you will be asked which type of anesthesia you desire. Injections will begin in the upper lip. After 90 percent of the desired volume is injected into both upper and lower lip, you will be iced for five minutes to allow some swelling to subside. With less swelling, it will be easier for Dr. Neavin to decide where the remaining filler should go. Often, the last five percent will remain stored for a few weeks to allow for a touch-up to any asymmetry that may become visible once all swelling subsides. There is no additional charge for this touch-up treatment.
For the most part, one can count on six to eight months of enhancement after the filling of a hyaluronic acid product.
Depending on the product used and the amount of product needed, a lip augmentation in Dr. Neavin’s hands with hyaluronic acid costs between $675 to over $1,100.
Lip augmentation is a minimally-invasive way to plump up your pout and restore a youthful appearance. To find out if you are a candidate for lip augmentation, contact Artisan of Beauty Plastic Surgery at 310‑858‑8811.