Lip Augmentation and Dermal Fillers

Lip augmentation is a very common cosmetic procedure performed in women of all ages. Lip augmentation is performed with the use of a dermal filler. There are several types of dermal fillers on the market that can be injected in and around the lips. However, the most widely used dermal fillers are made of the substance known as Hyaluronic acid. This substance is naturally occurring in the body and plays a role in acting as a volume enhancer. When Hyaluronic acid is injected into the lips, it adds volume and thus increases the size of the lips.

Another dermal filler that was once used widely is collagen. However, because of the newer and safer Hyaluronic acid dermal fillers, collagen products are not used as much to enhance the lips.

Two other methods of augmenting lips include use of fat injections and permanent implants. These last two methods do produce superb results but should be used until the individual is first satisfied with the temporary dermal fillers.

How do Lip fillers work?

Hyaluronic acid fillers all work in the same way and all can significantly enhance the lips by 1) adding volume 2) reshaping and 3) improving the symmetry. In general, after injection of a Hyaluronic acid dermal filler, the results of lip augmentation last 6-9 months. After this time period, minor touch-ups are required to maintain the fullness of the lips.

The presently available Hyaluronic acid fillers on the market include the following:

Belotero Balance is one of the newest dermal fillers which can last anywhere from 6-12 months

– Captique is no longer on the market and has been replaced with Prevelle Silk (see below).

– Elevess (Hydrelle)- usually requires multiple injections for good response.

– HylaForm- tends to produce less bruising and may last 6-12 months.

Juvederm Ultra, Juvederm Ultra Plus-versatlle dermal filler which is very widely used and produces excellent cosmetic results.

– Prevelle Silk is a relatively new filler which is easy to use and lasts 6-9 months.

Restylane, Restylane-L, Restylane Silk is one of the oldest dermal fillers and lasts 6-9 months

How is lip augmentation done?

In all cases, lip augmentation is an outpatient procedure that rarely takes more than 30-45 minutes. Prior to the injection, your lips will be numbed with a topical anesthetic. Some dermal fillers even contain a local anesthetic and thus there is minimal pain. Even though injection of dermal fillers into the lips is a relatively straight forward procedure, an eye for detail is required. Any error in the injections can lead to asymmetry of the lips, thus, it is important to consult experienced cosmetic therapist.

Lips NYC

What is recovery like after lip augmentation?

Most people can resume their daily living activities on the same day. The lips may be bruised and swollen for a few days but one can apply ice to lessen the pain and reduce the swelling.

Why select Hyaluronic fillers to augment the lips?

There are several advantages to using Hyaluronic acid dermal fillers that include:

  1. 1. The amount of filler injected can be controlled so that the therapist can assess the symmetry and maintain the lip contour.
  2. 2. The filler injection does not have to be completed in one session. In most cases, several sessions allow the therapist to judge the results of the earlier injection and improve or adjust accordingly until the desired result is achieved.
  3. 3. Any residual bumps or lumps created by motion of the lips tend to dissolve rather easily.
  4. 4. There is much less discomfort and bruising with the Hyaluronic fillers compared to other fillers .
  5. 5. The results after hyaluronic acid injections generally are long lasting but not permanent.

Upper and lower lip creases

Lips NYC 2

Allergy testing is only required when collagen fillers are used. After the test, the individual has to wait at least 4 weeks to determine if an allergic reaction has developed. With hyaluronic acid fillers, there is no allergy testing. The treatment can be done on the same day you see the therapist. Rarely an individual may have an allergy to the local anesthetic lidocaine.

What are side effects of lip augmentation with fillers?

After the injection, most patients will develop some bruising and swelling around the lips and mouth. This is transient and disappears in a few days.

The swelling and pain can be decreased with the use of ice packs for the first 24 hours. Other rare side effects of dermal fillers include bleeding at the site of the injection. The lips may be sore for a few days but the pain is responsive to over the counter pain medications like ibuprofen.

Avoid use of lip products like gloss and lipstick for the first 24-48 hours after the injections. Within a few days your lips will regain their natural sensation.