Lip Enhancement Surgery

Lip Augmentation

Fuller feminine lips have been considered sign of beauty. For years models and actresses have attempted to enhance their lips. When the lips are full and well defined they create a feeling of youth, health, and sensuality. It plays an important role in the expression of sensuality and sexuality.

Many people have thin lips since young age while some develop them with age. The most obvious change in lips with aging is a loss of fullness and projection of the lips. The colored portion of the lips thins out and the arch of the upper lip (cupid's bow) flattens. Skin laxity increases the drooping of the mouth angles with development of marionette lines. This makes a person look unhappy (‘Sad Smile’) and is one of the biggest contributors to an aged appearance.

Q: Who are the ideal candidates for lip augmentation?

A: Lip augmentation with Filler injections is appropriate for patients who wish to enhance the lips they are born with and for patients who wish to restore the age related changes in lips.

Q: How do fillers help in improving lips?

A: Fillers can help reverse a downward smile, add volume to thinning lips, slightly lengthen the mouth, and smooth out vertical lines from the lip border (smoker’s lines) or that extend downward from the corners of the mouth (marionette lines) without surgery.

Q: How long do these procedures take and what anaesthesia is used for this procedure?

A: Biodegradable fillers like Hyaluronic acid fillers produce the most natural results. HA filler injections like Juvederm; Restylane etc. are the best and most popular method for lip augmentation. This procedure takes about 30 minutes and gives immediate fullness to the lips lasting up to 12 months. This procedure can be done with nerve block to anaesthetize the lips. Newer fillers like Juvederm XC can be injected directly without nerve block as it has local anesthesia mixed in it.

Q: How do lips of younger patients modified with filler?

A: For lip enhancement of young patient’s lips, the major target will usually be subtle refinement of lip fullness, eversion, and projection of the upper lip and accentuation of the rolling out of the lower lip. The fold that extends up towards the nose (philtrum ridges) can also be defined by injecting the gel into them (Cupid's Bow Definition). If a thin upper lip is a contributing factor to ‘Gummy Smile’, BOTOX injections along with an upper lip augmentation with HA filler can be done in the same sitting.

Q: How do lips of older patients treated with fillers?

A: For enhancement of the older lips with upper lip wrinkles, injection along the lip border (vermillion) will restore the natural lip contour & fill the small vertical lines (smoker’s lines) touching it, preventing lipstick "bleeding" into these small lines around the lips. Redefining this edge with natural fillers leads to a more youthful and appealing look. Lift of the drooping lip angles is achieved by placing filler to the corner in the lower lip near the angle of mouth. Marionette lines are treated much the same way. BOTOX combined with a filler can enhance the results in lips in two ways: injection to the skin of the upper lip to soften the vertical lines and injection to the DAO muscle at jaw level to decrease downward pull to lip corners. The result is a happier, less tired, more natural looking appearance.

Dr. K.M. Kapoor

Director of AntiClock-Age Reversal Clinic & Medispa, Chandigarh

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