“Hellooooo Anushka!! Today I am here to talk about my lips!! Yes! There! I said it.. My lips!” This recent tweet by Bollywood actress Anushka Sharma has generated huge interest in Lip Augmentation procedure across Internet and print media. Throughout the history, fuller feminine lips have been considered attractive and a sign of beauty. When the lips are full and well defined they create a feeling of youth, health, and sensuality. Due to this reason, for years, models and actresses have opted for procedures to enhance their lips. While Anushka has stopped short of admitting getting filler injection for her lips, some of the lines written by her and their explanation have clearly conveyed the message.
1. “For a short while now I have been using a temporary lip enhancing tool and that along with make up techniques (I have learnt over the years) is the reason why there might be a change in the appearance of my lips. Having stated this fact let me very vehemently assure everyone that I have by no means gone 'under the knife ' or done any kind of 'plastic surgery'.
Well, with current techniques of lip augmentation, one does not need a plastic surgery or is required to go under knife. And the so-called ‘Temporary Lip Enhancing tool’ is nothing but HA fillers like Juvederm or Restylane. Biodegradable Hyaluronic acid fillers are the most popular products for lip augmentation as they produce the most natural results. This injection procedure takes about 20- 30 minutes and gives instant fullness to the lips lasting up to 12 months.
2. “This was my decision and was done for the sake of my look in my upcoming film Bombay velvet, a period drama where I play a jazz singer in the 1960's - 70’s. And it was taken from the referencing of that time.”
Many good actors put in lot of effort like gaining or losing weight, developing six packs, tonsuring head etc. to give a realistic look to the character they are playing but one need to do this under an expert’s guidance which Anushka lacked probably.
For enhancement of a young person’s lips, the major target usually is subtle refinement of lip fullness, eversion, and projection of the upper lip while for enhancement of the older lips with upper lip wrinkles, injection along the lip border will restore the natural lip contour & fill the small vertical lines called smoker’s lines. However adding too much filler along the lip borders in younger person like Anushka gives a ‘Fish Mouth’ appearance.
Like all beautiful things in nature, lip size follows the golden ratio i.e. Lower lip: Upper Lip ratio is 1.6. Ideally, the upper lip should be 65-70% of the size of the bottom lip. At times, inexperienced physicians may inject more filler in upper lip, as in Anushka’s case, to equalize the size of both the bottom and top lips, creating the notorious ‘trout pout’ look.
3. “And also ... Some of the 'joker' jokes/memes doing the rounds though a bit mean did bring a smile to my lips ;)”
In older patients, lift of the drooping lip angles is achieved by placing filler to the corner in the lower lip near the angle of mouth. However adding too much filler in the lateral part of lips and in the angle of mouth can give an upward pointed smile called ‘Joker Smile’.
As per the VDL classification for lip augmentation, Anushka’s new lips fit into the category of ‘Angelic lips’. In this lip form, the lateral part of lip is augmented specifically. It elongates the lip and shapes the upper lip like ‘Angel’s Wings’. However the problem with this type of lip augmentation is that due to excessive fullness in lateral parts of lip, central downward projection of upper lip gets masked and the standard shape of upper lip changes altogether. Another disadvantage of Angelic form of lips is that due to the push of filler in outer corners of mouth, the direction of angle of mouth points upwards giving a ‘Joker smile ‘ to patient.
4. “Now if someday my legs appear different and sexy to you! Please don't say I've done ‘Something’...”
If Anushka is still convinced that her lips are looking different BUT they are ‘sexy’, she definitely needs a second opinion. It is not difficult to reverse effect of HA fillers. It takes tiny injection with enzyme Hyaluronidase to dissolve HA filler in less than 5 minutes and one can get original lip shape back
5. "I do not believe in plastic surgery or any other means of unnatural permanent changes to the body. I do not support it or stand for it or recommend it.”
Plastic surgery is one of the most amazing and challenging branches of medical science and is used extensively in treating congenital anomalies, burns and trauma patients as well as for cosmetic improvement of various body parts. A successful outcome in lip augmentation is highly dependent on the skill of the Plastic surgeon; with this skill acquired from many years of experience in facial assessment and injecting the various shapes of lips. Looking at Anushka’s lips, it seems to be a job done by a ‘weekend course’ trained cosmetic expert and not by a trained Plastic surgeon with 12 years of rigorous medical training under his belt.
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 reverse the age related changes in lips. But choosing the right doctor is the key to getting desired results and the benefit to the patient is an almost immediate return to normal, usual activities with new, natural looking, enhanced lips.