Aesthetic Procedures for the Lips


Full, nicely-shaped lips - a sign of femininity and youth. Enticing curved lips, along with shining eyes, are the centers of attraction in a pretty face! There are some very young women with slim, skinny lips, but as time goes by every lip loses volume to some extent. Fine wrinkling increases in the red of the lips and vertical pleated lines extend from the vermilion border into the adjacent skin (white of the lips).


Both the volume and the contours of the lips can be improved in a harmonic way through injection of fillers. Crucial to a successful procedure are the simultaneous treating of the fine lines and wrinkles around the lips and the slight elevation of the corners of the mouth to restore a friendly, relaxed facial expression.


The ideal filler for the gentle treatment of lips - both adding volume and changing contours - is hyaluronic acid! This resorbable material is well-tolerated and ideal for the soft lip tissue. With a series of treatments, it is possible to carefully and in a step-wise fashion obtain the desired results, always alert to create an image appropriate for your age. Less is often more in this site!



What is hyaluronic acid?


Hyaluronic acid is a natural tissue component of all mammals and occurs in some bacteria with exactly the same chemical structure. These streptococcal bacteria are used to commercially produce the substance. Hyaluronic acid is a long-chained sugar molecule with an amazing capacity to bind water. This is the main property of cross-linked hyaluronic acid which makes it such a suitable filler. It is well-tolerated and completely metabolized by the body; thus we speak of a resorbable filler. The duration of effect in the lips varies from person to person. Often after about 6 months, a second enhancing treatment is desirable. After multiple treatments, the pleasing results often are stable for longer periods of time such as 1-2 years.
I use only the officially licensed products: Belotero®, Juvéderm®, Restylane® und Hyal-System®.


How are the lip fillers used?

The volume and contours of the lips can be enhanced with a variety of techniques. One possibility is the linear technique with fine sharp or blunt cannulas. Another way is the point technique in which tiny depots of hyaluronic acid are placed in a precise manner. Fine lines and wrinkles extending from the vermillion are best treated with either the point or linear technique with fine sharp needles.

The tower technique is very helping for elevating the corner of the mouth and correcting the marionette folds of lower lip and chin. In this approach a fine sharp needle is used to place little vertical towers of hyaluronic acid close to one another in the deep tissue. These support the overlying tissue and stabilize the skin.

In most cases, a combination of these injection techniques produces the best results.



Is anesthesia necessary?

Lips are sensitive. The treatment can be carried out using a topical anesthetic cream or with injection of local anesthetic for a nerve block (as used by dentists). Some of the hyaluronic acid products also contain lidocaine which is a local anesthetic, making their use even less painful.



What happens afterwards?

Right after the treatment the effects of the filler injection is immediately visible. There may be excessive swelling and redness of the skin, which usually completely disappears in 1-2 days. The repeated use of cold packs accelerates this healing process. Tiny bruise marks appear but usually can be easily covered with make-up. The long-term effects of the injection can best be assessed after 14 days. During this time period, possible slight under- or over-injections tend to self-correct, either through increased water uptake by the hyaluronic acid or by resorption by the body.



Which combinations are reasonable?

Regular treatment with botulinum produces a permanent smoothening of the skin. Fine dynamic folds do not develop or worsen following this treatment, an advantage of botulinum prophylaxis. In some cases, an additional marking of the lip border with permanent make-up can make the new contours even more attractive.



What else can one do?

A well-balanced moisturizing lip cream also helps to make the results last longer.



I would be happy to give you my recommendations for treating your lips in a personalized consultation. Thick lips in the often-criticized inner tube variant must be avoided! Nonetheless, a natural increase in volume with enhanced contours of the lips is crucial to producing a more youthful appearance. One must remember that not every lip seen in a fashion magazine can be reproduced exactly in each patient; the underlying anatomy of each person's lips and face sets the limits for what is realistic. I would also be happy to share with you a series before and after pictures from patients whom I have successfully treated.

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