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Juvederm Lip Augmentation & Juvederm Volbella

With news about Hollywood celebrity Kylie Jenner receiving Juvederm injections to create her fuller lips, the use of the procedure for lip augmentation has steadily increased in popularity over the past years. A-Listers like Chrissy Teigen, Katy Perry, Nicole Kidman, and Anna Faris have all joined in to reveal their celebrity secret: Juvederm lip fillers.  Dr. Michele Green, an expert in minimally invasive cosmetic injections in New York City, is the “go to doctor” for beautiful lips.  Dr. Green is an expert in skin care, dermal fillers, and was one of the first doctors in NYC to perfect the use of Juvederm fillers.

A person’s lips are arguably the most impactful feature when it comes to a first impression. As we age, our lips naturally thin and develop frown lines and other fine lines surrounding the lips, and this can drastically change our control over that very first smile.

With lip augmentation, NYC-based dermatologist Dr. Michele Green, can give you a natural subtle improvement  or a completely new look.  Patients walk away with fuller lips, more defined lips, and gives a whole new dimension to your new “look”.

After one syringe of Juvederm

How does lip augmentation work?

Lip augmentation, also referred to as lip injections or lip fillers, uses injections of hyaluronic acid, which is a naturally occurring sugar complex found in the skin. Hyaluronic acid promotes collagen production, which in turn plumps the skin and fills in lines and wrinkles and adds volume. Hyaluronic acid also increases the skin’s moisture storing ability leaving it  both hydrated and rejuvenated.

When considering lip augmentation, it’s very important to consider what each patient is looking for, and to compliment the natural structure of the lips. This means that a crucial step in the process is reflecting on what you’d like your lips to become. As Perrie Samotin, journalist at Glamour Magazine and one of many of Dr. Green’s lip augmentation patients, writes:

“The first step, according to Green, is to decide how big you realistically want your lips. Meaning, think long and hard about whether you really want to go from thin-lipped to Lisa Rinna in one fell swoop. It will be obvious. ‘You really, really don’t want [your lips] to be overfilled, and it’s easier to have too little than too much,’ Green said. But if you know you want to see a real difference right away, it’s on you to voice that—especially since I’ve found that most doctors prefer their work to look hyper-natural.”

Read more about Perrie’s experience with Dr. Green in Glamour Magazine 

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How Lip Injections Can Transform Your Look

Dr. Michele Green is a leading NYC board certified dermatologist, and she will work with you to determine your aesthetic goals. During the consultation, she will consider the different aspects of the lips and the surrounding skin.  The key areas of the lip region are:

  • Upper Lip: The upper lip is where shape and volume become key players. Injection zones vary to get the perfect shape and volume, but the key is to vary the lower border of the upper lip. Without this variation, patients risk the “trout pout,” which appears artificial.
  • Lower Lip: The lower lip is more uniform, but tends to have increased volume int the center of the lip. Often, the lower lip can have a more voluminous injection in order to maintain the natural balance of the lips. The goal is to focus on central and vertical height, so that the lower lip looks even from side to side, with a lovely lift enhancement head-on.
  • Philtral columns: The philtral columns are the elevated areas of skin between the tip of the upper lip and the base of the nose. The natural shape of the philtral columns has a major role in its relationship to the upper lip, and definition can be an important consideration here.
  • White Roll: This is the edge along the lips that then transitions to skin. Definition along the white roll is essential when looking for a natural look, and this is a common injection site in order to create balance and glow.

Injectable Lip Fillers

Hyaluronic acid injectables, such as Juvederm, are manufactured with lidocaine, in order to make the process of lip injection as comfortable as possible. Dr. Green often suggests a topical numbing cream in addition to the lidocaine compounded in Juvederm itself. Since the production of hyaluronic acid and collagen slows with age, hyaluronic acid fillers can be used to replace this lost collagen and reverse the signs of aging. Juvederm can be used to decrease vertical lip lines, correct smile lines, as well as plumping thin lips. These dermal fillers can also be used on different areas throughout the face such as the temples, chin, nasolabial are (smile lines), tear trough, and cheeks.

Hyaluronic acid lip enhancement is a natural alternative to plastic surgery and, unlike other dermal fillers, the effects of hyaluronic acid fillers are more long-lasting, up to one year, as the hyaluronic acid is reabsorbed slowly into the body.

What is the best lip filler?

There are a variety of hyaluronic acid fillers that can be applied to create lip augmentation that shifts from natural to dramatic. However, not all lip fillers are created equally, and different types of hyaluronic acid products are used for different facial features or signs of aging.

Juvederm is the most popular brand of hyaluronic acid filler, with consistently outstanding cosmetic results. Created by Allergan, Juvederm provides a voluminous, plumped look for your lips that can have a lasting impact for up to a year.

Restylane is another rejuvenating hyaluronic acid lip injection that can be used as a lip filler  and is primarily geared towards those patients who want a more subtle result. Restylane Silk and Restylane both are used for lip injections for patients who want a more natural looking, softer “look”. Restylane Lyft is primarily used for the smile lines and oral commissures, and hand rejuvenation. Patients in their 50’s may prefer Restylane for its more subtle results. Restylane typically lasts 6 to 9 months in duration.

Boletero is also used to treat fine lines, and is useful for more subtle lip augmentation. However, its results don’t last quite as long as Restylane or Juvederm, typically only reaching the 6-month mark.

What is Juvederm lip filler?

Juvederm lip filler comes from the top-selling hyaluronic acid dermal filler collection, made by Allergan, which ranks in the top 3 most minimally invasive cosmetic treatments in the United States. Juvederm is designed from vycross technology which cross links low and high weight hyaluronic acids , which in turns creates an incredibly smooth and efficient injectable gel. The first Juvederm filler was approved by the FDA in 2006 for adding volume for any patient 21 or older, and in the last two decades Juvederm has expanded its collection of facial fillers which are designed to treat the various aspects of aging and sculpting:

Juvederm Volbella XC

This hyaluronic acid filler is a newer FDA-approved lip augmentation injectable used to create fullness and softness for the lips, as well as reduce the appearance of perioral lines, also known as “lipstick lines”. Juvederm Volbella XC manages to create a soft, natural look.

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Botox & Juvederm Volbella treatments

Juvederm Ultra XC

This lip filler is a cross-linked gel that is designed to improve the fullness of the lips and mouth area, creating plump lips while also adding volume to reduce the appearance of fine lines. It can be tailored to a natural, fuller, or more dramatic pout. Juvederm XC is also used to plump the surrounding nasolabial area (smile lines), and oral commissures to prevent sagging and jowl formation.

Juvederm Ultra Plus XC

This product builds upon the Ultra XC formulation, creating a robust cross-linking process that aids more moderate to severe wrinkles and folds. Juvederm Ultra Plus XC is the type of dermal lip filler that Kylie Jenner had for her lip augmentation which gave her that famous luscious pout.

Which Juvederm is best for lips?

A variety of Juvederm lip fillers can be used depending on the desires of each individual. The first choice for most patients in lip plumping is Juvederm Ultra Plus XC.  Dr. Green typically starts with just one syringe of juvederm. She has a conservative “less is more” philosophy and will have you look at the results immediately after the injection to decide if you want a more dramatic result and more lip plumping.

All three of the Juvederm hyaluronic acid fillers are able to create a youthful, voluminous look for your lips, and Dr. Green will work with you to make sure your lip augmentation reflects your desires while also shaping your look to match the composition and structure of your natural facial features.

How long does Juvederm lip filler last?

So, how long do juvederm lip fillers last? If you’re a first-time patient, the question of how long do juvederm lip injections last is likely at the top of your list, as this process is an investment for yourself, and long-lasting results are a crucial part of the decision-making process.

In terms of longevity, you may be in luck: Juvederm lip fillers have the longest lasting results of hyaluronic acid fillers, and they typically last for a full year with optimal use. First-time patients may not reach the full-year mark, as more hyaluronic acid may be absorbed into the body, but with multiple use, the timeline often extends.

How long does Juvederm Volbella XC last in lips?

Juvederm Volbella XC and Juvederm Ultra XC commonly produce results that last up to 1 year. Juvederm Ultra Plus XC, which is often used for more dramatic lip enhancement, can have lasting effects for over 1 year.

What is the Lip Augmentation Process Like?

The procedure for lip augmentation is incredibly quick and easy compared to other dermal enhancement treatments. It is recommended for patients 21 years and older, and is particularly excellent for older patients looking to rejuvenate their look and feel the joy of fuller, fresher skin and lips.

When approaching your appointment, it’s important to think about the “less is more” approach, as it is easier to enhance lips that have slightly too little volume than to adjust lips that are overfilled. Reflecting on what level of volume you realistically want can help your dermatologist to determine the exact amount of filler you would like to use, but typically one to  syringes of Juvederm will give patients the fullness that they are looking for.

In the week leading up to your appointment, there are a few things you should avoid:

  • Aspirin, Aleve or Motrin
  • Fish Oil
  • Multivitamins
  • Vitamin E
  • St. John’s wort

These oral medications and supplements should be avoided in order to prevent bruising. Aspirin, Aleve and Motrin all have a blood thinning effect, and can therefore make the skin quite susceptible to post-injection bruising. Refraining from alcohol and from smoking in preparation for treatment is also recommended. Furthermore, if you have any major breakouts or infections in the week prior to your procedure near the planned injection site, it may be best to postpone treatment until the breakout has cleared.

The appointment itself is completely easy, typically lasting 15 minutes. Dr. Michele Green is an experienced cosmetic injector, with over 20 decades in minimally invasive cosmetic procedures. During this procedure, Dr. Green will mark the injection sites to confirm location and the desired result, and layer Juvederm into all of the desired areas on and surrounding the lips. Dr. Green may also lightly massage the injection sites to ensure that the hyaluronic filler is evenly distributed. You will ice the treatment area immediately after your injection to reduce the chance of swelling.

How do you take care of your lips after Juvederm?

After your Juvederm procedure, very little downtime is required, if any. It’s important to avoid manipulating the lips for 2-3 hours after injections (things like scrunching the lips, using straws, or drinking hot beverages) in order to allow the injections time to settle.

Within the first day after the procedure, swelling often occurs, creating an impression that the lips are 20% larger than they will be. Common side effects after the procedure include swelling, redness, tenderness, and bumps or firmness along the lips. Topical steroid creams can be used to minimize more moderate side effects, and icing for the first few days is recommended for all patients. You’ll also want to avoid dental procedure for a few weeks after your appointment.

After 2 to 3 days, the lips will assume their injection volume and shape, and this look will continue to soften gradually over the course of 2-3 weeks, leaving your lips feeling pillowy and full.

If you are in any way dissatisfied with your first treatment and are craving a more dramatic look, an additional lip injection can be applied after the first 2 weeks. If you learn that lip fillers are not for you, hyaluronidase can be used to dissolve the hyaluronic acid easily and painlessly. Dr. Green will work with you from the very first consultation to ensure that your aspirations are met.

How Much Do Juvederm Lip Fillers Cost?

The answer to how much are juvederm lip injections varies depending on the needs of the patient. The cost for lip augmentation ranges from $800 to $1,200 depending on the type of hyaluronic acid filler used or the number of syringes utilized for the desired effect. Dr. Green will present you with a complete quote based on your private consultation.

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After one syringe of Juvederm

Dermal Fillers

Dermal Fillers is another term for injectable gel-like fillers that encourage natural collagen production in the skin, and can be used throughout the face and body. Unlike treatments like Botox  and Dysport, dermal fillers are not neurotoxins. Instead of freezing the muscles as a way to reduce wrinkles, dermal fillers are able to smooth out the skin by naturally filling wrinkles.

Collagen used to be the most common fillers in the dermal filler procedures, but in recent years, hyaluronic acid fillers have presented with an incredible amount of patient success. Hyaluronic acid fillers have the highest dermatological recommendation, and both Juvederm and Restylane offer a variety of dermal fillers for facial features beyond the lips including:

  • Cheek Enhancement: The use of dermal filler right near the cheek bone can be used as a means to create a nonsurgical lift that will revitalize and rejuvenate the skin.
  • Jaw Contouring: Jowls or sagging skin on the lower face can be firmed through the use of Juvederm injections along the jawline.
  • Tear Trough: Under eye hollows and dark circles can be corrected with dermal fillers injected into the tear trough area.  The best patients for this dermal filler site have an undereye hollows without an excessive amount of skin laxity.
  • Nasolabial Folds: Nasolabial Folds, also known as “smile lines”, are frequently treated with and without lip augmentation. A combination of dermal filler surrounding the lips and the cheeks can help to lift the skin and reduce these folds. Juvederm Ultra Plus is made specially for these deep lines, creases, and the lines which extend down the mouth to the oral commissures, known as marionette lines.
  • Volume Loss: Juvederm Ultra Plus can be combined with Juvederm Voluma XC (described below), as well as other dermal fillers to create a liquid face lift.  Many patients have pan-facial rejuvenation, to restore volume to multiple areas of the face during the same visit.  For example, the temples, chin, jowls, cheeks and nasolabial folds may all have lost volume. By using a combination approach, and layering more than one dermal filler, the different areas of volume loss can be restored to provide complete facial rejuvenation. Though the art of a liquid facelift, patients can avoid having invasive plastic surgery.

Juvederm Vollure

This injectable creates volume that helps to smooth wrinkles and folds throughout the face, with results lasting up to 1.5 years. From just a single visit, Juvederm Vollure can help to give you a plump, soft look to your skin, and the filler can be tailored to each patient to allow for a natural, beautiful glow.

Juvederm Voluma XC

This product is designed to sculpt, lift, and reduce wrinkles along the cheeks and midface. It creates a natural appearance and smooths the contour of the skin, with results lasting up to 2 years. Volume loss in the midface is a chief concern of many patients and Juvederm Voluma XC is the ideal way to replenish this lost collagen and improve facial sagging. Dermal filler such as Juvederm Voluma XC can be injected near the cheekbone in order to restore fullness that is often lost during the aging process, creating a natural lift that reduces the look of smile lines and deeper folds without the need for plastic surgery.

What is permanent lip augmentation?

Permanent lip augmentation options exist for those who are looking to create more long-lasting change to their look, typically done by a plastic surgeon:

  • Lip Implants: This process uses a Permalip implant insertion, where a surgical implant is shaped using an incision in the lip. A curved alligator clamp is then used to develop a tunnel in the lip that follows the curvature of the lip, and then the implant is positioned below the lip fat and above the lip muscles. Absorbable sutures are then used to close the incisions.
  • Fat grafting: This process has a slightly longer augmentation result, providing fuller lips for five years or more. During the fat grafting lip augmentation process, your own tissue is used. Fat tissue is collected from the stomach, which is then purified and inserted into the lips. The full treatment takes about ninety minutes and is done with local anesthesia.
  • Tissue grafting: Tissue grafting is similar to fat grafting, in that your own tissue is taken to be used for lip enhancement. In this case, skin is taken from the lower stomach area, relying on the dermis to be inserted into the lips.

Please note, these permanent lip augmentation procedures are typically less popular than lip fillers, as the results cannot be changed and the procedures are much more complicated, and the final look has a greater risk of appearing unnatural. Permanent lift fillers and tissue grafting is rarely performed now that there are so many minimally invasive hyaluronic acid fillers for lip enhancement.

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How do I begin the process for lip enhancement?

The first step is to do your research and know which “look” you want and read about the different options available. You should research and google your doctor to learn about his or her background and aesthetic. You can read about Dr. Green in her Realself contributions, Forbes, Glamour and The NY Times, among other publications. When you know your questions, call the office at 212 535 3088 or contact us online to arrange an appointment.

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