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Thanks to the advent of new injectable dermal fillers composed of hyaluronic acid, lip augmentation has never been more widely available with beautiful and natural looking results. Juvederm and Restylane injections are two of the most popular types of hyaluronic acid fillers used by Dr. Michele Green in NYC to achieve hydrated, soft, plump, kissable lips. With the arrival of these new dermal fillers, non-invasive cosmetic treatments such as lip fillers, cheek augmentation, and Botox injections have revolutionized cosmetic dermatology and have have made many invasive plastic surgery procedures obsolete.

Dr. Michele Green is an expert in lip fillers and is known as the “lip queen” due to her natural looking and expertly performed lip augmentation. Her “less is more” philosophy to cosmetic injections of dermal fillers has her consistently voted as one of the best cosmetic dermatologists in New York for the past 25 years. The lips are one of the most defining features of the face, and often one of the first areas where we can observe the effects of age-related volume loss. At first it may seem overwhelming to find a solution for a fuller, plumper pout, until you realize just how simple beautiful lip augmentation really is. The popularity of lip augmentation has skyrocketed thanks to influencers and celebrities, sharing their experiences with lip fillers openly on various social media platforms. Fuller lips tend to be associated with beauty and youthfulness.

When you choose to work with Dr. Green, you can feel confident that as your injector she has both the experience and the expertise to deliver the best overall results. Whether it is correcting and replacing lost volume with thinner lips, helping to remove fine lines around the mouth with dermal fillers, or just increasing the natural look of a beautiful, fuller pout, Dr. Green is here to help. She expertly combines the science of cosmetic dermatology with the artistry of aesthetics to provide each individual patient with natural looking, beautiful results.

What is Lip Augmentation?

Generally speaking, lip augmentation refers to a procedure where a lip filler is injected into the lips to add extra volume into the lip area. However, lip augmentation treatments cover a wide spectrum of different procedures and can help improve several aspects of the lips. This can include the shape of the lips, structure of the lips, the overall volume of the lips, the cupid’s bow and the lines around the lips. These lines around the lips may be caused by volume loss, age, smoking, or photodamage.

Lip Augmentation with lip fillers is a process whereby the lips are increased in size to give the overall impression of fuller, plumper, more luscious lips. Lip augmentation has become a highly sought after cosmetic procedure in New York City and around the world, largely thanks to social media exposure and beauty trends. Anyone looking for a more dramatic pout, who is suffering from thin lips, or is noticing volume reduction in their lips associated with aging can benefit from having lip augmentation.

Today the most common lip augmentation procedure involves a dermal filler, which is injected into the lips to add extra volume. There are several different treatments available – however one of the most common treatments is to inject hyaluronic acid (HA) into the lip area. Hyaluronic acid is a natural substance produced by the body and fillers based on this substance can help improve the overall look of the lips by providing increased volume.

There are many different methods of lip enhancement available today.  Dr. Michele Green is an expert in lip injections and after a consultation in her New York City Upper East Side office, she can discuss the best ways to treat this area.  Whether you want just a “lip flip” with Botox, or more volume with voluptuous lips like Kylie Jenner, or simply a subtle lip enhancement, Dr. Green will help you decide what is the best aesthetic choice for you based on your facial features and desired results.

ML 28yo Before after restylane lip filler MGWatermark LIPS ONLY

Before and After Restylane Lip Filler

Which Types of Dermal Fillers are commonly used for Lip Augmentation in NYC?

Restylane – is commonly used to enhance lips with a subtle and natural-looking results.

Juvederm Ultra Plus– is one of the most popular hyaluronic acid fillers for greater lip enhancement.  The more syringes used, the fuller lips that are formed; the greater the lip augmentation, the larger the pout.

Restylane Silk – best used for fine lines around the mouth, commonly referred to as “smoker’s lines”

Restylane Kysse – exclusively designed to plump the lips and treat the fine lines around the lips. Restylane Kysse is used to provide more hydration, often giving the “Russian doll” effect.

Belotero Balance – also used for fine lines around the mouth and can be used in addition to laser injections and Botox for lip lines.

Juvederm Volbella – commonly used for the restoring lip shape and ” cupid’s bow”.

Juvederm Ultra-XC for lip augmentation

Juvederm Ultra Plus-XC is an alternative FDA-approved filler which is very popular with those looking for lip augmentation. Hyaluronic acid is also used in this filler to enhance the lips. One of the key differences with this filler is that it is a very highly cross-linked form of hyaluronic acid. This means that the filler is much less likely to be broken down as quickly. On the other hand, this slow breaking down of the filler means that Juvederm Ultra-XC generally lasts between nine to twelve months before the next treatment is required. For those individuals who are looking for longer lasting results with just one treatment a year then Juvederm Ultra-XC may be the recommended course of action. Your dermatologist will be able to provide specific recommendations based on your own requirements at the time of your initial consultation.

Restylane for Lip Augmentation

Restylane Silk is an FDA approved hyaluronic acid formulation that is specifically designed to be similar to your body’s own, natural hyaluronic acid. Restylane Silk comes in a clear gel formulation and can provide very natural looking results and is primarily used for a very subtle lip line or augmentation. Restylane Silk lasts between six and nine months and therefore most patients may need one to two treatments per year.

It’s worth making a distinction between Restylane Silk and regular Restylane as for many the names are interchangeable, however their uses are not. Regular Restylane is normally used for the lips, nasolabial folds, and hands to provide extra volume.  Restylane Silk is used for the finer lines around the mouth as well as recreating the philtrum which is the vertical groove between the base of the nose and the border of the upper lip.

Restylane Kysse has recently been released as a new lip filler, made of hyaluronic acid, designed exclusively for the lips. Restylane Kysse not only plumps the lips, but it also improves lip color and texture, making the lips look more luscious. It is FDA approved also to improve the fine lines above the lips, as well as overall volume and fullness.

Juvederm Volbella® for lip enhancement

Juvederm Volbella® is also a hyaluronic acid filler that is also approved by the FDA in use of lip augmentation treatments. One of the advantages of this particular treatment is that it is great at treating perioral lines. These lines often develop from smoking or general skin damage over time. This filler is also a great lip filler and has been developed to give the lips a soft and natural feel. In addition, the filler is longer lasting and can provide enhancement for up to one year after the injection.

S.G 2 weeks Before and After Restylane Lips 1 syringe MGWatermark

Restylane for lips – 2 weeks before and after

Belotero Balance® for lip filler

Belotero Balance® Dermal Filler is another injectable filler that is similar to the other fillers listed here and is also based on hyaluronic acid formulation.

Dr. Green recommends Belotero Balance® for certain areas of the mouth and lips. Areas that can be treated with Belotero Balance® include the corners of the mouth to enhance a person’s smile and stop it from turning down constantly, nasolabial folds, vertical lip lines, and marionette lines, which start at the corners of the mouth and extend down toward the chin.

One of the benefits of Belotero Balance® is that the post-treatment appearance of the lips (such as swelling and bruising) is less noticeable since this filler does not cause the temporary, “Tyndall effect,” where the skin has the appearance of a bluish hue due to light passing through the clear filler substance beneath the skin. Again, it should be noted that the results from Belotero Balance® should last approximately six months before a repeat treatment is required.

What is the Process of having Lip Augmentation in NYC?

Prior to your lip filler treatment, you will first have a cosmetic consultation with Dr. Michele Green in her discreet dermatology office located in the Upper East Side of Manhattan in New York City. A series of photographs are taken during your consultation to be used in determining the most appropriate cosmetic procedures for your facial structure. Once a customized treatment plan for you has been developed that caters to your anatomy and cosmetic goals, then you may have treatment on the same day as your consultation or schedule your procedure for a later date depending on your preference and time allowance. On the day of your lip filler treatment, a topical anesthetic should be applied to the treatment area an hour in advance of your appointment time. The dermal filler products used for lip filler are typically compounded with lidocaine, ensuring maximum patient comfort throughout the duration of the procedure. Just before Dr. Green performs your lip augmentation, the treatment area will be sterilized using several cleansing agents. Then, Dr. Green will inject the lips.

The procedure of lip augmentation using dermal fillers takes around 20 minutes to perform and afterwards there may be some minor swelling or bruising.  Dr. Green will make sure that both the upper and lower lips are injected in a beautiful, natural-looking, and well balanced manner. Immediately upon completion of the injections, an ice compress is placed directly onto the injection sites to minimize any localized swelling. We also advise our patients to refrain from taking any oral blood thinners or vitamins, which can cause bruising, for at least one week before their injections. If you have an increased propensity for bruising, Dr. Green recommends taking an oral herbal supplement called Arnika for 1-2 days before your appointment.

Who is the Best Candidate for Lip Fillers?

The best candidate for lip fillers is someone that is healthy and wants to enhance or rejuvenate the mouth area.  Generally, younger patients typically want an improved size and shape of their lips, with fuller, more pouty lips. Many want luscious lips to enhance their own natural features which have become so popular on the pages of Instagram and TikTok. While women have been traditionally the ones to ask for lip fillers, men now count for up to 10 percent of new cosmetic filler injections.

Older patents usually have a two pronged approach to lip fillers.  Since a larger volume in the lips might look artificial, Dr. Michele Green uses a “less is more” philosophy to her lip injections.  Typically, a finer, more subtle hyaluronic acid filler is used for more mature patents to the lip themselves and surrounding lip lines.  These injections are often combined with lasers such as Fraxel and Thermage to tighten and reduce the lines around the mouth and produce new collagen. Resurfacing the lines around the mouth are often combined with cosmetic injections to give an overall improved results.  In this way, both the skin around your upper lip and your lips are rejuvenated and still look natural and beautiful.

BM Before after 1 ultra in the lips MGWatermark

Before and after 1 Juvederm Ultra in Lips

What are the Benefits of Lip Injections?

The main benefit of lip enhancement is fuller, more beautiful lips.  Some patients are very self-conscious about their lips and feel that they are uneven or asymmetric.  With lip fillers, Dr. Green can even out the asymmetries in your lips and enhance your natural beauty.  Many patients feel more confident after cosmetic facial injections, especially lip injections, as they have a renewed sense of attractiveness. Lip augmentation has little or no downtime with minimal swelling and bruising. The results of the lip injections will typically last between six to twelve months, depending on which filler is injected.

Who is the Best Injector for Lip Enhancement?

The best injector for lip filers is typically a board certified dermatologist, like Dr. Michele Green in NYC, who is an expert with cosmetic injections, Botox, and dermal fillers.  It is best to choose an injector who specializes in cosmetic injections and has a proven track record of success to avoid any adverse reactions. Many plastic surgeons are skilled at cosmetic surgery like tummy tucks or rhinoplasty but have little experience in cosmetic injections. It is always important to choose an injector who “injects all day long”.  It is important to choose a physician who has years of experience in cosmetic injections and offers all different fillers since “one size doesn’t fit all”.

Which is the best lip filler?

There is no best lip filler but there is a best filler for a particular patient. In other words, if you want to have larger luscious lips then Restylane Kysse may be the best dermal filler for you. If you are looking for a more subtle lip augmentation, Restylane may right for you. When you work with Dr. Michele Green she will help decide on the best lip filler based on your facial anatomy, skin turgor, lip shape, volume loss, texture of the skin, and desired cosmetic results.

Restylane Before & After Photo

What is the Botox Lip Flip?

For patients who are not yet ready to experience the magic of lip fillers and all that they have to offer, but who are still seeking some subtle volume or lift, there is the Botox lip flip procedure. Having a lip flip with Botox is an ideal approach for patients who are looking for just a small lift in the top lip, providing the appearance of slight extra volume in the lips.

The Botox lip flip is the ideal way for patients who want a small lift in their top lip and are not ready for lip fillers. This amazing treatment uses a small amount of Botox injected above the border of the top lip.  By realizing the muscles, your lips are then able to flip outwards, giving the appearance of extra volume in your lips.

Are the lip fillers permanent?

In the past, the only way to have permanent lip enhancements was thorough facial plastic surgery with silicone implants.  This surgical procedure involved having a silicone implant inserted into the lips. These permanent lip augmentation procedures are rare nowadays as there are so many non-invasive methods. In addition, silicone injections had many unwanted side effects such as nodules which could not be removed. Dermal fillers, composed of hyaluronic acid, have surpassed any surgery due to their ease and safety profile. Silicone, fat transfer, and permanent implants have been largely replaced by non-surgical cosmetic rejuvenation.

Do lip fillers go away?

Lip fillers are not permanent. Lip fillers are only temporary and patients can generally expect their results to last between six months to a year. There are currently  no permanent lip fillers on the market, and treatment should be performed on a regular basis to maintain the best cosmetic results. Dr. Green, and other board-certified lip filler injectors, utilize hyaluronic acid fillers to safely and effectively provide patients with more voluminous, luscious lips. Silicone implants were once used as a permanent treatment for lip augmentation, though it has since been discontinued due to numerous complications associated with its use. One benefit of the impermanence of lip fillers is that as our tastes change overtime, we can adjust treatment to reflect evolving cosmetic needs and goals. A lifetime of luscious lips is perfectly achievable with lip fillers!

Can I wear lipstick after lip injections?

Yes, you can absolutely wear makeup or lipstick after your lip injections. By all means, show off those new lips! As long as the lipstick is clean, and there is no bleeding or oozing at the treated area, you can wear your lipstick.

What is Lip Reduction Surgery?

Some patients may choose to reduce their naturally large lips or simply do not like the inherent shape of their lips. In these extreme cases, patients may choose to have plastic surgery to alter the shape or reduce the size of their lips. Again, cosmetic surgery for lip augmentation in NYC has largely become a thing of the past.

What is a Gummy Smile?

The presence of an excessive gingival display is what many people refer to as a gummy smile. What this looks like is an above average amount of gum tissue visible above the top teeth. The appearance of a gummy smile is often easily corrected with just a small amount of Botox, which is injected into the lip. Injecting just a bit of Botox into the lip prevents lifting the lip too high when smiling, effectively masking the appearance of a gummy smile.

What is the cost for Lip Enhancement?

The geographic location of the office in which you have treatment, the experience level of your injector, and the type and number of syringes of lip filler product required to produce your desired results are all factors which can influence the total cost of your lip enhancement. In New York City, where Dr. Green’s office is located, the average cost for lip augmentation ranges from $1,000 to $1,200. When you consult with Dr. Green, you will have the opportunity to thoroughly discuss your cosmetic goals. You will then be presented with a complete quote for lip augmentation that is based on your private consultation in her Manhattan office.

After one syringe of Juvederm

Do Lip fillers hurt?

Lip injections are somewhat painful due to the high sensitivity and many nerve endings that are present in the lips, making the lips are a very sensitive area to be injected. Dr. Green suggests applying a topical numbing cream to the lips and treatment area one hour before having your lip injections, and applying ice immediately afterwards. These steps ensure that the process is as comfortable as possible for the patient throughout the entirety of the procedure.

How do you reduce swelling after lip fillers?

The best way to reduce swelling from lip fillers is to ice the treated area. The more ice you apply (not directly on your skin), the less the swelling. Some injectables are known to swell more than others. If swelling is a concern, it is best to discuss this with Dr. Green before your lip injections.

What Other Procedures can be Combined with Lip Fillers?

In general, aging lips also show the signs of visible aging around the mouth. Many of these patients are bothered by “smoker’s” lines around the mouth. These perioral lines are generally the result of smoking, sun damage, or improper skin care.  Dr. Green will review the correct use of Retinols and serums to rejuvenate this area, many of which are in her MGSKINLABS Inc. line of products.

Lasers to resurface the area such as Fraxel and eMatrix along with chemical peels to rejuvenate these lines are often utilized with these dermal fillers. Both lasers and chemical peels work to rejuvenate the skin around the mouth and reduce these lines to leave a younger, more renewed appearance.

How Long Do Lip Injections Last?

It is important to understand that having lip augmentation with dermal fillers is a temporary treatment. Lip injections last for up to one year and should be maintained with regular treatment sessions in order to upkeep the desired cosmetic results. One of the greatest benefits of having lip filler is that as our aesthetic tastes and cosmetic goals change over time, we can make amendments in the treatment approach so that they more closely align with our evolving wishes.

Which is the best lip filler?

This is a trick question! There is no correct answer to the question: Which HA filler is the best lip filler? The reason being, the best lip filler for you will be dependent on your unique facial anatomy and your aesthetics. Patients who have a naturally thin set of lips are best-suited to a lip filler product that will provide a subtle and natural, yet beautiful enhancement. Other patients love the look of the “Kardashian” lip filler and want something that will give them a more glamorous and voluminous effect. Patients who are older are typically seeking a solution for replacing lost volume or treating fine lines around the mouth. Since each patient is different, there is no “one size fits all” approach to lip injections.

The most efficient way to determine which lip filler is best for you is by setting up an in person consultation with Dr. Green. Dr. Green will evaluate your facial features and discuss with you in-depth your concerns and cosmetic goals. As a board-certified, expert injector and lip filler aficionado, she will guide you through different treatment options and create a tailored approach to your lip fillers that is specific to you. This guarantees that you get the very best cosmetic results possible.

Juvederm Volbella Before & After Photo

Do lip fillers go away?

Lip fillers are not permanent. Lip fillers are only temporary and patients can generally expect their results to last between six months to a year. There currently are not any permanent lip fillers on the market, and treatment should be performed   on a regular basis to maintain the best cosmetic results. Dr. Green, and other board-certified lip filler injectors, utilize hyaluronic acid fillers to safely and effectively provide patients with more voluminous, luscious lips. Silicone implants were once used as a permanent treatment for lip augmentation, though it has since been discontinued due to numerous complications associated with its use. One benefit of the impermanence of lip fillers is that as our tastes change overtime, we can adjust treatment to reflect evolving cosmetic needs and goals. A lifetime of luscious lips is perfectly achievable with lip fillers!

Can you dissolve lip fillers?

Lip filler products that are currently available are composed of hyaluronic acid. Hyaluronic acid is a naturally occurring substance within the body and is dissolvable with Vitrase injections. Vitrase is the brand name for an injectable enzyme called hyaluronidase, which is able to effectively dissolve the lip filler and reverse the effects of treatment. Hyaluronidase can be used in cases where lip filler is over injected, inappropriately placed, or if a patient is unsatisfied with the results. In order to prevent the need for dissolving your lip filler, it is important to be selective when choosing your injector. When you have injections with an expert injector, like Dr. Green, you ensure that your procedure is carefully planned and can prevent the need to dissolve your lip fillers.

How can I make lip fillers last longer?

Unfortunately, most types of dermal fillers that are used for performing lip augmentation are only semi-permanent. The best way to maintain the cosmetic results of lip fillers is by having regular treatment sessions with your experienced injector. Dr. Green can help you create a treatment plan that is unique to your needs and she will advise you on best maintenance practices for your lip fillers so that you can keep your lips looking luscious for longer.

Are lip fillers safe?

Yes! Lip fillers are entirely safe, and the dermal filler products used to perform lip augmentation have been approved by the United States Food and Drug Administration. One caveat, however, is that you should seek lip augmentation treatment from an experienced and board-certified cosmetic dermatologist, such as Dr. Green. Having treatment in a medical setting, rather than in a med spa or clinic, will help to ensure that your procedure is safe and effective. It may be more inexpensive to have your lip injections done with someone more inexperienced, though you cannot guarantee that in these settings patient safety and satisfaction are top concerns. Using an inappropriate dermal filler in the treatment area or accidental injection of lip filler into a blood vessel can occur with inexperienced injectors and cause more serious side effects to follow. More often than not, if the price looks “too good to be true” than it is probably not the “real thing”. In addition, it is rare to suffer from an allergic reaction to lip filler products, though one contraindication for having lip augmentation with lip filler is a hypersensitivity, or history of an allergy to, a soft tissue filler product.

How to avoid Lip complications?

Due to the increased popularity of lip augmentation, the number of injectors who offer this treatment has increased dramatically over the last few years. In order to avoid complications or looking “overdone” or “duck-like”, it is best to consult an expert in cosmetic injections. Overfilling and lumpiness of the lips are, unfortunately, common occurrences for patients who are treated by inexperienced injectors. For your own peace of mind and to guarantee flawless, natural-looking cosmetic results, it is imperative to consult with an experienced, board-certified dermatologist, like Dr. Michele Green. Dr. Green has spent over two and a half decades providing her patients from around the world with the best cosmetic treatments available in NYC, including lip enhancement procedures.

lip filler

What can I expect after lip fillers?    

It can be hard to know just what to expect after having lip fillers for the first time. The most common side effects that are experienced after undergoing lip augmentation with lip filler include swelling and potentially some bruising at or near the sites of injection. Should you notice mild redness, itchiness, discomfort, or soreness after having lip fillers, these side effects are common and resolve on their own. If side effects are persistent, alert Dr. Green. Swelling can endure for up to several weeks. You can expect to observe the final results of your lip filler treatment approximately one to two weeks after your injections are performed.

How to reduce swelling after lip fillers?

The best way to ensure or reduce swelling after lip fillers is to ice immediately after the HA filler has been injected. It is always best to refrain from aerobic exercise or intense heat for 48 hours after dermal filler injections. In addition, sleeping with your head elevated and on your back can also decrease the degree of swelling. Finally, avoiding Aspirin, Aleve, Motrin, vitamins, wine, or any blood thinners for one week before your injections of dermal fillers will help prevent bruising and any unnecessary swelling.

What shouldn’t I do after lip fillers?     

After having lip filler injections done, it can be tempting to resume activity as usual. There are, however, several aftercare recommendations. Dr. Green advises her patients who have lip augmentation with hyaluronic acid fillers to refrain from exertional exercise for at least 48 hours following a lip filler procedure. She also advises that her patients avoid facial massages and to shower in warm water (as opposed to very hot) in order to prevent excess swelling and bruising. Eating after a lip filler procedure is fine, but avoid using straws for drinking beverages for 24 hours. It is important to keep the treatment area clean and avoid placing too much pressure on the lips. Additionally, refrain from smoking or drinking alcohol for at least 24 hours following treatment.

For managing any discomfort or soreness that may ensue following lip filler injections, Dr. Green recommends applying an ice pack to the treated area and taking Tylenol rather than an NSAID. If you are prone to bruising, an herbal supplement called Arnika Forte can be used, either orally or topically, to help decrease bruising.

How to get naturally-looking plumper, more luscious lips with lip fillers near me?

The lips are a defining facial feature that significantly contribute to overall aesthetics. The position of the lips (center of the face) as well as their close ties to facial expression, youthfulness, and sensuality make them arguably one of the most important facial features that we have! If you’re in need of subtle facial rejuvenation, lip augmentation may be the solution for you. Dr. Michele Green is a board-certified and world-renowned expert in the field of cosmetic dermatology. She has spent over 25 years providing her patients from around the globe with the best cosmetic injections that New York City has to offer.

Dr. Green is consistently voted as one of the best physicians in New York by Castle Connolly, New York Magazine, and New York Times and she specializes not only in lip augmentation, but also in improving the appearance of facial wrinkles and folds, restoring lost volume, and providing improved facial contour. When you work with Dr. Green, you can feel confident that you’ve selected an injector with the expertise and experience to provide you with phenomenal results and an incredibly beautiful, natural-looking lip augmentation. Please contact us online or call the NYC office at 212 535 3088 to have more luscious lips.

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