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What is Lip Augmentation?

Lip Augmentation is the process whereby lips are increased in size to give the overall impression of fuller, plumper, more luscious lips.  Lip augmentation in New York City  has been an increasingly popular procedure for anyone who is either suffering from thin lips and is losing volume in their lips and rejuvenate their lips.  One of the first signs of aging is the loss of collagen in the lips and the small vertical lines which form around the mouth.

Generally, 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, the structure of the lips and the overall volume of the lips.

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.

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 tick toc. 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.

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 or plastic surgeon who has a great deal of experience with cosmetic injections.  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”.

Are there Permanent Lip Fillers?

In the past, the only way to have permanent lip enhancements was thorough facial plastic surgery with silicone implants.  This surgical procedure involves having a silicone implant inserted into the lips. These permanent lip augmentation procedures are rare nowadays as there are so many non -invasive methods. Dermal fillers, composed of hyaluronic acid, have surpassed any surgery due to their ease and safety profile.  Facelifts, liposuction for fat transfer, and permanent implants have been virtually replaced by non-invasive cosmetic rejuvenation.

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 teated area, you can wear your lipstick.

What is Lip Reduction Surgery?

Some patients suffer from large lips or do not like the shape of their lips.  In these extreme cases, some patients may choose to have plastic surgery to have their lips surgically reduced. Again, cosmetic surgery for lip augmentation in NYC has become a thing of the past.

What is the Lip Flip?

The Botox lip flip is the idea 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.

What is a Gummy Smile?

A gummy smile is known as excessive gingival display.  Some patients when they smile has too much gum tissue showing above the top teeth. A gummy smile can be corrected with a small amount of Botox injected into the lip.  This injection prevents you from lifting the lip too high when you smile and masks the appearance of the gummy smile.

Which Dermal Fillers are commonly used for Non-Surgical Lip Augmentation NYC?

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

Juvederm – one of the most popular hyaluronic acid fillers for greater lip enhancement.  The more syringes used, the fuller lips that are formed, and 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.

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”.

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.

Restylane Before & After Photo

Juvederm Ultra-XC

Juvederm Ultra-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.

After one syringe of Juvederm

Juvederm Volbella®

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.

Juvederm Volbella Before & After Photo

Belotero Balance®

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 cost for Lip Enhancement?

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 at her Manhattan office.

Do Lip fillers hurt?

Lip injections are somewhat painful since the lips are a very sensitive area to be injected. Dr. Green suggests applying numbing cream one hour earlier to the lips and applying ice immediately after treatment. In this way, the injections of lip fillers will be the most comfortable.

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 note that one of the down sides to lip augmentation, using dermal fillers, is that the effects of the procedure are not permanent. Depending on the type of hyaluronic acid filler that is used, the effects can last up to a year before a repeat course of treatment is necessary to restore the look of yourlips. On the plus side to this, as our tastes and requirements change over time, individuals can amend their treatment plans to suit their current needs and wishes without making permanent changes.

What is the Process of Lip Augmentation in NYC?

You will have a consultation with Dr. Michele Green in her discreet New York City Upper East Side office.  Photographs are taken to determine the best cosmetic procedures and evaluate your facial structure.  Once the decision as to which dermal filler or procedure would be best, based on your anatomy and the right “look”, a local numbing cream is used (topical lidocaine) for 60 minutes.  Only local anesthesia is needed for cosmetic injections since there is minimal discomfort involved with these injections. 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 beautifully, well balanced manner. After your procedure, we will apply ice compresses directly to the injection site 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.

lip filler

Which is the best lip filler?

The answer unfortunately is not straight forward because the best filler for you is the one that is right for your specific case. Everyone’s facial anatomy and aesthetics are different. Some patients have naturally thin lips and would look unnatural with a “Kardashian” lip filler. Other patients want a more glamorous look. Older patients generally want to simply replace lost volume or treat fine lines around the mouth. Each patient is different so there is not a “one size fits all” approach to lip injections.

The best way to see what is the best lip filler for you is to set up an in person consultation with Dr. Green to evaluate your facial issues and discuss your concerns and desired expectations. She will guide you through the different treatment options and create a tailored approach specific to you, so that you get the very best results possible.

Are lip fillers permanent?

Lip fillers are temporary and generally last six months to a year. There are no permanent lip fillers on the market. The current lip fillers are made of hyaluronic acid, which you are able to dissolve. Silicone used to be used for the lips, but it was discontinued as it had many complications associated with its use.

Are lip fillers safe?

Lip fillers are entirely safe and the products FDA approved, provided you consult an experience board certified cosmetic dermatologist. You need to ask which injections you are having in your lips and make sure that you see the actual box of the lip filler. Problems have been caused by black market products being used by spas and clinics with disregard for patient safety. If the price looks “too good to be true” than it is probably not the “real thing”.

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. For your own piece of mind, it is more important than ever to ensure that you consult an experienced, professional, board-certified dermatologist, like Dr. Michele Green, to perform your cosmetic injections.

Dr. Michele Green is a board-certified dermatologist based in NYC and an is expert in a wide variety of cosmetic treatments including lip enhancement procedures. Find out more and contact us online or at 212 535 3088 to arrange an appointment.

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