For patients seeking an increase in the definition or size of their lips, Dr. Bentkover augments the lips with injections of hyaluronic acid. Lip augmentation can make the lips appear fuller and plumper while also reducing the appearance of fine wrinkles around the mouth. Lip augmentation can produce very dramatic or subtle results, depending on the your wishes. The choice of filler depends on how much augmentation or increase in definition you desire. Dr. Bentkover commonly uses Restylane®, Belotero Balance® Perlane®, Juvederm® Ultra or Juvederm® UltraPlus for lip augmentation and sculpting.
At your consultation, Dr. Bentkover will carefully evaluate your lips and recommend a treatment plan that he feels will work best for you. It is important to remember that lip size is a very personal issue. As such, it is not always possible to predict how much augmentation a patient may need or want to achieve their desired result. In some cases, multiple injection sessions may be needed.
Lip augmentation is performed in the office setting using local and topical anesthesia. While the injection itself takes just five minutes or so to perform, you will be in the office for about an hour to allow for preparation of the local anesthetic as well as the application of ice both before and after the procedure. The injection itself is performed with a fine needle which is administered directly into the lips.
There is little recovery or downtime associated with lip augmentation. The lips will appear more swollen on the second day and bruising can occur for up to ten days or so after your procedure. We recommend that you apply ice for twenty minutes every two hours for the first 24 hours and then a few times the next day. The lips will appear larger than desired for about the first three weeks because the hyaluronic acids are hydrophilic, meaning that they draw fluid into the injected area, but this will fade. Patients are able to return to work the next day and exercise and other strenuous activities may be resumed within two days.
Lip augmentation is a very safe procedure with few risks. While complications are rare, they may include bleeding, infection, loss of skin and asymmetry. It is important to disclose your full medical history as well as all medications and supplements that you are taking prior to your procedure. Lip augmentation should not be performed on individuals while they are on blood thinners. Patients taking antibiotics prior to dentals procedures should take the same dose before their lip augmentation and patients with a history of cold sores on their lips should take an antiviral medication prior to their procedure. High doses of daily Vitamin E, St. John’s Wart, Gingko Biloba and Garlic should be stopped for one week prior to lip augmentation.
Lip augmentation can produce very dramatic or subtle results depending on the patient’s wishes. The longevity of results will vary. As with other injectable fillers, the effect slowly fades in time. In general, most patients are very satisfied with the results of their lip augmentation for six to nine months and come in yearly for re-injection. You can help to prolong the results of your lip augmentation by avoiding smoking, drinking from bottles and drinking through straws.
Remember, you are not a duck or a fish!
I am a 30-year-old woman from Worcester, MA. I have very thin lips. What would be the best option for me if I want fuller lips, but want them to look as natural as possible?
I agree with your approach. My goal is always a very natural look, not a duck lip look, sometimes called “LA Lips”. We could easily see you for a consultation and treatment the same day. I routinely use hyaluronic acid fillers for lip augmentation, Juvederm, Restylane, Perlane and Belotero. I have gone away from using permanent implants because the fillers can be more easily personalized. Here is a link to some of the patients we have injected:
I prefer Juvederm or Perlane for patients who want fuller lips and Restylane or Belotero for more subtle lip augmentation. Juvederm and Perlane are more concentrated, draw more fluid into the lips and seem to last longer. That said, for patients who want just an improvement in definition, I tend to use Restylane or Belotero.
I have a full bottom lip and a pencil-thin upper lip. I would like them evened out by having lip augmentation just on the upper lip. What is your usual procedure for this?
You lower lip should be about 50% wider and fuller than your upper lip. In this situation, I often put most of the syringe in the upper lip and just outline the very border of the lower lip to accentuate as much as the upper lip