Lips and eyes add to the appeal of the face. Full lips are a sign of a younger, more beautiful lower face, but noticeable red lip thinning is a sign of natural aging.
Full lips that are evenly and naturally plumped are a facial feature that many people crave, but not everyone is blessed with full lips.
Photodamage, genetic factors, and smoking all contribute to diminished lip volume, perioral rhytids, and mentolabial fold prominence over time. Lips that are genetically thin or have cosmetic asymmetries can be treated similarly, with soft tissue augmentations using fillers. The use of a sophisticated combination of technologies and injectables is necessary for perioral rejuvenation to be successful.
Lip augmentation using dermal fillers, such as HA, requires careful administration of an appropriate injection method to optimize cosmetic effect. Additionally, achieving cosmetic goals with low risk of adverse effects requires a thorough understanding of lip architecture and function, clinical expertise with a variety of injection methods, and a tailored treatment plan. .
The lips are divided into two parts: “red” and “white”. The upper lip extends inferiorly from the free edge of the vermilion border to the nasolabial folds and superiorly from the base of the nose to the nasolabial folds. From the upper free vermilion border to the commissures and the jaw, the lower lip expands superiorly, laterally and inferiorly. A small line of pale skin around the circumferential vermilion/skin boundary highlights the color difference between vermilion and normal skin.
Skin laxity associated with age causes the dermal portion of the lip to expand, as well as shortening of the visible mucosal surface and overall flattening of the lip. The vermilion reverses, resulting in less lip pout. Compared to the larger, younger lip, the older lips look two-dimensional and flattened. The three-dimensional structure of youth is restored when volume is restored. Because it’s less likely to shrink over time, the lower lip is generally less thin in isolation.
However, what are lip augmentation, lip fillers and plumping? What are these processes?
Lip augmentation is a kind of medical cosmetic treatment that aims to change the appearance and contour of the lips to a large extent by improving their “fullness”.
Lip augmentation is most often used to treat hypoplastic lips, which may or may not be age-related.
Lip augmentation is becoming increasingly popular due to increased media exposure and consumer demands. Several procedures can be used to provide temporary results, but a new treatment involving the implantation of a lip prosthesis that provides a permanent result is gaining popularity. Consequently, the implantation of a solid lip prosthesis is a breakthrough in aesthetic medicine and surgery.
Lip augmentation improves the dimensional connection of the lips to the patient’s face by improving vermilion height, producing a pout (effacing), smoothing perioral creases and wrinkles, adding volume and decreasing excess visible teeth.
Previously, the choices were limited to a few fillers and a few surgeries. Today, new filler solutions are rapidly evolving and becoming available to surgeons, and they are often promoted directly to patients through multiple media channels. Tissue grafts and autologous fat grafting also expand surgeons’ choices for lip augmentation that were previously limited.
The ideal lip augmentation surgery should provide aesthetically appealing, natural-feeling results, be reversible and/or replaceable, adjustable, and have a low complication rate.
Lip Augmentation Methods
Lip fillers, which include injecting dermal fillers into and around the mouth, are the most popular method of lip augmentation. These fillers include hyaluronic acid, a natural chemical that aids in the development of lip volume. Most plastic surgeons currently use hyaluronic acid injection filler as the primary agent for lip augmentation.
While lip fillers are a temporary procedure, lip implants are a more permanent alternative that involves the use of soft yet strong silicone implants shaped like real lips.
Lip fillers are temporary, requiring repeated injections months apart to maintain lasting results. There are many different forms of fillers, but the two most common are hyaluronic acid (HA) and polyacrylamide (PA). The most common is HA, a natural chemical in the body that helps gain bulk.
Various temporary and permanent fillers have been used to shape the lips, with positive results. Granulomas have been documented with both temporary and permanent fillers, the latter being more common.
The efficacy and safety of HA fillers are well demonstrated by their widespread use and published reports. They are an important part of any successful combination therapy for the aging face and lips.
Lip augmentation is an in-office surgery that takes approximately 15-30 minutes and allows you to go home the same day. It is also a short-term treatment, lasting only six to eight months.
The most common complaint is the deflated vermilion (the red part), followed by the drooping angle of the lips. Together they complete the image of the sorry face.
The upper lip is usually treated more frequently than the lower lip. The optimal technique for lip augmentation is determined based on the type of defect and the subject’s cosmetic goals. Structured augmentation with a deeper filler followed by volume correction with a surface filler is excellent for genetically thin lips.