Lip Rejuvenation with the
use of Injectable Fillers
Lip Rejuvenation Photo Gallery
prominent lips are a sign of a youthful face. Look at any high
school yearbook or portrait of men and women in their teens and 20’s
and one will notice this trait. It is almost universal, regardless
of ethnic background, height or weight.
As we age,
lips and the surrounding soft tissues atrophy, or lose bulk. This
process is different for different ethnic groups. Fair skinned
individuals with thinner skin will notice an earlier onset and more
rapid progression. This thinning of the soft tissues can also be
accelerated in smokers or those with excess sun exposure. It starts
to be noticeable in the 30’s and progresses with age. The loss of
volume results in visible wrinkling, especially in the skin just
above the upper lip.
decades, Plastic Surgeons focused on the wrinkles only, using
techniques such as dermabrasion and chemical peels to resurface the
area and smooth the wrinkles. The smoother lips had less wrinkling
but still looked aged.
autologous fat injection (injecting the patient’s own fat) in the
1980’s and 1990’s, and for the first time, the issue of volume or
bulk loss was addressed. However, harvesting the patient’s fat and
re-injecting it is a surgical procedure requiring special
instrumentation and setting. It is time consuming. The results are
unpredictable and there is usually significant bruising and
swelling. Although the results can be permanent, so will any lumps
or irregularities that sometimes occur. An abnormally looking fat
lip can sometimes result.
In the last
few years, the FDA has approved multiple products that help to
correct the loss of volume. They come in sterile syringes and are
easy to inject with minimal discomfort. Most patients can have it
done and return to work the same day. They can treat deep lines and
wrinkles all over the face and some of them, not all; can be used on
We have all
seen the TV or movie star or even a friend or neighbor with huge
duck-like lips that look terribly overdone and sometimes bizarre;
lips that look unnatural and do not fit the face. In my opinion,
that injector did not understand the concept of how the aging lips
and surrounding soft tissues relate to one another, or how to
restore a youthful balance, trying merely to make the lips larger by
doing “Lip Augmentation”.
in doing “Lip Rejuvenation”, or bringing the shape of the lips, and
more importantly, the soft tissues around the lip to a shape
resembling its appearance at a younger age.
As a member
of nearly 40 medical missions to third world countries, as well as
in my private practice, I have repaired almost a thousand cleft
lips. In doing so, I have learned the characteristics and shape of a
normal looking lip, and how it fits in with the surrounding anatomy.
This experience has helped me to develop my concepts of Lip
Rejuvenation with injectable fillers.
Rejuvenation must re-create the appearance of the lips and
surrounding soft tissues as they did when the person was in his/her
20’s and early 30’s. The technique used by the injector must take
into account ethnicity as well as gender. The idea is not to make
the lips BIG. The idea is to make them look younger and fit the
Lip Rejuvenation Photo