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Goodbye to Lip Wrinkles

August 23rd, 2011

I find that a significant part of doing cosmetic surgery is sculpture.   Whether I am removing (liposuction), adding (breast enlargement) or rearranging (facelift), the quality of the result and achieving a natural appearance is the direct result of aesthetic sculpture.   Lip enlargement using injectable material is no different.  I first start out with  mental image of what normal lips look like.   The lips are then sculpted with the injections to look like normal lips.   Just last week, I did three lip injection procedures to rejuvenate lip wrinkles.  My patients all wanted a more youthful appearance.   They now have nice improvements in their appearance, without the over-inflated   “trout pout” appearance that seems to be so popular in Hollywood.

Lips have a subtle curve know as a “Cupid’s Bow.”  This complex curve is created by the mirror image of the upper lip meeting the lower lip.   The Cupid’s Bow shape is most apparent along the upper lip where the red lip meets the flesh-colored skin, also known as the vermillion border.   Over-inflation destroys this subtle curve.   By paying careful attention to anatomy,  a more natural appearance may be achieved.

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Correcting Lip Wrinkles

December 23rd, 2009

Lip wrinkles or “smokers lines” are the lines that radiate out from the lip margin.   They can be the result of aging, sun exposure, smoking, and /or genetics.   They often may make a person look older.   Women generally dislike them because their lipstick runs into the wrinkles, giving a pronounced pursed look.  As I mentioned earlier this week, skin resurfacing may reduce these wrinkles.   What is the downside?   Invariably there is bleaching of the skin, which more often than not requires make up to conceal.

Fortunately there are other choices to reduce lip lines.   Injectable materials have made a dramatic contribution in the area of treating these wrinkles.

Filler materials are currently the first line of defense.   Products like Restylane, Juvederm, and Perlane are a few of the ever-increasing number of filler type materials on the market today.   They are injected under the skin and actually fill in the lines.   These newer products are based on a hyaluronic acid formulation, a natural component of your normal skin.   Interestingly, when lip lines become apparent, there is frequently a loss of lip size or fullness at the same time.   Not only can the lines be corrected, but the lips can be restored to more youthful size and shape, as well.

I am less satisfied with a couple other products that are available.   Botox injections that are used to reduce wrinkles for the lips, significantly changes the way in which your lips move and I think it looks very strange.   I do not recommend Botox into the lips, but it can be effective to reduce forehead wrinkles.

I do not recommend having Radiesse injected into the lips.   The material is too stiff and firm to offer a smooth and natural looking lip.  The manufacturer of Radiesse does not recommend using this material for injection into the lips, however it is often used elsewhere, such as in the marionette lines or pre-jowl area.

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