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.
Lip Sculpting
October 16th, 2009
I find that a significant part of doing cosmetic surgery is sculpture. Whether I am removing (liposuction), adding (breast enlargement) or rearranging (face lift), the quality of the result and achieving a natural appearance is the direct result of sculpture. Lip enlargement using injectable materials 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 this past week, I did three lip injections to minimize wrinkles and give the face a more youthful appearance. All of my patients have a nice improvement in their appearance, no hint of the “sausage lips” look, that seems to be popular in Hollywood.
I have noticed that many injectionists must think lips look like sausages! Jimmy Dean fills cylindrical tubes with meat to create this shape. I do not find this look to be attractive. Nobody’s lips look like sausages except the ones which have been injected! 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.
Lips injected with fat, collagen or hyaluronic acid will look like sausages if they are injected evenly along their length. It is a simple matter of physics. To maintain a normal appearance, they must be injected differentially, maintaining relative fullness of the central upper lip compared to the lateral upper lip. The lower lip should be the mirror image of the upper lip. The lower lip should be fuller lateral to a central relative thinness. You might think of the lips like gears which mesh. Full on top meshes with thin on the bottom and thin on top meshes with full on the bottom.
Three other things to remember. First, the lower lip is almost always fuller than the upper. Julia Robert’s lips are an exception to this rule. In other words, they are not normal. Seeking this appearance will give you unnatural looking lips. Second, lips naturally taper toward the corners of the mouth. Injections here distort this natural shape. Finally, lip enlargement can be accomplished with about 2 ml or cc. This equates to two syringes of most products. Injecting more than 2 ml, increases the risk of getting an unatural appearance (or sausage lips) and more importantly, the risk of terrible scarring from skin necrosis or skin death.
In other words, there is more to creating a naturally pouty lip than most people might appreciate.
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