The eyes and mouth are the cornerstone of face and expressiveness.
Lip projection greatly influences the perception of facial balance and is intimately related to the projection of the nose and the chin.
We do lip augmentations nearly exclusively with non permanent fillers (hyaluronic acid) and this gives the most natural result. The end result achievable depend on the age of the patient. A natural result is the key.
Lips are very sensitive, so usually we do lip injections after the application of local numbing cream and icing. Sometimes we also inject local anesthesia.
Lip reduction cheiloplasty
Reduction cheiloplasty is usually done under local anesthesia +/- sedation.
The procedure is usually done with a CO2 laser or with radiofrequency.
The aging lip becomes longer, thinner and loses volume.
The most frequent lip lift procedure is by direct excision of skin under the nasal base. This procedure is done under local anesthesia +/- sedation.
This procedure may help evert the red lip a little.
Smoker’s lines around the mouth
Vertical lines around the mouth are usually treated in a multimodal approach, combining
The use of full ablative CO2 resurfacing, dermabrasion or a deep peel are very effective in eliminating the wrinkles and lines, however these procedures are associated with longer down-time and a high complication rate (especially depigmentation of the skin)
With age the corners of the mouth may droop and give an unintended sad look.
To correct this one can use a combination of botulinu toxin and fillers.
The botulinum toxin acts as a muscle relaxer and weakens the muscles pulling the down the corners. Fillers will then also help elevate the corners.