Petit Plastic Surgery
Petit Plastic Surgery
A beautiful face is incomplete without plump lips and captivating eyes. Unfortunately, natural aging and various factors such as photodamage, genetics, and smoking can lead to a decrease in lip volume and thinning of the visible red lip. But don't worry, technological advancements have made it possible to achieve fuller, even, and naturally plump lips.
Whether you have genetically thin lips or cosmetic asymmetries, soft tissue augmentations utilizing fillers can help you achieve the perfect pout. Perioral rejuvenation requires a combination of advanced technologies and injectables for successful results.
For optimal cosmetic effects, it's essential to carefully administer the appropriate injection method when using dermal fillers like hyaluronic acid (HA). Achieving your cosmetic goals with minimal risk of adverse effects requires a thorough understanding of lip architecture and function, as well as clinical expertise with a variety of injection methods. A personalized treatment plan can help you get the most out of your lip augmentation.
The lips consist of two distinct parts, namely the "red" and "white" portions. The upper lip spans from the base of the nose to the nasolabial folds, extending inferiorly from the free edge of the vermilion border. Meanwhile, the lower lip expands upwards, downwards, and outwards from the superior free vermilion border to the commissures and jaw. The circumferential boundary between the vermilion and skin reveals a noticeable difference in color.
As people age, the skin around the lips becomes lax, causing the cutaneous part of the lip to extend, while the visible mucosal surface shortens, resulting in an overall flattened appearance. The vermillion also inverts, reducing the lips' plumpness. In contrast to the larger, plump lips of youth, aging lips appear flattened and two-dimensional. Restoring volume can help re-establish the three-dimensional structure of youthful lips. Typically, the lower lip is less prone to thinning over time.
However, if you're curious about lip augmentation, lip fillers, or lip plumping, what do these procedures entail?
Lip augmentation refers to a cosmetic medical procedure that aims to enhance the fullness and appearance of the lips by altering their contour. This treatment can be achieved through various methods, including the use of fillers or implants.
Hypoplastic lips, which can occur due to aging or other factors, are often treated using lip augmentation techniques. With the rise in media exposure and consumer demand, lip augmentation has become increasingly popular.
While temporary results can be achieved through several procedures, the latest advancement in this field involves the implantation of a permanent lip prosthesis. This breakthrough treatment is gaining popularity, providing patients with a long-lasting solution.
By increasing the height of the vermilion and creating a pout, lip augmentation can enhance the dimensional connection between the lips and the patient's face. It also smooths out perioral creases and wrinkles, adds volume, and reduces the visibility of excess teeth.
In the past, lip augmentation choices were limited to a few filler substances and surgical procedures. However, the availability of new filler solutions and options like tissue grafts and autologous fat grafting have expanded the choices available to surgeons.
For an ideal lip augmentation surgery, the results should be aesthetically pleasing, look and feel natural, be reversible and/or replaceable, adjustable, and have a low complication rate. Patients are frequently targeted through various media channels with these new advancements, making the choices for lip augmentation increasingly varied.
Lip fillers, which involve injecting dermal fillers into and around the mouth, are the most popular method of lip augmentation. These fillers often contain hyaluronic acid, which is a naturally occurring chemical that helps to increase the volume of the lips. Currently, most plastic surgeons use hyaluronic acid fillers as the primary agent for lip augmentation.
Although lip filling is a temporary procedure, lip implants provide a more permanent option. This technique involves the use of soft, solid silicone implants that are shaped like natural lips.
Fat grafting is another method for lip augmentation, which involves transferring fat from one area of the patient's body to the lips. This technique can provide natural-looking results and has the added benefit of using the patient's own tissue.
Tissue grafting is another alternative that involves taking tissue from another part of the body and grafting it onto the lips. This technique can also provide natural-looking results, but it requires a longer recovery time than other methods of lip augmentation.
By understanding the differences between these various techniques, patients can work with their surgeon to choose the best option for their individual needs and goals.
Lip fillers are a popular method of lip augmentation, but they require repeated injections every few months to maintain lasting results. There are several types of fillers available, but the most commonly used are hyaluronic acid (HA) and polyacrylamide (PA). HA is a naturally occurring chemical in the body that helps to increase volume.
Temporary and permanent fillers have been used to shape the lips with positive results. However, granulomas have been reported with both types of fillers, with permanent fillers being more commonly associated with this complication.
HA fillers have been widely used and have demonstrated both effectiveness and safety, as shown by published reports. They are an important part of combination therapy for treating the aging face and lips.
Lip filler augmentation is a minimally invasive procedure that can be completed in-office in as little as 15-30 minutes. Patients can return home the same day. However, the effects of lip fillers are temporary and typically last only six to eight months.
One of the most common complaints among patients seeking lip augmentation is a deflated vermilion or a drooping angle of the lips, which can contribute to an overall unhappy facial appearance. To address this, injectable fillers can be used to add volume to the white edges of the lips and define the vermilion border, giving the lips a fuller appearance.
Typically, the upper lip is treated more frequently than the lower lip, and the best technique for lip augmentation depends on the patient's specific defect and cosmetic goals. For genetically thin lips, a structured augmentation with a deeper-placed filler followed by volume correction with a surface filler may be recommended.
It's important to consider the anatomical differences between male and female lips when performing lip augmentation. Female lips are typically fuller and protrude slightly more than male lips, giving them a more "pouty" appearance. Overvolumization of the male lip can result in a feminized appearance, so it's essential to maintain a natural-looking result that aligns with the patient's gender.
In addition to aesthetic considerations, it's also important to examine the anatomical link between lip height and incisor, as well as potential maxillary hypoplasia and protrusion, and the patient's occlusion status. By taking all of these factors into account, surgeons can provide patients with optimal outcomes that both look and feel natural.
One important consideration during lip augmentation is to avoid distorting the natural form of the lips. To reduce discomfort during injections, premixed hyaluronic acid (HA) with lidocaine can be used as an add-on.
After the procedure, patients may experience some swelling and bruising. To manage these symptoms, cold compresses, nonsteroidal anti-inflammatory medications, or even prednisolone may be recommended to help alleviate discomfort.
By carefully selecting the appropriate injection techniques and taking steps to manage any post-procedure swelling or bruising, surgeons can help ensure that patients achieve the desired results without compromising the natural shape of the lips.
Hyaluronic acid fillers have several benefits when used for lip augmentation:
By using hyaluronic acid fillers for lip augmentation, patients can achieve natural-looking results with a lower risk of complications and a reduced chance of allergic reactions.
During a comprehensive consultation for lip reshaping, it's important to discuss the benefits, limitations, and potential risks of the procedure to ensure that patients achieve their desired outcomes. Since many patients are hesitant to disclose their treatments, it's important to address the immediate aftermath of lip augmentation, including swelling and bruising, as part of the counseling process.
The recovery period can range from two days to two weeks, but the use of cannulas instead of needles has helped to reduce downtime. Patients should also be aware that their desired results may not be possible, so it's important to set realistic expectations.
During the lip filler augmentation procedure, the doctor will evaluate the symmetry and contour of the patient's lips as well as their overall facial balance. The areas of the lips that require plumping and volumizing will be identified, and fillers will be injected into the upper, lower, or both lips as needed. The gel in the fillers will support and shape the tissues of the lips, providing natural-looking results.
Lip implants are a more permanent option for lip augmentation. During this procedure, the surgeon creates a narrow tunnel between the lip fat and muscles to fit the implant. The incisions are typically made at the corners of the mouth, although other locations on the lips may be chosen depending on the method used.
The aim of lip implants is to restore a more youthful and aesthetically pleasing appearance to the perioral region. The most common types of lip implants include GORE-TEX, SoftForm, and AlloDerm. This in-office treatment typically takes around 30 minutes to perform, and patients can go home the same day.
Compared to other methods of lip augmentation, lip implants provide a more permanent solution with long-lasting results. However, it's important for patients to carefully consider the risks and benefits of this procedure and work with a qualified surgeon to achieve the best possible outcomes.
Areas of the lip/peri-oral region addressed with lip implantation:
While various implant materials have been used in the past, there are now several types of implants that can be used safely, depending on the surgeon's and/or the patient's preferences. These options include GORE-TEX, SoftForm, and AlloDerm implants, among others. By working with a qualified surgeon, patients can choose the right type of implant to achieve their desired outcomes while minimizing the risk of complications.
A. Autogenous Implants
NOTE: Because of its unpredictable absorption/survival rate, fat augmentation may cause persistent swelling, asymmetry, or a nodular appearance, especially in mobile areas such as the lips.
Lip augmentation using alloplastic implants is a cost-effective, long-lasting, and aesthetically attractive lip augmentation procedure with little side effects when compared to repeated injectable filler treatments.
To achieve optimal cosmetic outcomes and minimize complications, it's crucial for the surgeon to carefully select the appropriate implant size. One way to do this is by measuring the distance between the commissures of the wet-dry lip with a conformable ruler while the lips are slightly parted.
It's important not to measure the patient's lips when their mouth is open. The ideal length of the prosthesis is typically a few millimeters shorter than the commissure-commissure distance. In general, upper and lower lip implants are usually the same size due to the curved curvature of the top lip compared to the bottom lip. By following these guidelines, surgeons can help ensure that patients achieve natural-looking results without compromising the overall balance and symmetry of the face.
One of the main advantages of permanent lip augmentation using alloplastic implants is that it offers a long-lasting, permanent solution compared to temporary fillers that are eventually eliminated by the body. Additionally, the results of lip implants tend to be more polished and refined than those achieved with dermal lip fillers. This makes them an excellent option for individuals with naturally thin lips who desire a fuller, more defined lip shape. By providing a more natural and lasting outcome, alloplastic implants can help patients feel more confident and satisfied with their appearance.
First, it's important to note that lip implants are not a solution for pre-existing lip asymmetry, which is best addressed with fillers such as hyaluronic acid.
In addition, individuals with "razor-thin" lips, where inadequate tissue or vermilion show may prevent even the smallest (3 mm) alloplastic implant from fitting, may not be good candidates for lip implants.
Patients with naturally thin lips may also be at higher risk of complications, including implant visibility or extrusion, infection, or mucosal distension. In such cases, a lip lift and/or mucosal advancement surgery may be recommended prior to implantation to help create a more ideal foundation for the implant.
Overall, it's important for patients to work closely with a qualified surgeon to determine the best treatment options for their unique needs and goals, taking into account any contraindications or risks that may be present.
Patients are typically advised to avoid smoking and any blood-thinning medications for one to two weeks prior to the procedure. In some cases, antiviral medication may also be prescribed to prevent postoperative herpetic lesions in patients with a history of shingles.
To ensure proper implant size, the surgeon will measure the lip from the oral commissure to the oral commissure along the wet-dry junction of the red lip. The red lip's wet-dry junction will also be marked to ensure a consistent dissection pocket.
While lip implantation may be performed under general anesthesia, most surgeons prefer to use local anesthesia to minimize discomfort and speed up recovery time. By taking these steps to prepare for the procedure, patients can help ensure a successful outcome and minimize the risk of complications.
While lip implants can offer a long-lasting and low-risk alternative for lip augmentation with high satisfaction rates, it's important for patients to be aware of the possible risks and complications associated with the procedure. These may include:
One of the most common complications of lip implantation is malposition, which may occur due to uneven tunneling in the submucosal plane or asymmetry in insertion. Proper technique and careful attention to detail can help minimize this risk.
In some cases, an implant may extrude if there is significant asymmetry or wound collapse. This can be prevented by using the correct size implant, creating a narrow submucosal pocket, and employing excellent suture technique to close the commissure incisions.
Overall, while the risks associated with lip implantation are relatively low, it's important for patients to work closely with a qualified surgeon to ensure proper technique and minimize the risk of complications. By carefully weighing the potential benefits and risks of the procedure, patients can make informed decisions about their lip augmentation options.
Note: For the first several days following implantation, instructing the patient to avoid excessive manipulation of the implanted region (e.g., chatting, chewing, massaging) may also assist prevent malposition/extrusion.
Expanded polytetrafluoroethylene implants, in particular, have been found to shrink and contract with time, resulting in an uneven and frequently asymmetric shape. As a result, their use has mostly fallen out of favor.
Infection is uncommon, but it can occur with any type of implant; it is generally treated with systemic antibiotics, but it may necessitate implant removal if the infection is severe.
Autologous lip augmentation involves using the patient's own fat and tissues to provide volume to the lips. This is a third approach to lip augmentation, besides fillers and implants, and is performed in the doctor's office. Fat grafting involves harvesting fat from the patient's abdomen, which is then injected into the lips to enhance their volume. The procedure is done under local anesthesia and takes around 60-90 minutes. The results can last for at least five years.
Tissue grafting is another approach in which a deeper layer of skin or dermis is used, usually taken from the abdominal wall or scalp, or as a byproduct of another procedure such as breast reduction, abdominal reduction, or face-lift. This procedure also takes around an hour and the results can last up to five years.
For autologous fat augmentation, local anesthetic is administered into the regions used for fat harvesting as well as the perioral locations that will receive the grafts. The fat is extracted using a large needle and syringe, washed on mesh gauze, put in the syringe, and injected into the lip tissue.
The strained fat is deposited in horizontal tunnels within the lips via multiple passes with a small needle. Subsequent injections are given every 3 months at the very least. Lip swelling is temporary, and permanent lip augmentation develops after two to three grafting treatments.
When it comes to lip augmentation, lip fillers are the most affordable option, while fat and tissue grafting procedures tend to be the most costly. Regardless of the chosen method, results are typically noticeable right away.
After the procedure, it is recommended to refrain from using lipstick or other similar cosmetic products to allow for proper healing and avoid any complications. One of the significant benefits of using autologous fat or tissue is that there is a minimal risk of allergic reactions or tissue rejection since the materials used come from the patient's own body.
Choosing the right surgeon is crucial when considering lip augmentation. It is essential to find a competent and skilled doctor who can deliver injections safely, reducing the chance of disfiguring your lips and face.
When searching for a lip augmentation surgeon, you have several options, including plastic surgeons, dermatologists, and cosmetic face surgeons. But how do you choose?
Several factors come into play when selecting the right surgeon, including their training and education, the number of procedures they have performed, and whether they are a certified member of the appropriate medical association.
There are also some prerequisites you need to meet before undergoing lip augmentation. It's crucial to be honest with your doctor and disclose any allergies you may have, including an allergy to lidocaine or any other known allergies. You should also inform them of any current medications you are taking, including prescription and over-the-counter drugs and vitamins, and any previous cases of oral herpes.
If you have current infections such as oral herpes, diabetes, lupus, or blood-clotting problems, lip augmentation is not recommended. You should also be in good physical condition and a nonsmoker to undergo the procedure.
To prevent such complications, it is recommended to avoid massaging the treated area or applying any pressure for at least 24 hours after the procedure. Ice packs can be used to reduce swelling, and pain relievers may be taken to manage any discomfort. It is important to avoid alcohol, strenuous exercise, and exposure to the sun or heat for the first few days after the procedure.
It is common to experience some degree of swelling and bruising for the first few days after the procedure, but this should subside within a week or two. The full results of the procedure may not be apparent for several weeks as the swelling resolves and the filler settles into place.
If any concerns or complications arise following the procedure, it is important to contact the treating physician immediately. In most cases, any issues can be addressed and resolved with proper medical care.
To enhance the fullness and plumpness of your lips, lip augmentation is a popular cosmetic procedure. Injecting dermal fillers is the most commonly used method for lip augmentation. This procedure provides quick results with minimal recovery time. Injectable fillers can be administered to any or all of the lip's anatomic regions, resulting in a controlled and expected outcome. Hyaluronic acid fillers are among the most widely used fillers for this purpose.
Natural results of surgery
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