Facial plast Surg 2016; 32(03): 283-288
DOI: 10.1055/s-0036-1583534
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hyaluron Filler Containing Lidocaine on a CPM Basis for Lip Augmentation: Reports from Practical Experience

Tanja C. Fischer
1  Haut- and Lasercentrum Potsdam, Potsdam, Germany
Gerhard Sattler
2  Rosenparkklinik GmbH, Darmstadt, Germany
Gerd G. Gauglitz
3  Department of Aesthetic Dermatology and Laser Medicine, Department of Dermatology and Allergy, Ludwig-Maximilians University, Munich, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
01 June 2016 (online)


Lip augmentation with hyaluronic acid fillers is established. As monophasic polydensified hyaluronic acid products with variable density, CPM-HAL1 (Belotero Balance Lidocaine, Merz Aesthetics, Raleigh, NC) and CPM-HAL2 (Belotero Intense Lidocaine, Merz Aesthetics, Raleigh, NC) are qualified for beautification and particularly natural-looking rejuvenation, respectively. The aim of this article was to assess the handling and outcome of lip augmentation using the lidocaine-containing hyaluronic acid fillers, CPM-HAL1 and CPM-HAL2. Data were documented from patients who received lip augmentation by means of beautification and/or rejuvenation using CPM-HAL1 and/or CPM-HAL2. Observation period was 4 months, with assessment of natural outcome, evenness, distribution, fluidity, handling, malleability, tolerability, as well as patient satisfaction and pain. A total of 146 patients from 21 German centers participated. Physicians rated natural outcome and evenness as good or very good for more than 95% of patients. Distribution, fluidity, handling, and malleability were assessed for both fillers as good or very good in more than 91% of patients. At every evaluation point, more than 93% of patients were very or very much satisfied with the product. A total of 125 patients (85.6%) experienced transient injection-related side effects. Pain intensity during the procedure was mild (2.72 ± 1.72 on the 0–10 pain assessment scale) and abated markedly within 30 minutes (0.42 ± 0.57). Lip augmentation with hyaluronic acid fillers produced a long-term cosmetic result. Due to the lidocaine content, procedural pain was low and transient. Accordingly, a high degree of patient satisfaction was achieved that was maintained throughout the observation period.

This article is reprinted from Fischer T, Sattler G, Gauglitz G. Lidocainhaltiger Hyaluronfiller auf CPM®-Basis zur Lippenaugmentation: Erfahrungsberichte aus der Praxis. Der Hautarzt 2016; April 6 (Epub ahead of print); doi: 10.1007/s00105-016-3779-1. © Springer-Verlag Berlin Heidelberg 2016. With permission of Springer.