Comparing the Use of Injectable Fillers for the Youthful Lip and the More Mature Lip

Abstract

Enhancement of the lips with facial fillers is currently one of the most popular nonsurgical cosmetic treatments worldwide. Patients from all age ranges have interest in these treatments, but there is wide variance of their esthetic goals. Practitioners must be aware of the challenges posed by both the youthful and mature lip, which usually requires different approaches and techniques. This article reviews the lip anatomy, aging changes in the lips and perioral region, techniques to produce consistent results, and ways to manage and avoid potential complications.

Keywords

lip augmentation - lip enhancement - facial - filler - perioral

• References

• 1 Jacono AA. A new classification of lip zones to customize injectable lip augmentation. Arch Facial Plast Surg 2008; 10 (01) 25-29
• 2 Gonzalez-Ulloa M. The aging upper lip. In: Marchac D, Hueston JT. , eds. Transactions of the Sixth International Congress of Plastic and Reconstructive Surgery. Paris, France: Masson; 1975: 443-446
• 3 Segall L, Ellis DAF. Therapeutic options for lip augmentation. Facial Plast Surg Clin North Am 2007; 15 (04) 485-490 , vii
• 4 Weinkle S. Injection techniques for revolumization of the perioral region with hyaluronic acid. J Drugs Dermatol 2010; 9 (04) 367-371
• 5 Mandy S. Art of the lip. Dermatol Surg 2007; 33 (04) 521-522
• 6 Popenko NA, Tripathi PB, Devcic Z, Karimi K, Osann K, Wong BJF. A quantitative approach to determining the ideal female lip aesthetic and its effect on facial attractiveness. JAMA Facial Plast Surg 2017; 19 (04) 261-267
• 7 Bisson M, Grobbelaar A. The esthetic properties of lips: a comparison of models and nonmodels. Angle Orthod 2004; 74 (02) 162-166
• 8 Holland E. Marquardt's Phi mask: pitfalls of relying on fashion models and the golden ratio to describe a beautiful face. Aesthetic Plast Surg 2008; 32 (02) 200-208
• 9 Kollipara R, Walker B, Sturgeon A. Lip measurements and preferences in Asians and Hispanics: a brief review. J Clin Aesthet Dermatol 2017; 10 (11) 19-21
• 10 Kim SW, Rousso DE. Determining the 2-dimensional threshold for perception of artificial-appearing lips. JAMA Facial Plast Surg 2017; 19 (05) 392-398
• 11 Eccleston D, Murphy DK. Juvéderm(®) Volbella™ in the perioral area: a 12-month prospective, multicenter, open-label study. Clin Cosmet Investig Dermatol 2012; 5: 167-172
• 12 Fagien S, Maas C, Murphy DK, Thomas JA, Beddingfield III FC. ; Juvéderm Lips Study Group. Juvederm ultra for lip enhancement: an open-label, multicenter study. Aesthet Surg J 2013; 33 (03) 414-420
• 13 Geronemus RG, Bank DE, Hardas B, Shamban A, Weichman BM, Murphy DK. Safety and effectiveness of VYC-15L, a hyaluronic acid filler for lip and perioral enhancement: one-year results from a randomized, controlled study. Dermatol Surg 2017; 43 (03) 396-404
• 14 Sarnoff DS, Saini R, Gotkin RH. Comparison of filling agents for lip augmentation. Aesthet Surg J 2008; 28 (05) 556-563
• 15 Niamtu III J. Simple technique for lip and nasolabial fold anesthesia for injectable fillers. Dermatol Surg 2005; 31 (10) 1330-1332
• 16 Bass LS. Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast Surg Clin North Am 2015; 23 (04) 479-488
• 17 Klein AW. In search of the perfect lip: 2005. Dermatol Surg 2005; 31 (11 Pt 2): 1599-1603
• 18 Smith SR, Lin X, Shamban A. Small gel particle hyaluronic acid injection technique for lip augmentation. J Drugs Dermatol 2013; 12 (07) 764-769
• 19 Hirsch RJ, Narurkar V, Carruthers J. Management of injected hyaluronic acid induced Tyndall effects. Lasers Surg Med 2006; 38 (03) 202-204
• 20 Cohen JL, Biesman BS, Dayan SH. , et al. Treatment of hyaluronic acid filler-induced impending necrosis with hyaluronidase: consensus recommendations. Aesthet Surg J 2015; 35 (07) 844-849
• 21 DeJoseph LM. Cannulas for facial filler placement. Facial Plast Surg Clin North Am 2012; 20 (02) 215-220 , vi–vii
• 22 Tansatit T, Apinuntrum P, Phetudom T. A typical pattern of the labial arteries with implication for lip augmentation with injectable fillers. Aesthetic Plast Surg 2014; 38 (06) 1083-1089
• 23 Tansatit T, Apinuntrum P, Phetudom T. Cadaveric assessment of lip injections: locating the serious threats. Aesthetic Plast Surg 2017; 41 (02) 430-440
• 24 Lee SH, Gil YC, Choi YJ, Tansatit T, Kim HJ, Hu KS. Topographic anatomy of the superior labial artery for dermal filler injection. Plast Reconstr Surg 2015; 135 (02) 445-450
• 25 Cotofana S, Pretterklieber B, Lucius R. , et al. Distribution pattern of the superior and inferior labial arteries: impact for safe upper and lower lip augmentation procedures. Plast Reconstr Surg 2017; 139 (05) 1075-1082