In normal conversation, we look from eye-to-eye and then to lips. Next to eyelids, most people notice aging changes that affect the lips and the perioral region the most.
WHAT PROCEDURES ARE AVAILABLE TO REJUVENATE LIPS?
Rejuvenation of lips can be achieved using minimally invasive techniques to surgical procedures. A detailed knowledge of the facial and perioral anatomy is vital whenever treating the lips or the perioral region, with surgery or fillers
HOW ARE LIPS ASSESSED?
With great care and attention to surrounding surface anatomical contours and changes
WHAT ARE THE TREATMENT OPTIONS FOR LIPS?
- Fillers: fillers can be used to achieve a number of different effects. In younger patients, creating further fullness to the lips can look very pleasing. In other age groups, fillers are used to recreate the curves and prominences of youth: the philtral columns, the cupid’s bow, the ridge along the lips, upward turning corners of the mouth, and fullness.
- Lasers: with collagen degeneration and thinning of the skin associated with aging (and with smoking), vertical lip lines develop. These can be improved with fractionated or more aggressive lasers.
- Botox: treatment of the depressor angularis orbicularis allows one improve the downturn to the corners of the mouth that develops over time.
- Surgical shortening of the long vertical lip: using well-hidden incisions, the elongation of the distance between the nose and the lip can be reduced. This not only gives the lips a more youthful position, but also improves the pink show of the upper lip.
- Lateral elevation of the angles of the lips may be achieved with surgery resection and repair.
“I DON’T WANT TO LOOK LIKE A DUCK AFTER LIP FILLERS”?
Simply filling the upper and lower lips, especially when done to excess, leaves very undesirable results: no wonder people do not want to be left with “duck lips.”This is avoidable! An understanding of the normal anatomy of the lips and perioral region is vital
Surface anatomy and esthetic landmarks of upper lip 1. Philtral dimple/hollow (central esthetic unit of upper lip), 2. Philtral column, 3. Cupid’s bow, 4. White roll, 5. Tubercle, 6. Dry vermilion, 7. Wet vermilion,
8. Oral commissure, 9. Lateral esthetic unit of upper lip, 10. Cheek esthetic unit.
WHAT KIND OF LIP AUGMENTATION WILL LOOK BEST ON ME?
REMEMBERING THE PROPER PROPORTIONS OF UPPER AND LOWER LIPS AS SHOWN BELOW IS IMPORTANT WHEN DESIGNING LIPS WITH FILLERS OR WITH SURGERY...
WHAT KIND OF FILLERS ARE BEST FOR LIPS?
least risk of permanent problemsand are controllable.
WHAT ARE LIP PROPORTIONS?
The upper lips, in Caucasians especially, should be fuller centrally and para-centrally and peter out towards the outer thirds as shown in the photograph.
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With a 3-D procedure, there are several layer of sutures, accurately placed to give the lifting, tightening and filling, without leaving any tell-tale pull-lines. Some are slow dissolving sutures, others are more permanent. The skin sutures are generally removed between 7 and 14 days.
Bleeding is not common as we pay close attention to proper hemostasis. On rare occasions, a small hematoma may collect.
Everyone will experience some numbness in the face: this resolves over weeks to months. This occurs because of the dissection of the face. This is not a complication.
Because of the dissection and repositioning of the tissues, it is common for there to be small differences in the smile between the right and left sides: this is usually only noticeable to the patient and to Dr. Patel! It recovers over a few weeks.
All faces have asymmetry and there will be some degree of asymmetry. This is to be expected.
Permanent weakness of nerves and muscles is rare.
The scars are usually very well hidden. However, some patients may have a tendency to cause hypertrophic scarring: in such cases, certain lasers and treatments will help. By-and-large, scars are rarely a problem. With Caucasian skin, pinkness of scars is to be expected for several weeks. With darker skin, some hyperpigmentation may occur.
In the first few days, everyone will experience some degree of dryness and blurry vision. You will also feel that your lids look a little tight on the outer corner where you will also feel some of the deeper sutures if you put your finger there: this is of no concern. The tightness and the bumps under the skin settle over a few weeks.
More serious complications which are very rare include excessive bleeding, hemorrhage and loss of vision.
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CONTACT DR. PATEL
Do you have questions or need more answers?
Dr. BCK Patel MD, FRCS
Salt Lake City, Utah 84106, USA
(801) 413-3599 (phone/text)
Dr. BCK Patel MD, FRCS
617 E Riverside Dr Suite 101
Saint George, UT 84790, USA