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Thin Lips

The lip region is a key area when it comes to facial feature enhancement. The lips have always been highlighted along with the eyes as the two most noticeable parts of the face. With ageing factors such as UV photodamage, genetic factors, and smoking, we suffer from loss of lip volume and perioral rhytides. Genetically thin lips and cosmetic asymmetries of the lips can be dealt with by augmentation using hyaluronic acid (HA) fillers.

Successful rejuvenation of the lips and its surrounding region requires skill and artistry in using a mixture of technologies and injectables1

What Do Doctors Consider In Their Approach To Fillers?

The best approach to lip augmentation depends on the nature of the defect and the patient’s concerns. Typically, the upper lip is treated more often than the lower. For genetically thin lips, structural augmentation with a deeper-placed filler followed by volume correction with a superficial filler is ideal. For pure cosmetic enhancement of lips, a superficially placed filler emphasising the white roll and expansion of the vermilion is ideal.

What Are The Side Effects Of Lip Fillers?

A systematic review of 22 studies found that getting lip fillers is a safe procedure. The most common adverse events were localised bruising, swelling, pain, itching and redness at the injection sites. Extremely rare complications would include nodules and lumps, which can be massaged in or dissolved with hyaluronidase injections.

Intravascular injections may result in immediate blanching, but the collateral circulation of the lips is highly forgiving. The use of warm compresses, hyaluronidase, and topical nitroglycerin can help to restore the condition of the lips.  Latent herpes can become reactivated but can be prevented with oral antivirals (acyclovir, famciclovir or valaciclovir).

Are fillers reversible?

Because the fillers are made of hyaluronic acid, a substance that is naturally produced by the body, they are less likely to cause bruising. The filler is naturally absorbed and needs to be replaced approximately every six months to maintain the plumpness of the lips.

This also means that Hyaluronic acid fillers are easily reversible with hyaluronidase, which dissolves hyaluronic acid material, and, therefore, have an excellent safety profile.

Why is it important to choose a skilled injecting doctor?

Every facial structure and ageing pattern is different for each person. Therefore, a personalised plan is usually required for patients to achieve the results they desire. A professional, experienced medical practitioner will not only confidently conduct a range of facial aesthetic services, but they also know how to deal with any complications that may occur.

Their training enables them to instantly recognise when a patient is suffering from an allergic or otherwise adverse reaction, making it safer for the patient. There are various injection techniques depending on the chosen area to be enhanced, the medical professional’s protocol and patient goals.

A deep understanding of facial anatomy, coupled with extensive training and an eye for beauty, balance and harmony, enable our doctors to present a precise approach to analyze and treat our patients’ faces.

It’s important to us that all patients understand the importance of choosing a safe practitioner. Here at VIDASKIN, we are proud to assure you that we are an accredited Medical Aesthetic Clinic that has recently received another AMI (Allergan Medical Institute) award for being one of the top users in Singapore. On top of that, Dr. Vicki has been inducted as a faculty member and trainer for AMI. She is currently the only female trainer of her generation in the country.

Which are suitable filler materials?

When it comes to choosing the right dermal filler for your injectable filler procedure many options are available. The most suitable fillers must offer superior density and structure to lift sagging tissue and address volume loss.

The products that we use are the VYCROSS® Collection which are manufactured using Allergan’s proprietary VYCROSS technology – cross-linking the hyaluronic acid molecules to create a smooth, more efficient filler that allows for a lower concentration of hyaluronic acid to be used.  This creates a smoother filler with smoother results. A smoother filler means that our patients are less likely to experience pain and swelling/after treatment, and results are long-lasting and natural.

A truly bespoke treatment that depends on an individual’s features, aspirations and needs also takes a professional with extensive training and an artistic eye for beauty.

Frequently Asked Questions

If you are pregnant or breastfeeding, dermal fillers are not recommended. Always speak to your practitioner about when is a safe time to have them.

If you are not satisfied with your filler result, you are not stuck with it. There are options to mitigate, soften, or remove any non satisfactory results that patients sometimes get with filler. Dermal fillers made from hyaluronic acid are always reversible using an enzyme called hyaluronidase. This process involves an injection into the problem area with effects showing within 24-48 hours. It is best to choose an experienced practitioner to avoid unnatural looking results.
Downtime for fillers is minimal and you should be able to resume normal activities right after the treatment. However, some may experience mild swelling which will typically resolve on its own in 1 to 3 days. It is also advisable to avoid exercising and consuming alcohol for the next 24 hours after treatment to prevent increased blood flow which may affect any swelling or comfort.
There is no hard and fast rule when it comes to the frequency of getting fillers done. Each type of filler can last anywhere from 6 months to 24 months. In one clinical study, more than half of subjects (56.4%) maintained treatment response for 12 months 5. Hence, it is important for you to discuss with our doctor for personalized recommendations based on your individual needs.

References

1. Luthra, A. (2015). Shaping lips with fillers. Journal of cutaneous and aesthetic surgery. Retrieved March 17, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645142/
2. Stojanvic, L. (2019). Effectiveness and safety of hyaluronic acid … – wiley online library. Effectiveness and safety of hyaluronic acid fillers used to enhance overall lip fullness: A systematic review of clinical studies. Retrieved March 17, 2023, from https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.12861
3. Lip Nodules Caused by Hyaluronic Acid injections (Shahrabi Farahani, S., Sexton, J., Stone, J.D. et al. Lip Nodules Caused by Hyaluronic Acid Filler Injection: Report of Three Cases. Head and Neck Pathol 6, 16–20 (2012). https://doi.org/10.1007/s12105-011-0304-9)
4. PMC, E. (2012). Six steps to the “perfect” lip. Europe PMC. Retrieved March 17, 2023, from https://europepmc.org/article/med/23135651
5. Czumbel, L. M. et al. (2021, July 9). Hyaluronic acid is an effective dermal filler for lip augmentation: A meta-analysis. Frontiers. Retrieved March 17, 2023, from https://www.frontiersin.org/articles/10.3389/fsurg.2021.681028/full