Artistry in lip augmentation. What makes a good looking lip

Raffy Karamanoukian, MD answers: How to avoid Lisa Rinna lips?

I don't want Lisa Rinna looking lips! What lip injection method/technique gives real natural appearing lips (that are full)??


Raffy Karamanoukian, MD
10 months ago

Lip augmentation is an artform.  Creating a natural looking lip is often difficult.  Facial fillers are often used to augment the anatomic subunits of the lip, including:

  • Accentuation of the tubercle
  • Restoration of white roll integrity
  • High point restoration
  • Vermillion enhancement

The volume of injectate depends on the degree of lip involution.

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More answers to How to avoid Lisa Rinna lips?

A: Lisa Rinna's lips!

Michael A. Persky, MD
21 months ago

When you walk into a room, your lips should not enter the room before the rest of your body. I don't know how many of you watched the recent red carpet style show hosted by Lisa Rinna, but her upper lips look like they have growths, especially the upper right corner.

Aside from avoiding whomever injected her lips and whatever was put into her poor lips, here are the essentials of sexy, beautiful lips.

  • Sculping lips is an art. The person injecting should have a sense of aesthetics, balance, and symmetry.
  • "Less is often more" when it comes to lips. More product can always be addedif needed.
  • All lips are not the same, so a standard "recipe" does not apply.
  • The lip should be enlarged only enough to return natural fullness and shape.
  • The upper lip should always be about 70% the size of the lower lip. If you see an upper lip that is larger than the lower, bingo, you know that some things been put in those lips (i.e. Julia Roberts in Ocean's 11).
  • Only the middle 2/3 of the lower lip should be injected to avoid a lower lip "sausage" appearance.
  • When the lips apear natural and very "kissable." I know that I have reached the end point of the augmentation.
  • Patients state that they feel Juviderm is the smoothest product in their lips. Restylane is also good. Radiesse causes lumps and bumps for a long time, so avoid it.
  • If you decide to have fat transfer, be careful of the amount and placement of the fat.
  • I'd avoid the "permanant fillers" like Silicone, and Soft Form.
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