Plump Lips Without the Duck Bill Look

on CBS today was a dermatologist Dr. Colbert who created his own lip plumping technique he called Colbert Lips. Colbert outlines the vermillion border with hyaluronic acid injections of Restylane or Juvaderm. What technique do you think gives the most natural looking lips that don't get the duck bill appearance -- like you see all over the Housewives of Orange County!

 

Doctor Answers (24)

Lip Lift is an alternative to Lip Augmentation

+2

Some patients actually could benefit more from a lift lift instead of a lip augmentation. If the distance from the root (base) of your nose to the upper vermillion border (red part) of your lip is too long, any amount of filler WILL result in duck lips.

Another indication for a lip lift: If when you open you mouth slightly--and your upper teeth do not show--you are likely a candidate for a lip lift.

The lip lift procedure is a 1-2 hour procedure performed in my procedure room under local anesthesia.


Baltimore Plastic Surgeon
4.5 out of 5 stars 39 reviews

Full, natural lips

+1
We usually start out with a hyaluronic acid based filler, (i.e.; juvederm, restylane). It usually gives soft, kissable, natural results. Best to see a few experienced injectors and see what they offer.  See a few injectors.  Ask to see their photos.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

Beautiful lips without looking like a duck

+1

There's no way to describe "the" technique for lip augmentation. A good physician will look at the patient's anatomy, age, current state of volume, and the overall place the lips have in relationship to the rest of the face. Here are some things to think about to get a great result without looking like a duck:

  1. Seek out the most experienced physician injector in your community.
  2. Discuss your goals throughly
  3. A really good physician will explain why s/he plans to place filler in a particular way so that you can understand the expected outcome and are on the same page with goals
  4. Be willing to be conservative; it's easier to add more after a few weeks than it is to remove it (although removing a hyaluronic acid filler is easy, just rather wasteful).

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
5.0 out of 5 stars 29 reviews

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Fuller Natural Looking Lips

+1

Hyaluronoic acid injections are great lip enhancing tools if the natural anatomy of the lip is respected. An experienced injector will evaluate the client's anatomy of the lip and minimize over plumping of the upper lip.Juvederm will give you fuller yet natural looking lips.

"Dr.D"

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

Lip Enhancement that Looks Natural

+1

What Dr. Colbert is describing is conservative enhancement of the vermillion border; this concept is a good one but is not new, original, or revolutionary.  In fact, this concept is employed by many Facial Plastic Surgeons, Plastic Surgeons, and Dermatologists around the country.  I believe that hyaluronic acid injections (Restylane and Juvederm) are wonderful tools to enhance the appearance of the lips as long as the natural anatomy of the lip is respected. Lips should be more full centrally than laterally, and the lower lip should be more full than the upper.  Over-enhancement of the lips laterally leads to a transformed appearance we refer to as "Grouper Lips", which makes the patient look more like reef dwelling fish than a human.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews

Valentine angulaplasty

+1

the procedure designed by Dr. Flowers, whom I was trained under, is a beautiful procedure for lip and mouth rejuvenation for natural looking lips. you can read more at my website 

Adil Ceydeli, MD
Panama City Plastic Surgeon
5.0 out of 5 stars 43 reviews

Lip Augmentation, Fuller Lips, Beverly Hills Lip Augmentation, Beverly Hills Lip Enhancement

+1

  Ahh, that's the million dollar question...how to avoid the duck look or otherwise unattractive lips after Lip Augmentation.  This is not the problem of using any one filler or method of Lip Enhancement but rather a lack of knowledge of the proper aesthetics of the lips as outlined in my new book on the subject.  There's a perfect size and proportion to the lips that if acheived using Alloderm, Restylane or Juvederm, the lips are aesthetically attractive.  If this proportion is violated, the liops appear ducky, to large and often distorted.

 You, as the consumer, should learn what does and does not constitute beauty when it comes to plastic and cosmetic surgery procedures and treatments, including Lip Augmentation as this is something not taught to doctors and surgeons during their training...and therefore not common knowledge.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Filler for no duck look

+1

I didn't see the program on CBS, but it doesn't sound like anything new.  Most of us inject along the vermillion and in the lip itself.  The best way to keep from having a duck shape to the lip is not to over-inject.  I personally hate the super fake duck lip look and take great care to keep the lip looking full but natural looking.  If you have good communication with your doctor, he/she should be able to help create the look you are seeking.

Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

Lip Fillers

+1

The easiest way to avoid the duck look after lip filler is to (A) make certain that your cosmetic dermatologist is expert in doing this and (B) the physician should not be terribly aggressive in the amount of filler inserted initially. Injecting too much filler leads to the duck-bill look.

David Goldberg, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 4 reviews

Avoiding duck lips from lip injections

+1

To avoid lip injections that look like duck lips, it's important to match the size of the lips with the overall appearance of the face. Overly voluminous lips on an otherwise gaunt or skinny face looks out of place. Ultimately the amount of plumping is a personal preference and the first time you attempt this procedure, you should take it slowly with your practitioner to make sure you get it right. A couple suggestions to make sure you approach the process slowly.

  • Try a .4ml Restylane syringe (or the new .5 ml Juvederm) in the vermilion border. Injecting the border of the lip makes it "roll" open a bit giving it a larger appearance without adding too much volume.
  • If you would like more volume after the vermilion border injections, try a .4ml Restylane or Juvederm injection in the body of the lips.
  • Finally, if this is not enough volume, consider trying a .8ml or 1ml syringe injected into the body of the lips.

Taking a stepwise approach with your practitioner may take a little more time and expense, but if you want to avoid the look you are describing sometimes it's better to approach the process incrementally. Also, note that swelling is an issue in the lips and you should wait at least a week for swelling to go down before making any decisions about how to proceed in the next step.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.