Lip Augmentation: Q&A

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Best Filler to Augment the Peri-oral Region?

I have a flat and downturned upper lip with thin and asymmetrical lips. I have gotten fillers on my vermillion border, but I find that while I like the subtle central pout, I still have a flat peri-oral region. I recently tried stuffing little pieces of cotton over my upper teeth and upper gums (to fill out between the vermillion and base of nose) and am amazed at how sensual my mouth looks. I had upper teeth show when I did that while I normally have none. What are my options? I'm 27.

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9 Doctor Answers | Asked by misspeaches

Doctor Answers (9)
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Fillers in perioral area can give you what you are looking for

Fat injections are another alternative. The cotton pieces can be replaced by filler in that region. Your doctor should be able to figure that out. Fat injections can be done all over the perioral region to achieve something similar to your desires. But not all things are possible and you have to be realistic. Below is a video on perma lip silicone augmentation for you to watch and learn more about this procedure. see video

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

The Perfect Perioral and Lip Filler

For aging and naturally thin lips the substance missing is fat which our bodies luckily make in quantity. Finding fat is easy, obtaining it for grafting is a simple operation, processing the fat for reintroduction into the perioral area is quick and easy and once grafted it almost all stays in place forever. If part of the fat to be grafted is put aside and processed differently, fat "stem cells" can be obtained and reintroduced with the fat grafts to improve the... more

Paul S. Howard, MD

3 reviews

Birmingham Plastic Surgeon

Full natural appearing lips

You are noticing exactly what so many practitioners miss! The lip is not just the red vermillion, it is the area from the base of the nose to the chin and bordered by the nasolabial folds. Commonly practitioners place a sausage shaped blob of filers that looks so unnatural. It is all technique. I always augment this area in lip augmentation and deliver natural results. My preference is Juvederm Ultra Plus XC because of its consistency and long lasting... more

How to improve my lips

Some combination of lip reshaping and volume may be helpful, provided you do not need or want orthognathic surgery (impossible to evaluate without photos and personal examination).

Augmentation of the perioral region

The hyaluronic acid fillers are nice products to use to improve the contour of hte perioral region. These last anywhere from 6 months to a year depending upon the product used.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best filler for lips

After 25+ years of injecting lips, I find that either Juvederm or Restylane are the best options for lip augmentation. They are used to replace lost volume, define the vermilion borders and create a more youthful curl, elevate and lift the corners of the mouth, and correct vertical wrinkle lines. They can restore the natural contour of the upper and lower lip and enhance the Cupid’s bow area. Lifting the corners of the mouth gives a hint of a smile and reduces the “sad or angry... more

Filler around the mouth

Sound like you need augmentation of pre-maxilla ( upper jaw ) . In my experience the best and longest lasting filler or implant is insertion of dermofat graft through inside of the upper lip. The second best option is fat grafting, which could be added on to achieve your desirable contour improvement. Sculptra or Rasiesse are the other option. Make sure your surgeon has enough experience with these procedures.