Microdroplet for lip augmentation

Question

Hello i have seen 2 different kinds of techniques for lip augmentation. Some use techniques by injecting the needle deep into the lips and progressively taking the needle out and injecting the filler in a straight line. other use a technique called microdroplets by just injecting in several different points a small amount. here is a video I wanted to know what products are used for both technique (and how are they different ). thank you

Kenneth D. Steinsapir, MD · Answer

I strongly advise you not to let anyone inject your face with silicone oil. The product is not removable and can cause irreversible damage to the tissues.  What you are looking for in an injector is not a particular technique.  What you are looking for is an artist. Unfortunately they do not teach art in medical school. This may account for why so many filler treatments are unsatisfactory.

Daniel Barrett, MD · Answer

Dear MCPboth techniques can provide great results if the injector has enough experience. I would suggest you to choose the injector with enough experience and not the one with a specific technique.Daniel Barrett, MD, MHA, MS 
 Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Both techniques can be used with a myriad of fillers with good success.  The technique used is largely up to the injector as to what gets them the best results to approximate your goals.  Hope this helps.

Reza Tirgari, MD · Answer

The honest truth is that there are multiple methods for lip injection and the choice of technique depends on the lip you are injecting.  A smart injector will know several methods and choose the one most appropriate for that individual patient, rather than going with a "one size fits all" approach.  This has been our preferred approach and has resulted in many happy clients.
Ultimately, the skill of the injector is the most important criteria.  A good injector will have a good aesthetic eye and  can achieve spectacular results with almost any method.

Gerald Pierone Jr., MD · Answer

Hello and thanks for posting.
There is a third technique for lip augmentation that I believe is superior to linear threading and microdroplet technique.  This is lip augmentation via microcannula technique.  A microcannula is a similar to a needle in dimension, but the tip is blunt rather than sharp and the hole for delivery of filler comes from the side of the cannula just below the blunt tip. 
  
In this technique, a needle is used to make a hole in the skin, and the cannula is inserted through the hole and threaded under the skin to the distribute filler to the desired location. Because of the blunt tip of the cannula there is a vastly lower risk of vascular injury and bruising. Moreover, there is much less pain because the cannula does not sever or damage minute sensory nerves like a needle does. 
  
There is a significant learning curve to cannula use, and some practitioners are hesitant to embrace this new technique because of their experience and comfort with needle use. That said, patient comfort is more important that clinician comfort, and the use of needles for facial fillers is on the decline and cannula use is quickly expanding. 
  
I hope that this information helps and best of luck to you!

Johnson C. Lee, MD · Answer

Injecting filler in a straight line through a single site versus micro-aliquots in multiple sites both work well in the hands of an experienced injector. I will vary between the two techniques depending on the needs of the patient. I feel Microdroplets of filler are better suited for spot treating areas that need a bit more filler to improve symmetry or for creating more structure within the lip without adding too much additional volume. Hope this helps!

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. Following my beauty principles, the upper lip should be approximately 75 % the size of the lower lip for the lips to appear balanced. The lips can be augmented using a dermal filler or a Permalip implant.  Precise placement, in my humble opinion, is a micro-droplet technique by nature.
Dermal filers and lip implants offer a much more reliable volume for augmentation of the lips than permanent fillers or fat injections which are associated with increased, unwanted, side effects.
Hope this helps.

Microdroplet for lip augmentation

Answers (7)

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