What lip filler techniques to increase lip height/turn lips out without an exaggerated lip ridge or migration? (Photo)

It is difficult to increase the vertical height of the lip with filler itself, although it is possible depending on your anatomy. I would consider things such as the “lip flip” with neuromodulators (Botox/Dysport) or even a lip lift, which can be performed as a short in office procedure.

An alternative to consider is a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Increasing lip height and turning the lips out without creating an exaggerated lip ridge or experiencing filler migration is a delicate balance. Here are some techniques and considerations that can help achieve a natural-looking result:

1. **Micro-Droplet Technique:**
- **Description:** This involves injecting small amounts of filler in multiple micro-droplets along the vermilion border.
- **Advantages:** Helps to gently elevate the lips and can avoid creating a pronounced ridge.
- **Considerations:** Precision is key to avoid lumpiness and ensure even distribution.

2. **Tenting Technique:**
- **Description:** Small amounts of filler are injected vertically into the lip, creating a tenting effect that turns the lip outward and increases height without adding significant volume.
- **Advantages:** Provides a subtle enhancement and helps avoid over-plumping.
- **Considerations:** Requires skill to ensure it is done symmetrically and without creating ridges.

3. **Lip Tenting with Cannula:**
- **Description:** Using a cannula to place filler in small amounts along the vermilion border and just anterior to the wet-dry border.
- **Advantages:** Minimizes trauma and reduces the risk of lumpiness and vein damage.
- **Considerations:** Cannula technique can be more challenging but offers a smoother, more natural finish.

4. **Linear Threading Technique:**
- **Description:** Filler is injected in a linear threading manner along the vermilion border and slightly anterior to the wet-dry border.
- **Advantages:** Helps to gently elevate the lip and can avoid creating a pronounced ridge.
- **Considerations:** Care must be taken to avoid injecting too close to the wet-dry border to prevent lumpiness and vein issues.

5. **Pillar Technique:**
- **Description:** Filler is injected in a series of vertical columns into the body of the lip to support and subtly evert the lip.
- **Advantages:** Increases the height and outward turn without significantly increasing volume.
- **Considerations:** Proper placement is crucial to avoid unnatural ridges or over-projection.

6. **Avoiding the Wet-Dry Border:**
- **Description:** While some practitioners inject just anterior to the wet-dry border to expose more red lip, it’s crucial to stay slightly above this area to avoid complications.
- **Advantages:** Reduces the risk of lumpiness and avoiding veins.
- **Considerations:** Precision is key to achieving the desired effect without complications.

**General Tips:**

- **Gradual Enhancement:** Start with a conservative amount of filler and reassess. Additional touch-ups can be made if needed.
- **Consultation:** Discuss your specific goals and concerns with an experienced injector. Photographs and clear communication about desired outcomes can help.
- **Product Choice:** Use a softer, more pliable filler that integrates well with the tissue to avoid ridges and lumps. Hyaluronic acid-based fillers are often recommended for their natural feel and ease of adjustment.

**Post-Procedure Care:**
- **Massage:** Gentle massage by the practitioner immediately after injection can help smooth out any irregularities.
- **Avoid Excessive Pressure:** In the days following the procedure, avoid activities that put pressure on the lips to prevent migration.

By employing these techniques and considerations, you can achieve an increase in lip height and a gentle outward turn with a natural, subtle appearance. Always consult with a skilled and experienced injector to ensure the best results and minimize risks.