The good news is that not only does Juvederm Ultra now have an FDA approval for lip augmentation, but also, there are TWO new forms of Juvederm,: Volbella, and Vollure that have been FDA approved and may be used for lips AND they are longer lasting! Since our mouths tend to be in constant motion; eating, drinking, talking; traditional fillers haven't lasted more than a few months to a year when used for lip augmentation. Juvederm Volbella and just released Vollure uses what is called Vycross technology which results in a very smooth, longer-lasting product. Like the other Juvederm products, it contains lidocaine which helps to anesthetize the lip for a more comfortable injection experience. In our office, we apply a specially compounded numbing cream to the lips prior to injection - greatly improving patient comfort during the procedure. Additionally, injecting very slowly using both antegrade and retrograde injections helps not only enhance comfort, but also to reduce side effects such as bruising and swelling. Lip injections must be approached with an artistic eye; not only for lip size and proportion to other facial features, but also, taking into consideration the area around the lips: corners of the mouth, any vertical lip lines, vertical philtral columns (from cupids bow to base of nostrils), lip/chin crease and the chin itself. Creating beautiful lips is an art form and, when well done, results in a very aesthetically pleasing balance to the entire face that is both not palpated (felt) or seen (no ridges or abnormal outcomes)..