the juvederm tv ad shows it used for around the mouth, so what would it be like to get juvederm in lips to give me plumper lips?
Doctor Answers 68
Juvederm and Lip Augmentation
Juverderm, like Restylane, is a hyaluronic acid. This is a naturally occuring sugar in our bodies, so it is easily accepted by the body and not likely to create a reaction like you can get with man-made synthetic agents like silicone and Artefill.
Juvederm and Restylane work very well for lip enhancement, and while not FDA-approved for this use, I feel they are very safe and effective and I use them daily in my practice.
Your lips are sensitive and, when injected, can be painful. Many doctors give dental blocks for this, but I use a strong formulation of topical ointment, which is specially formulated for me and works extremely well.
I don't like dental blocks because they can distort the natural motion of the lips and cause additional swelling, which can make it difficult to see what is from the block and what is from the filler.
Lip augmentation/enhancement involves more than just injecting the lips. You must also add volume and restore the corners of the mouth, below the lip area and often the jaw and chin as well. It is only through this process of restoring the lost support of the lower third of the face that you can restore natural looking lips without causing a distorted over-filled look, which we all have seen walking the streets.
I also use the application of ice before, during and after lip enhancement, which helps with the discomfort and with post-procedure swelling.
Also, unless the is a medical reason not to, I ask my patients to discontinue aspirin, ibuprofen and other anti-inflammatory medications at least 5 days prior to the procedure. This helps reduce the chances of bruising.
My biggest tip is to spend time selecting your doctor. Not all doctors are created equal. You need someone who is well trained and a specialist in this area, not your family doctor. Make sure you see examples of his or her work and ask people who have been to them.
Remember, price should not be your main consideration when choosing a good cosmetic surgeon; experience, training and education are all important factors when making this important decision.
Lisa Rinna lips - not... expectations for Juvederm lip augmentation
Augmentation of the lips should be subtle. A small increase goes a long way and gives a natural, sexy fullness to the lips. Your lips should not arrive in a room before you.
You should discuss what you'd like your lips to look like. Do you want more body in your lips, more definition of the edges of the lips, or both? Your upper lip should be smaller than your lower lip (70% the size of the lower lip). The lower lip should not be filled all the way to the corner (oral commissure) to avoid a "sausage" appearance.
For lip augmentation, I offer my patients dental nerve blocks to numb the lips, which makes the treatment much more pleasant for both of us. In patients who decline a nerve block, numbing gel is applied, and then prior to each injection an ice pack is held on the lip.
Lips should not be overcorrected with Juvederm, as the product attracts more water from under the skin after it is injected. Initially your lips should look more swollen than you would like, just from the trauma of the injections. Patients do comment that their lips feel smoother after Juvederm than with other fillers. Within 12-24 hours they should look how you'd like them to look.
If after one week there is asymmetry, then return to your doctor. If they are too big, then Widase can be injected to help dissolve some of the product. If they are uneven, a little more may be added.
Lastly, I just read Dr. Arnold Klein's (Dr. Klein is THE expert in injectables) comments here on RealSelf.com, which are very informative.
Juvederm video: lip augmentation demo
Watch as Dr. Renato Saltz, spokesperson for the Physicians Coalition for Injectable Safety, demonstrates Juvederm treatment for non-surgical lip augmenation on a patient experiencing a lip augmenation for the first time.
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Juvederm for lip augmentation
Juvederm® is an excellent material for lip augmentation. It is made out of hyaluronic acid, a substance that is found naturally in the intra- and extracellular matrices of our bodies. Juvederm® is derived through a synthetic process by Allergan, the maker of Botox®. Juvederm® provides and even volumetric enhancement (plumping) of the lips because it is hydrophilic (attracts water), which helps prevent lumpiness.
Juvederm is administered as an office procedure, usually with the assistance of nerve blocks (dental blocks) to numb the lips and facilitate treatment. When the patient is completely comfortable, the procedure is generally smoother and the patient has less anxiety about repeating the procedure in the future.
I have also used topical anesthetics which are specially formulated, but have found them to be less effective than nerve blcoks. The nerve block generally lasts for 1-2 hours. I do not use epinephrine in nerve blocks to avoid increases in heart rate.
Juvederm® is very highly cross-linked form of hyaluronic acid, making it less likely to be broken down quickly than other hyaluronic fillers. Juvederm® typically lasts for 4-6 months for volume enhancement in the lips. However, I have seen it last for up to 1 year when injected in the vermillion border, which represents the transition area, or "white roll" between the red and white lip.
Studies have shown that hyaluronic acid fillers can stimulate collagen production through a flattening effect on fibroblasts (collagen producing cells in the skin). The amount of enhancement to be obtained is up to the patient, but I advise patients trying it for the first time to choose a more subtle look and 1 syringe will generally facilitate this.
Expect great lips with Juvederm!
You can expect to get some great lips from your Juvederm!
Your doctor may inject local freezing to numb your lips prior to injecting the Juvederm or may use ice packs to decrease the sensation of the needle in your lips.
Likely you will be asked to lie down on an exam table and usually the top lip injections are done first. There are several different methods for actually injecting the Juvederm but each involves multiple small needle pokes - so be patient and try not to flinch with the needles.
You may experience some bruising at the sites of the needle pokes but these will disappear in a few days. You may also experience some swelling which will also settle over a few days. You can decrease any chance of swelling or bruising by apply icepacks to your lips immediately after the treatment. Also, avoid taking any aspirin or ibuprofen products for 3 days prior to and 3 days after your injections to also decrease the chance of bruising. Make sure to tell your doctor if you are on any blood thinning medications.
If your doctor puts local freezing in your lips you will stay numb for several hours. During that time make sure to avoid any hot drinks or soup since you can burn your lip and not feel it. You may also find it difficult to talk with numb lips and may also have the sensation that you are drooling. So if your doctor is going to freeze your lips plan your appointment for the end of your work day!
It took several days for the swelling to settle down from my Juvederm lip augmentation, but it was well worth it. I love my Juvederm lips and love giving fantastic, plump, kissable Juvederm lips to my patients!
Juvaderm in the Lips
Juvaderm is probably the best product for lip plumping (i.e. when people want bigger and fuller lips). It can, however, be used elsewhere in the face, especially in the lower part around the mouth. I have some pictures of Juvaderm in the lips on my before and after gallery, please access it. As long as you are conservative, the overall look is full and very natural. You can get really big lips if you want, but subtle enhancement is usually what people are looking for.
I absolutely love the way a natural lip augmentation gives people confidence in their smile!
It is nice to be able to discuss what a patient is hoping for and I do recommend that patients bring in a couple of pics from magazines etc of lips that they would like to have. This is good for a general idea of what is considered aesthetic by the patient ... not necessarily that the end result would be exactly like the picture.
We believe in total comfort and so take our time making sure that it will be a pleasurable experience.
We use Hurricane gel and something called "numbstick" which looks like a chapstick.
We also do novacaine blocks from the outside so it is less like the dentist's office. Before the tiny prickle of the novacaine, we use a freeze spray called "pain ease" so that even that is more comfortable.
The upper lip should take up 2/3 of the closed upper lip- lower lip combination and the lower lip should be 1/3.
The upper lip should be about 70% and the lower lip about 30%.
Sometimes there is need for only augmentation, other times lip outlining is required in addition for those pesky lipstick bleed lines, yet other times there is a desire to have smoother lips and get rid of ridges within the red lip...
Have an idea of what it is that you want and have a detailed conversation with your doctor and then do it... go with just 1 syringe at the 1st visit... you can always build up.
Juvederm is an excellent substance for augmentation of the upper and lower lips. Along the vermillion border it helps turn up the lip and within the lip it gives more fullness. It can last over a year and sometimes two years.
Lip Augmentation with JUVEDERM
Juvederm is one of the most used fillers in Europe for lip enhancement purpose. You can get natural and plumper lips with a subtle Juvederm infiltration. Juvederm is a hialuronic acid smooth-consistency gel, partially cross-linked, with many different presentations. The more suitable one for lip augmentation is JUVEDERM ULTRA SMILE+L (Allergan); another good option in RESTYLANE LIPP+L (Galderma-QMed / Medicis in US). In USA the most simililar product is JUVEDERM ULTRA XC (JUSMILE is less croslinked than JUXC, giving a more soften result)
Over time, the lips’ volume depletes, leaving a thinner, flatter appearance. Wrinkles and fine lines compromise their smooth look, and the vermillion borders and Cupid’s bow become less defined. Around the mouth, the area between your upper lip and nose can become flattened, and the corners of the mouth may turn downward, creating a tired, aged appearance.
Hyaluronic Acid Gel Fillers help fight the signs of aging, by addressing the lips’ texture and smoothness and filling the lines and wrinkles caused by smoking and pursing your lips over time…and of course, by adding volume for a fresh, natural, new look.
Hyaluronic acid gel work in several ways to give you the natural, beautiful, long-lasting results you want—immediately.
- Enhancing your upper and lower lips and adding natural-looking volume and balance to the body of your lips—it’s the most common enhancement women seek.
- Treating to the border of your lips provides a crisp, well-defined shape and improves lip contour and definition.
- Addressing your lips’ texture and smoothness results in soft, natural smooth lips.
- Filling the fine lines and wrinkles caused by smoking and pursing your lips, and enhancing the area immediately above the lips creates a smoother, fresher overall appearance.
Juvederm - lips
Juvederm is great for the lips! In my practice in Beverly Hills I do a lot of "lip plumping". One thing you should talk to your surgeon about before "plumping" is the look you want. I prefer a more natural look where the lips look full but not fake. As a woman - I understand your desire to have full lips! If you go to an experienced injector who communicates well with you and understands your aesthetic goals - you will enjoy the results of this procedure.
Dr. Cat Begovic
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.