Getting Lip Injections Without "Duck Look"?

My top lip bearly shows.Im very self consious about it.Ive provided a picture of my lips.How would I archieve getting full lips with out the "duck lips"?

Doctor Answers 20

Experienced injector can improve your lip

Looking at your picture, injectable fillers such as Juvederm or Restylane can help augment the lip, although realistic expectations are important.  Someone with your petite lips should not expect to look like Angelina Jolie afterward.  Filling your lip from behind the wet-dry border of your red upper lip, and filling mostly in the center of your lip will help to improve the size of your upper lip.  Sometimes, augmenting your philtral columns (the two vertical columns that connect the base of your nose to the tips of your upper lips/cupid's bow) can add structure to a thin upper lip.  Depending on the patient, a small amount of Botox or Dysport to the upper lip can also cause "pseudoeversion" of your upper lip--increasing the red show of your lip.  Good luck!

San Diego Dermatologic Surgeon
5.0 out of 5 stars 20 reviews

Know your limitations


As others have stated, the classic "duck lip" or tell tale sign of lip augmentation is injecting too much filler along the vermillion border (where the skin meets the red part of the lip).  There are limitations of what can be acheived with any given procedure, and that is why many of the answers suggest you seek the services of a physician experienced with lip augmentation.  That is not always easy to find out either.  Although friends and family can be helpful, sometimes asking your family doctor, or even someone like a hairdresser, someone who sees lots of results from cosmetic surgery in the community, is your best bet for where to get the proper recommendation.  There are lots of options out there, but there are also limits to what we can achieve, and this needs to be discussed with you thoroughly beforehand so you will not be disappointed.  Good Luck!

Yoash R. Enzer, MD

Yoash R. Enzer, MD, FACS
Providence Oculoplastic Surgeon
3.0 out of 5 stars 7 reviews

Good lip augmentation will not give a "duck look"

Lip augmentation is very very common. When done well, the reslts can look natural and strangers have no idea what you have had done. Unfortunately, people only seem to notice the "bad" lips - the "duck" appearing lips.  Make sure to select a plastic surgeon experienced in lip augmentation to avoid the bad results. Also, you may wnat to consider permanent lip augmentation with a solid silicone implant called PermaLip. I have been using these implants extensively and the results have been excellent.

The Secrets To Natural Appearing Lip Augmentation

Lip Augmentation can be achieved while maintaining a very natural appearance. The key is to find an injector that has excellent techniue and a keen aesthetic sense.

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
5.0 out of 5 stars 38 reviews

Avoid the duck lip when having Lip Augmentation

Your upper lip is very thin and filling up the volume of that lip will create a more aesthetic balance between your upper and lower lip.  Fillers would be hard pressed to increase the upper lip to the required volume and IMHO, you are a candidate for an Alloderm Lip Implant or the solid silastic lip implant for the Lip Augmentation.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews

Work with an experienced injector.


The first thing an experienced injector will tell you, is to understand the limits of what is possible in the upper lips.  The duck bill is the result of unnatural overfill in the upper lip.  It is make worse when volume is placed in the lip about the vermillion lip edge.  The key is to appreciate that only a certain amount of volume is acceptable in a given lip.  In addition, additional volume is probable needed in the lower lip to help maintain the volume relationship between the two lips.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 22 reviews

Lip enhancement should look natural

Juvederm and Restylane are both wonderful fillers to naturally augment the lip. In your situation less would be better in the beginning, just because you pay for a syringe does not mean you need to inject it all. The way the filler is injected is key and I would make sure you have seen many of the patients your physician has done and make sure they have the same desired results you would like and no duck bills!!!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 189 reviews

Lip Augmentation

There are many techniques for lip augmentation.  IF the patient wants a permanent result then consider the PERMA facial implant.  This is a soft silicone lip implant.  Check it out below. 

Jay H. Ross, MD, FACS
Palm Harbor Plastic Surgeon
4.5 out of 5 stars 20 reviews

Lip augmentation / lip injection without "duck" lips

Lip augmentation with filler injection has become quite popular with the common use of hyaluronic acid filler such as Restylane, Perlane, and Juvederm.  It's important to have conservative volumes of injection initially to avoid the appearance of "duck lips".  In addition, it is important to leave the Cupid's bow accentuated to avoid the appearance of a "sausage" lip.  Seek an experienced injector for best results.

Etai Funk, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 41 reviews

Lip augmentation must consider the aesthetics of beautiful lips - no duck lips!

When performing lip augmentation, which is the injection of fat or fillers into the lips to make them fuller, how do you avoid going too far and creating a scary cartoonish "duck lips" look? First, by going back to art and anatomy. How are lips supposed to look? The upper lip should be smaller than the lower. The top curve should be well defined as is the philtrum (the lines going up toward your nose). The upper lip has three aesthetic units (oblongs) one on each side and one in the middle. The lower lip has two which meet in the middle. There are still more subdivisions: the white line, the vermillion, mucosal, submucosal, corners, but if you get the aesthetic units right you are most of the way there.

In younger women wanting filling, usually these units are better defined than in older women and it is a question of filling them up. In older women often the lips are very thin and you have to create your own aesthetic units. In addition there is more work around the lips than framing and supporting them. Often there are also lipstick lines that need to be dealt with as well. The real key besides having the aesthetic anatomy is knowing when to stop. There is an old saying in plastic surgery: the enemy of good is better. There is always a point when the lips look good (or great) and filling them more can bring down the end product. The aesthetic units are distorted, balance is lost and the patient looks very done. So like a lot of things in life – quit while you’re ahead.

Andrew Kaczynski, MD
Sacramento Plastic Surgeon
5.0 out of 5 stars 96 reviews

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.