What to do with my lips and how can I get this result? (Photos)

So, it is often a misconception that filler “ migrates”. None of the hyaluronic acid fillers really move from the location they are initially placed. All hyaluronic acid fillers are “ hydrophilic”, meaning that water/moisture is attracted into the general area where they are placed and therefore there can be swelling in the vicinity. It may be that in your case filler was placed mostly in the central area of the lip in an attempt to achieve more of a pouty look. Over filling the centre can often give rise to “ duck lips”, where the lips stick forward too much, a look which many people hate. If width is what you are after, then yes, filler placed at the corners can sometimes achieve the appearance of a bit more width, and help the lips not disappear at the edges when you smile ( a common complaint). However, it is important to understand that lip filler injections cannot change the basic shape of your lips to a significant degree. Therefore, it is not possible to give you a celebrity’s lip shape. There is no one filler product I recommend. Different products may vary in terms of their feel as well as their look. Many do a good job. Both Juvederm Volbella, and Belotero Lips are lovely lip products with a natural feel and look.

Volbella, Restylane, and Juvederm are good fillers to use to create a symmetrical lip. NovaThreads can also be used to improve lift and shape. Implants or fat are alternatives. Technique will be important here, so you'll want to see someone meticulous. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Dear elena1200,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery