African American, female. I want deep, defined philtrum columns and cupid's bow. How can I achieve this look? (photo)

The enhancement of the philthrum and cupid's bow should be a part of every lip enhancement procedure.  This can be performed with virtually any hyaluronic acid filler suitable for the lips.  Depending on your starting point, you may require between 0.5cc to 1cc of filler for the full treatment. 

When addressing lip augmentation I make a distinction between the outline of the lips called the white roll and the philtral columns and the pink or vermillion. The definition you are interested in can be easily achieved with hyaluronic acid fillers such as juvederm. There are a host of others but recently Allergan has introduced Volbella. This is a fine product which should last a year. It is ideal for this.Seek out a board certified plastic surgeon to assist you with process.Good luck and I hope this was helpful.

Most fillers can create this look and are always recommended 1st. Then when we see what size you like, we later switch over to the permanent implants.

It is very easy to define the columns and cupid's bow with fillers. I recommend getting a formal consultation with a facial contouring expert. Best, Dr. Emer

Thank you for sharing your question and photographs.  You can improve the size and definition of your philtral columns with well placed dermal fillers.  I would recommend using a combination of Juvederm for size and Volbella for definition.  Be sure to see an ASPS board certified plastic surgeon in consultation to maximize your results. 

It is easy to fill the philtrum and cupid's bow in patients with diminished volume or desiring fuller volume. Many filler products can be used in that area with excellent results. Find an injector you trust with experience with lips and an eye for the shape and style you want. Best wishes.

This can be achieved using HA fillers. It won't get you all the way to your ideal lips, but it should improve things. Keep in mind that I think both pics are photoshopped.

Helli IChange92

Since you already have full lips, you need volume specifically to the philtrum columns and cupids bow.  Increasing definition and volume to the philtrum column can precisely be achieved by injection a filler to the philtral ridges and cupids bow only, avoiding the body of your lip area.