Following up question, lip filler or surgery? (Photo)
Doctor Answers 7
Lip filler or surgery?
Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. From the photos, your upper and lower lips are still a bit small, your nasal tip is a wide and I suspect that your chin might be weak (can be confirmed with a non smiling side view of your face). Following the beauty principles outlined in my book on face and body beauty, the lips should be full and plump with the upper lip approximately 75 % the size of the lower lip for the lips to appear balanced. The lips can be augmented using a dermal filler or a Permalip implant for a permanent enhancement with or without including a scar revision. Dermal filers and lip implants offer far more reliable volume to augment the lips than permanent fillers or fat injections that are also associated with increased, unwanted, side effects.
Rhinoplasty, or more precisely a Tip-plasty can thin and refine the nasal tip without requiring a full Rhinoplasty. I have performed many Chin Augmentations using chin implants for over 30 years. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.
I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for chin implant surgery.
Hope this helps.
Lip Augmentation And Surgery
Lip Fillers and Surgery
It appears that you lip fillers look good and the scar is not very visible. Both the surgery and the scar need to be evaluated in person to make a real assessment. Best, Dr. Green
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Lips and nose
Hi there, for your lips we could do a fuller filler like Juvederm Ultra Plus (this is $549 at my practice), and fill around the scar making the scar nearly not visible. To make your nose less round at the tip, you can also get a filler, the one we usually use is called Voluma, it lasts up to 2 years and is $799 for 1ml at my practice. The best thing would be to find a provider you like and schedule a free consultation with him/her.