How Many Syringes of a Filler Would I Need? For Lips, and Laugh Lines? (photo)

Hi Korina,

The lines that you have circled are marionette lines.  The nasolabial fold runs from the corner of your nose to the corner of your lip.  I would treat you with one syringe of Juvederm Plus XC in your lips (for both your upper and lower lips).  After examining you I would decide between using Radiesse or Juvederm for your circled folds.  I do think that you would need any more than this, but you may not require the entire two syringes.  Some injectors feel that they must use all of the syringe, and if not needed then the patient ends up with the dreaded "puffy face".  Choose your injecting physician most carefully.

Good luck and be well.

Michael Persky, MD

Encino, CA

 

   3 to 4 syringes of Juvederm would probably be sufficient for the lips and the paralabial lines.

 

 

 

Kenneth Hughes, MD Los Angeles, CA

Dear Korinna,


It is tough to say exactly how many syringes you would need

In general, you would need 1cc for the lips, maybe 2-3 for the rest of the areas

You want to go to an experienced injector who will give you just enough for a great looking result, nothing more and nothing less

For these areas, I like to use Juvederm as it absorbs a little water and smoothes out nicely


Best regards,

Nima Shemirani
 

Based on your photo, you are referring to the corners of your mouth, some labiomandibular region, and a portion of your nasolabial fold. Consulting with a well trained and informed injector will help determine your specific need. It's too hard to know without seeing you in person.

I personally love Juvederm Ultra XC for the lips and in most patients use approximately 1 syringe for both lips.  Some patients need a bit more, some less.  The lines you circled are the marionette lines and simply cheek lines.  I would need to see you without smiling to determine what you would need, but in most cases 1 syringe of Juvederm Ultra XC or Ultra Plus XC would be adequate for someone like you.  Usually only lines that show when you are NOT making an expression can be fixed with a filler.

Hi Korinna.  First let's talk about product.  If you are doing the lips, we would likely reach for Perlane or Restylane.  These products are also easily used in the laugh lines around the mouth.  The number of syringes would likely be 2 for around the mouth and one in the lips.  3 would be a good estimate for us and this is 3 CC's of product.  

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Fillers such as restylane and perlane are great product to augment the lips and facial lines.  It is best to be seen in person to determine this.

The areas of concerns can be addressed using dermal fillers.  Selection of the filler depends on your goals and the length of desired results.  For the lips, usually juvederm or restylane is recommended.  For the nasolabial folds, restylane or perlane can give great results.  Please remember that the skill of the injector is most important when having fillers placed.  Knowledge of the facial anatomy is critical to avoiding potential complications.  Please consult with a board certified specialist who can assist you in achieving the results you seek.

I would probably use a syringe of Perlane for the lines and one of Restylane for the lips. It is possible that I would use less of both but could not tell without a better look at you. I doubt that I would use more than that.

You appear to have circled the Marionette lines and the submalar sulcus.  Marionette lines can be filled in with either an HA product (Restylane, Perlane, Juvederm, etc) or Radiesse.  The corrections you have outlined are deeper corrections and Radiesse is a good choice in that it lasts longer.  One syringe could do most.  The lips and the rest could be topped off with a syringe of HA.  It doesn't matter which one that you use to a large degree.  They all have strengths but there isn't that much difference.  Another option is fat injection with biologic modifiers.  When fat takes, the results can be permanent and it is you own tissue.