Wondering how much filler to get in lips for first time. 1cc or 2cc total? (photo)

Question

My lips are normal. I'm looking for luscious lips that I don't have to overline at all. Wondering if I need 1cc or 2cc and keep in mind I'm thinking maybe the 2cc because I want to last longer and get pain over with rather than keep going back because I didn't do enough in the first place.

Nima Shemirani, MD · Answer

Hi @punkrockmornings. I would recommend starting with 1 cc per visit to avoid filler migration. Best of luck, Dr. Nima!

Michael P. Morrissette, DDS, FACS · Answer

I usually recommend one syringe to start or one syringe and a half. Volbella is great for lip bordering and I prefer Juvederm Ultra for adding volume to the lips. This is an excellent combination and produces outstanding results. Good luck

Jason Emer, MD · Answer

I suggest starting slow 1-2 syringes and continue to add as the lips take shape .  Once you get to optimal size for your face it will last 9-12 months.  Voluma may last longer.  Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

I would recommend starting with 1 syringe. After a couple weeks once the filler has settled in, the swelling has resolved, and your lips have adjusted to their new size then you can add another syringe if you want. I find that this approach gives the most natural results. Make sure you find an experienced physician injector. Best wishes.

Chaitali Nangrani, MD · Answer

This is a common concern, so I'm happy you've asked! If you have never had your lips injected with a dermal filler before I like to suggest starting with 1 cc or 1 syringe. It's easier to add more product afterwards if you want more volume, than it is to take away the product. Lips should be soft and plush so it's important you choose an Hyaluronic Acid (HA) filler. They look and feel most natural in the lips, also, HA's are dissolvable which is a nice option if you've never done a filler before. Some HA's are not considered long term fillers, so it is something you will need to keep up with every 6 to 12 months. (In other words, just because you put more product doesn't mean it will last any longer.) Do not worry about the pain, your provider should offer a topical numbing cream or gel to apply a few minutes before your treatment to keep you comfortable. Most providers offer a consultation before your treatment.

Robert Whitfield, MD · Answer

I typically with do 1cc initially for the first time.  Patients who had their lips augmented before will know how much they use and that works for them.  Some products are associated with swelling which makes going to work or out for an event difficult.  the swelling resolves but in each person takes a different amount of time.

Allan Zacher, MD (retired) · Answer

I would recommend 1 - 2 syringes of Volbella. For some reason, Allergan has chosen to make Volbella in 0.55 ml syringes rather than the 1.0 ml syringes of the other fillers. 
However, I have used this material and absolutely love the way it handles and what it does for the lips - the patients absolutely love the results as well!
See an experienced injector for your treatment! I believe you will have an excellent result!

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