The best results come from experienced artists who know how to make your lips look soft, full and youthful. New, advanced techniques and effective cosmetic fillers have made lip augmentation more convenient for patients than ever before – you can get more youthful and fuller lips in just a few minutes.
However, a few minutes is also all it takes to get overfilled, strangely large, and unnatural looking lips, commonly known as “duck-lips”. While many doctors and non-physicians offer dermal fillers for lip augmentation, it’s important to look for a cosmetic surgeon who appreciates the various subtleties of available fillers, and selects the right ones for the right places.
Lips can be enhanced to instinctively draw the eye to naturally beautiful balance and proportion. Dr. Prasad’s approach to lip augmentation is to make volume and size naturally fit into a person’s face. He accomplishes this by following a beauty standard known for thousands of years as the Golden Ratio, or Phi. The Golden Ratio is the ratio of 1:1.6, which is a pervasive proportion of beauty found in all of nature, from places as diverse as sunflower petals to nautilus shells. We are subconsciously drawn to this ratio in beautiful faces from every part of the world. The lips are an important element of the face where this balance can be maintained or restored if nature or age has left a slight disproportion.
The Golden Ratio can be simply put as one-third of total lip volume to the upper lip, and two-thirds of lip volume going to the lower lip. Following this natural equation of attractiveness draws eyes toward your lips, and adds another attribute of beauty to the whole face.
Applying the Golden Ratio is not the only concern. You can still have oversized lips that are considered distracting if the procedure is not performed properly and if the proportion of the lips are not suited for the context of the face. Dr. Prasad’s uses his natural aesthetic to make the volume of lips fit within the face for subtle fullness and body. Lips shouldn’t be the focal point of the whole face, but instead should add to the beauty of the whole.
How do I get fuller lips that still look natural?
Lip augmentation for fuller and attractive lips is a very popular procedure which can be technically performed in a few minutes when I discuss this procedure with my patients
They often expressed a concern about people they see with bloated and unnatural looking lips these overdone lips create a negative perception of cosmetic procedures especially so-called duck lips associated with celebrities and other people in the media
However when lip enhancement is performed with artistry in experienced hands lip augmentation can be beautifully proportional and balanced
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon I’ve been in practice in Manhattan and Long Island for over 20 years I perform a variety of facial cosmetic procedures such as eyelid surgery facelift facial fillers facial implants as well as injectables, lasers and other skin treatments
I can attest to the value of artistry with years of experience performing surgical and non-surgical procedures in the face providing a foundation and an advantage to treating specific areas like the lips
The key is balance when someone looks at you they look at an area within an inverted triangle which includes the eyes cheeks lips and chin the importance of lips aesthetically can be appreciated by the high level of interest in cosmetics such as lipstick and lip liner billions of dollars are spent on products which are sold to create the perception of full and youthful lips the limitation is that no cosmetic product can enhance or restore lip volume and definition before choosing fillers or neurotoxin like Botox or Dysport for lip enhancement
I take photos of your face from different angles often my patients will show me how their lips looked when they were younger to give me a sense of whether their lips were naturally thin in the past or any other specific characteristics they want to preserve some of our younger patients bring photos to show an ideal lip appearance that they would like their lips to resemble
In addition I review some important principles which guide my approach to lip aesthetics I begin with looking at the front view of the lips with some ethnic specific exceptions I apply the golden ratio also known as Phi which is a ratio underlying beauty seen throughout nature the ratio of 1 to 1.6 applies to proportions in the face
Including the volume and size of the lips a proportion which also applies to the lips is one-third to two-thirds which means that the balance is one-third for the upper lip to two thirds for the lower lip
I also look at the projection of the lips from the side in relation to the chin and other guidelines using specific measurements refer to Ricketts and Steiner lines
I look in detail at specific aspects of lips such as the philtrum, Cupid’s bow the vermilion border the lip body the G and K points and the orientation of the outer corners of the lips I look at the skin quality around the lips such as the presence of vertical lines and skin discolorations objective measures and proportions guide the artistry to determine how the lips will fit with the rest of the facial features
I think it’s important to recognize some concepts we go enhancement of the lips when patients who are younger come in there are two common situations the first is the younger person who feels their lips are genetically thin or they feel that the upper lip is too thin in proportion to the volume of the lower lip the
Second situation is when a younger person has proportional volume in their lips and want to further enhance or beautify their lips for people who are noticing aging changes in their face such as loss of volume where the lips have become dinner with loss of definition of the Vermilion border as well as some or many vertical lines the purpose is to restore or correct the lip volume and definition
I would also note that more men are coming in than in previous years for lip enhancement regardless of age every patient wants their lips to look natural and not overdone they are also concerned about how they will look immediately after any procedure done to enhance the lips in particular the risks of significant swelling or bruising
I discuss a strategy with my patients based on their specific concerns as well as the techniques I apply to allow them to have minimal swelling or bruising lip enhancement can include the use of neurotoxins such as Botox or Dysport for vertical lines outer corner lip lift and for the upper border the lip to turn slightly upward often referred to as a lip flip the other part of lip enhancement involves a restoration or augmentation of volume this is where I use different fillers from the hyaluronic acid family such as Restylane and Juvederm hyaluronic acid exists naturally in the body and the filler material is slowly metabolized and usually lasts about 4 to 6 months
I use different fillers to fill fine lines and volume in the lips there is a lot of artistry in lip filler placement
The challenge is to place the filler with minimal trauma repeated injections with needles can result in swelling which makes accurate placement more difficult I routinely use blunt cannulas to minimize needle related trauma to the lips and patients are often surprised as to how little discomfort they experienced my approach in comparison to having lip procedures done elsewhere
Naturally less swelling and the absence of bruising allows my patients to return to their regular activities sooner than they would have with more traditional approaches many people come in last-minute needing to look good in a few days generally speaking this is achievable
I do routinely see all my injectable patients after two weeks to see how things have settled and to see if additional filler would be beneficial there is no question that the appearance of lips is very important to facial appearance artistically performed lip enhancement can create a remarkable effect on facial balance and appearance the popularity of lip enhancement procedures makes choosing the right practitioner challenging understanding that the ideal experience requires a combination of detailed analysis and planning with maximal comfort and minimal trauma
I hope you found this information helpful thank you for your question
Although lumps after injectable fillers in the lips are common, board certified cosmetic oculofacial plastic surgeon Dr. Amiya Prasad uses innovative techniques to minimize swelling after filler placement which makes final results more predictable.
How do you cover bruises from lip filler injections?
The desire to have a tract of ellipse is the reason why cosmetic brands sells so much lipstick lip gloss and lip liner
In my practice I find that a lot of my patients both men and women who come in for cosmetic eyelid rejuvenation such as enhancement for hooded eyes or puffy under eye bags as well as for injectables for cheekbone, chin and jaw enhancement appreciate how the lips are also affected by aging
When we discuss lip enhancement with fillers two major concerns come up one the fear of looking like a duck – the fear of bruising
I assure them that the fear of looking like a duck or the list of people in the media they mentioned whose lips look too big is something I’m confident that will not happen
When I perform their lip enhancement my goal is to make the lips look appropriate for the individuals facial features so the lips don’t look out of place as far as bruising is concerned they often mention a friend or several friends who had bruises and swelling which was so significant it prevented them from going to work
Again I assured them by explaining that as a surgeon who’s performed a wide range of lip procedures long before the popularity of injectable fillers I have my own approach to enhance the lips and consistently avoid bruising
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in practice in Manhattan and Long Island for over 20 years
Bruising occurs when there is bleeding when bruising happens during or after lip filler injection it’s due to the needle piercing a blood vessel the more times a needle pokes the lips the more likely a bruise will occur this also increases the numbers of bruises I begin any lip enhancement with first and analysis of the aspect of the lips which would benefit from additional volume
This allows me to consider strategically how to use the least number of points of placement to achieve the desired outcome I routinely use blunt cannulas instead of needles to place filler by using blunt cannulas there is less of a chance of piercing a blood vessel in contrast to a needle for lips I use a range of hyaluronic acid fillers such as Restylane-L, Restylane Silk, Juvederm XC and Juvederm Voluma
I find these softer fillers ideal for the natural soft quality of the lips this allows for the lips to move naturally with talking smiling eating and kissing I prefer hyaluronic acid fillers over other options such as fat grafting or implants
I’m able to place these fillers with fine precision to address volume and contour asymmetries these materials are metabolized naturally because hyaluronic acid occurs naturally in the body unfortunately disproportionate lips and bruising strikes fear in the hearts of men and women considering lip enhancement as with general health prevention is the best approach although excessive swelling and bruising from lip augmentation can be common both issues can be addressed with optimal technique
I feel that there is a particular value for a lot of patients who come in and wear lipstick in a way where they literally draw the lips they wish they had this means that the lipstick goes well outside of the borders of the lips essentially there is a potential space where the lip volume has diminished typically associated with aging that can be enhanced as I often discuss during consultation lips play a very important part in your facial appearance
Minimally traumatic and artistically placed volume can have a tremendous impact on your appearance don’t let the fear of swelling or bruising stop you from enjoying the benefits of naturally full lips
I hope you found this information helpful thank you for your question
One major difference from other injectors is that Dr. Prasad uses blunt cannulas instead of needles when placing filler in the lips, which offer several advantages:
Restylane and Restylane-L – Restylane are Dr. Prasad’s preferred fillers over the years as they are softer hyaluronic acid fillers. The only difference between these two fillers is the addition of lidocaine in Restylane-L as a mild anesthetic for more patient comfort, although Dr. Prasad normally uses an injectable anesthetic during lip filler treatment. Results last about 6 months
Restylane Silk – is the first FDA-approved filler specifically for use in the lips, and the surrounding areas and surrounding wrinkles around the mouth (AKA smoker’s lines or perioral rhytids). Restylane Silk is also a softer hyaluronic acid filler, with added lidocaine to reduce pain during the procedure. Results last about 6 months.
Juvederm Ultra XC – a popular, long-lasting, yet soft hyaluronic acid filler for the lips. Dr. Prasad uses Juvederm Ultra XC to add body to the lips. Results last up to 9 months.
Juvederm Volbella – a newer hyaluronic acid filler also for lips. Volbella is a slightly thicker filler which Dr. Prasad feels is best used for finer points such as vertical lines around the mouth. Volbella lasts from 6 months up to a year.
What’s the best lip filler?
The desire to have more attractive lips makes billions of dollars for companies in the business of selling lipstick fuller lips are generally appreciated as desirable and youthful
However the most significant concern for anyone interested in lip volume enhancement who I see in my practice is the fear of looking like a duck
They often will tell me how they or someone they know got a particular product placed into their lips and that they ended up looking crazy which then leads to the next question what’s the best lip filler
I’ll discuss the products I use in my practice and why the question what’s the best lip filler is the wrong question to ask
I’m dr. Amiya Prasad I’m a board certified cosmetic surgeon and fellowship-trained oculofacial plastic and reconstructive surgeon
I’ve been in practice in New York City and Long Island for over 25 years throughout my career I have used a wide range of non-surgical and surgical procedures to enhance lips this includes the original collagen injections such as zai plastun zai derm as well as surgical implantation of fat as well as tissue harvested during facelift surgery called dismiss and as well as commercially processed human tissue that all changed after the introduction of hyaluronic acid fillers in the United States in the mid-2000s
Whether it’s for lips or any other area it’s important for consumers to understand that the producers of hyaluronic acid products are creating through advertising a perception of product as being more important than anything else this includes the qualifications of the person actually performing the procedure since the companies are not subject to any licensed professional standards they don’t care who uses their product
What only matters to them is for consumers to ask for their products by name this is a problem the general public looks for the product without understanding the more important details of who is actually doing the procedure this has turned out to be disastrous with so many avoidable complications resulting in disfigurement and even death from filler injection think about it when a disastrous event occurs the person experiencing the problem is no longer content to look for someone like the person who injected them but rather for the highest level physician or surgeon to save their face and even their life
As I stated earlier someone like myself who’s performed so many different live procedures both non surgically and surgically over 25 year career has a deeper understanding of what to do and more importantly what not to do then a nurse or a physician’s assistant that’s obvious
I approached lip filler placement by first hearing from my patient what bothers them the most about their lips or what they want to see enhanced or accentuated typically my patients who are experiencing normal age-related changes focus on vertical lip lines thin lips and downward turning of the outer corners my younger patients tend to focus mostly on lip volume and lip border accentuation the purpose of volume enhancement
I like the softer hyaluronic acid fillers hyaluronic acid fillers come in a range of essentially different levels of thickness for example I perform a cheek volume enhancement at the bone level using a unique technique to deliver the material and create significant improvement in cheek definition for this objective
I use thicker hyaluronic acid fillers such as Juvederm Ultra Plus and Juvederm voluma for lips are used softer hyaluronic acid fillers such as Restylane Restylane silk Juvederm Ultra XC and Juvederm variably these less viscous fillers that are preferred for the lips as their physical properties allow for more natural movement such as talking kissing and smiling generally the softer and less viscous
The filler the more the material can adapt to the constant facial movement but it also doesn’t lasts long in order to reduce the probability of complications
I approach non-surgical treatments like injectable fillers the same way I approach surgery may not have thought of this but as soon as the skin barrier is entered the treatment is invasive therefore subject to many of the same potential complications as surgery lip enhancement begins with planning and having a shared vision between the patient and the doctor for a desired result my style is to create balance with the other facial features
So lips look better but don’t look like they don’t match the rest of the face something worth mentioning is that a growing number of men are actually coming in and during an overall facial evaluation are recognizing that subtle lip volume correction can be natural and masculine social media platforms which are driven by attention and in particular shock to generate more attention have created in some ways a new aesthetic which is appealing for some people I’m not one of those people
I see too many younger people with the naturally full lips show themselves being injected and end up looking exaggerated a patient will ask why a particular celebrity who can afford the best doctor can have such large and artificial looking lips
I explained that it’s mainly because that the celebrity and their doctor share the same exaggerated aesthetic ideal in other people their lips look large and overdone due to the combination of choices the choice of material by the doctor a complication and of course choosing a low-cost medical provider who rushes to make up for money lost in discounters that’s particularly scary you really do end up getting what you pay for
I’ve always believed in every face having a unique character that should be preserved whenever any aesthetic procedure is performed there is a difference between enhancing or accenting and exaggerating this is why making a choice of doctor comes down to expertise and artistic style
I also believe in the importance of communication skills and empathy as an artist I tend to apply the golden ratio which is a proportion of 121.6 and it’s found in nature in many beautiful things the golden ratio notwithstanding I customize to ethnicity and my interpretation of an optimal balance as many patients request a less-is-more approach
I apply a conservative volume of filler for subtle enhancement I use cannulas and my objective is to minimize the times that the skin is poked to minimize bruising and swelling so that my patient can go back to their day without any issue this is in contrast to celebrity doctors on TV and social media who are perceived as experts who use multiple pokes through the lips to add filler it’s important to understand that every entry point of the needle through the lips is a possible risk of more bruising or lumpiness that requires additional recovery time or even potentially needing to dissolve the filler and redo the procedure as far as follow-up is concerned
I routinely see my patients in two weeks and determine with them if additional volume would be of benefit I feel it’s better to add later than to overfill and have to dissolve in fact most of my patients are people who come to me for years as opposed to the transaction driven medical retailers my patients and I have long-term relationships
I essentially become their primary care doctor for beauty and I help them understand if the latest injectable or device that they’ve heard about is potentially a value for them the popularity of lip fillers can create a false equivalency between the highest level physician and the injector with a social media account the take-home lesson is to be mindful of the commercial goals of companies selling fillers as well as the commercial goals of low quality medical retailers successful people throughout the world never pay more than they have to for anything when it comes to accomplishing something that they want in value successful people seek out experts whose time and attention ensures them having a greater chance to have successful outcomes
A highly qualified and experienced doctor can help you look your best while minimizing the risk of serious complications complications can occur in anyone’s hands but filler complications require quick and competent management by an expert
If you are on a plane you would want the most highly skilled and experienced pilot since a split-second judgment in a potentially disastrous event can have a tremendous impact on you and the people who care about you
I hope you found this information helpful thank you for your question[Music]
Vertical lines above the lips, AKA perioral lines or smoker’s lines, can be improved with thermal energy treatments like lasers and radiofrequency devices added to cosmetic fillers. Heating the skin to a target temperature can tighten the skin, and induce collagen as a response to the heat of the laser. Laser resurfacing for lip lines can be done in conjunction with a filler to restore lost volume in the area. The type of thermal energy treatment depends on the individual’s skin types, and the nature of lines they want to address. Fractional CO2, Nd:YAG, and Erbium lasers are Dr. Prasad’s choices for effective laser treatment for lighter skin, and for some darker skin types with proper exposure adjustments. Dr. Prasad prefers the Pellevé radiofrequency device for darker skin types. Whether laser or radiofrequency is used, more than one treatment session may be needed to achieve best results.
Additional collagen induction can also be achieved while minimizing exposure to lasers with platelet-rich plasma (PRP). PRP is the concentrated wound healing and growth factors derived by spinning your own drawn blood. PRP can induce collagen when injected into the perioral area with or without a hyaluronic acid filler for added volume, and can be used to supplement collagen induction between laser treatments.
Excess lip lines can appear when the lips are puckered, giving the mouth a more wrinkled appearance. The strategic placement of a neurotoxin like Botox® in the muscles of the upper and lower mouth called the depressor anguli oris can reduce the activity of this muscle group, so visible dynamic lines when puckering are reduced. With time, even the visible lines at rest decrease as the skin no longer wrinkles due to decreased muscle movement. It is crucial to have these vertical lines treated by an experienced doctor as the mouth is one area where excess Botox® placement can lead to temporary paralysis, slurred speech, and difficulty eating.
Uneven or crooked smiles, exposing too much teeth or gums when smiling, downturned lips, or permanent frowns can impact confidence, make someone uneasy about smiling, or convey the wrong feeling to others. Smiles can make a quick emotional bond faster than words, so they are an important part of how we communicate with others. When you are unhappy about the way you smile, it can impact personal relationships.
Correcting a smile is surprisingly easy and convenient for patients, although it does take some precision art from the doctor. A muscle responsible for smiling and downturning lips at corners of the mouth called the depressor anguli oris (DAO) can be manipulated with a neurotoxin such as Botox®, Dysport®, or Xeomin® to relax it so that the outer corners of the lip elevate. Injecting a neurotoxin to specific areas can help even out a crooked smile, elevate a downturned smile, or reveal less of the gums when smiling. Treatment takes a few minutes with an injectable like Botox®, and a follow up two weeks after treatment when the peak effects of the neurotoxin are seen. It’s at the two week point that the need for additional enhancement is determined by Dr. Prasad. As the effects of neurotoxins do wear off, regular maintenance is needed to retain the upturned position of the outer lips.
Covering excessively exposed teeth or gums when smiling may also be done with volume correction in areas where the lips are thinner than others, and reveal more of the mouth. This can be done with hyaluronic acid fillers placed at specific parts of the lip that have less volume than the rest of the lips, which can be determined by Dr. Prasad upon examination.
If you feel your lips can look their best through enhancement, contact us at (212) 265-8877 in our Manhattan location, or (516) 742-4636 at Garden City, Long Island, with phone lines accessible 24/7, or by filling out the contact form below, and we will get back to you.