FOURTH QUARTER 2007, VOLUME 21, NUMBER 1

Achieving the perfect pouty lips … your filler options

IN THIS ISSUE

Achieving the perfect pouty lips … your filler options

Controversies in facelift surgery, your options, what’s new, and what works for you

Ask the Surgeon / Health Tip / What’s New

Recapture your summer glow with a peel

We have all seen those full, gorgeous lips on Hollywood’s finest and wondered if our own lips might benefit from some plumping up. They would and you’d be surprised at how quick and easy it can be done. There are many choices available that will not only enhance your lips to luscious status, but also help smooth out unsightly lines around the lips. Keep reading for treatments and advantages to finally getting that perfect pout.

Injectable Fillers
Fillers are injected into your lips or the lip border with minimal pain, minor swelling, and little to no side effects. The results are immediate with no recovery time. Typically, fillers are derived from collagen, hyaluronic acid, or synthetic material. The results are temporary, with duration depending on the substance.

Collagen has been used for more than 20 years to treat wrinkles and scars. It is an animal derivative (bovine dermal collagen) and can be injected into the border of the lips to achieve fuller-looking lips and softened vertical wrinkles. A skin test should be performed before using to ensure that you are not allergic to the bovine dermal collagen. Results last between three and five months.

Human derived collagen (from the dermis or second layer of skin) can be purified and made into an injectable liquid. The results are similar to collagen, but may last up to six months.

Hyaluronic acid, e.g., Restylane® and Juvederm®, is a biodegradable, yet long-lasting injectable agent that works with the body’s own hyaluronic acid and creates volume. Results can last six to nine months.

Synthetic material, such as Radiesse®, offers results that may last between two to five years. The substance is made from synthetic calcium composite; therefore, no allergy testing is necessary. Radiesse keeps its cream-like texture throughout its life after injection. Sculptra® is made of synthetic polylactic acid contained in microspheres; it restores volume and may last up to two years.

Surgical Procedures
There are many kinds of synthetic implants, e.g., Advanta®. This is a biocompatible material that is surgically inserted from the corners of the inside of the lips. A few tiny stitches are made, with mild swelling for three to five days. Unlike the injectable fillers mentioned, the results are permanent and the cost is higher.

Alloderm® is processed human tissue and is surgically placed like Gortex. The results typically diminish after six to 12 months. Although solid or semi-solid materials are more invasive than injectables, they offer a longerlasting enhancement of the lips.

Another procedure is the lip lift, which shortens the distance between the bottom of the nose and the top of the upper lip to give the appearance of greater fullness. An incision is made in the upper lip that follows the lip line (Cupid’s bow). Some of the skin is removed and the lip is lifted to create a fuller look with more pout.

Talk with your facial plastic surgeon. You can discuss what treatment would be best for you. Before you know it, your lips will be luscious, full and trendy!