Injecting lips – this is what you should pay attention!

Lips are as diverse as faces: there are full or narrow lips, a larger upper or lower lip, corners of the mouth that point up or down. What can you do if you are unhappy with your lip shape? How safe is it to have lip injections?

“First of all, it is important to assess what is causing the lip shape,” explains Dr. Mustafa Narwan. Is the shape natural or are they changes that occur with age? Lips can be genetically narrow, but narrow lips can also be due to a loss of volume with age. You can get more volume by having your lips injected. Read more in the PODCAST interview with plastic aesthetic surgeon Dr. Mustafa Narwan.

What are the natural lip shapes?

There are studies that show: When the ratio of the upper and lower lip is 1 to 1.6, that is, when the lower lip is slightly more voluminous, lips are perceived as aesthetically beautiful. Nevertheless, there is no fixed rule. Every woman, every man has their own idea of perfect lips – and so there is no one lip treatment that fits all. More important is the holistic view of the doctor on a harmonious overall picture.

How does the shape of the lips change with age?

From around the age of 20, hyaluronic acid is produced more slowly and collagen is broken down – including in the lip. As a result, fat and moisture can no longer be stored as well as they are in youth. Due to the loss of volume and moisture, the general lip volume decreases and delicate pleated lip lines appear. They are radiating above and below the edge of the lip, but fine vertical lines can also become visible on the lip itself.

In addition, the cupid’s bow, also called the heart of the lip, appears flattened and the philtrum, the fine groove between the upper lip and nose, becomes longer due to the loss of volume. The loss of volume and moisture in the skin further causes the tissue in the lower half of the face to sag – making the marionette lines between the corner of the mouth and chin more pronounced. This is all a completely natural process, which can, however, be decisively influenced by the individual lifestyle: Too little UV protection or smoking can cause the skin and lips to age prematurely.

Why is hyaluronic acid so good forto inject lips?

Hyaluronic acid is a natural component of the skin and connective tissue and acts as a water reservoir. So a hyaluronic acid-based filler can not only add volume, but increase skin hydration and often reduce dryness symptoms such as ridging. The lips therefore appear fuller and smoother after treatment. Another advantage is that treatment with hyaluronic acid-based fillers is minimally invasive and involves virtually no downtime. Nevertheless, patients are informed about potential side effects before each treatment.

Lip injections – what fillers are available?

Lip injections can be used, for example, to create more lip fullness and improve the naturally curved lip contour. The filler Juvéderm® Volift®, which can be injected into the dermis and lip mucosa, is particularly suitable for this purpose. More lip volume is usually desired by younger patients who would like to make their naturally narrow lips appear more voluminous and sensual. When patients desire a subtle change with more definition and smoothness, the doctor can soften fine lines to smooth the lips. Here, I work with Juvéderm® Volite™ filler, which can be injected into the mid dermis. Filler treatment can be used to fill the wrinkles around the mouth, i.e. pleated, nasolabial or marionette lines. This treatment is especially suitable for middle-aged and older patients, who mainly want to compensate for age-related appearances and freshen up their face a bit. As a result, not only the lips, but the entire face can look fresher and friendlier. Basically, the specialist can respond to many individual wishes of patients and usually achieve various aesthetic results.

What should patients pay attention to when it comes to lip injections?

Choosing the right doctor is critical. The lip region is extremely sensitive and anatomically complex. Therefore, lip injections should only be performed by a dermatology or plastic and cosmetic surgery specialist who is trained to treat with fillers. A good doctor will clarify in a consultation what patients want, what treatment they actually need and what results can be expected to protect patients from unrealistic expectations. When treating the lips, one session is usually enough, but in some cases patients may want to get used to the change gradually. It is important that the consultation and treatment are documented, including photographs, and that a patient passport is provided afterwards.