Part 4 - Dermafiller Patient Resources

This page contains educational resources specific to the fillers and their uses. This page is not meant to diagnose or recommend. If you have any questions, please contact us at one our facilities. 


Lip Augmentation Techniques

Lip augmentation is a common procedure among patients of all ages. The request for lip augmentation can be for lips that pout or lips that are simply filler.  One of the most important steps that the health professional must do is to analyze the patients lips in conjunction with the proportions to the face.

Patients will typically have a lower lip that is larger than the upper lip. The outcome of the procedure should not give patients a larger upper lip. This can cause the proportions to be off. It is very important that this is communicated to patients as they may not, initially, understand the concept.  

During the analysis, the lips should be seen with a line that transects the upper lip. This allows the health professional to perform an analysis of the medial section which is also known as Cupid's bow. During the analysis, the health professional will be able to determine the amount of dermafiller in order to raise the area.

Another important area of typical asymmetry in the lips are the lateral edges of the lips. When performing lip augmentation procedures, this lateral edges might appear asymmetrical. Health professionals should consider that the asymmetry was already present and the lip augmentation procedure made it more noticeable. 

Health professionals should keep in mind that having lips that are too large may increase the depth of the nasolabial fold. Larger lips may make the patient's nose appear bigger. Finally, lips augmentation is recommended to be done in several appointments. 

The actual treatment of the lip is done by using the linear threading or serial puncture technique. The needle is inserted into the vermillion border of the lip at a 10 degree angle. The filler is injected into the lip at the same time the needle is being withdrawn. The outcome is that you get a nice even line across the lip. If lumps or gaps are present than massage and more filler will be needed. 

Treatment tips for health professionals

  • If the treated areas results in lumps, then the lip may need more massage to smooth out it out. 
  • If gaps are present after the treatment, then the lip will need more fillers and additional massage. 
  • If the dermafiller material goes above the lip, then too much material was injected to quickly and forced into the space. The health professional should go slower. 
  • If the corner of the lips are uneven, then the mouth of the patient may be naturally asymmetrical. The health professional may try to lift the side that is drooping by going around the "U."
  • If the cupid's bow is uneven, then this characteristic may be natural to the patients lip structure. Health professionals are advised not to try to fix this too much as it may become worse. 
  • If the nose looks to big, then the augmentation should be kept lateral rather than central.