Lip Augmentation ("Cheiloplasty")
Lip augmentation is a commonly requested cosmetic procedure. Many women now desire the full lip look, also called the "Paris look" which is common in Hollywood. Although all lips have an area of natural fullness, the look that is considered attractive has a very specific shape. An attractive lip is generally defined as a centrally full lip with slightly less volume toward the lateral edge of the mouth. Attention is paid to these details when restoring the lips.
PROCEDURE LOCATIONLip augmentation is performed as an outpatient procedure under regional anesthesia in office based treatment rooms or surgical facilities.
CONTRAINDICATIONS (some may be relative)
Prior to any surgical procedure, it is important to take appropriate preparations to increase safety, and maximize the benefits of the procedure. First, patients should not take anti-inflammatory drugs such as Aspirin®, Motrin®, Ibuprophen, or Advil®, due to their effects on the body's blood clotting, for at least two weeks prior to surgery. Tylenol ES®, is a painkiller that can be used for those who suffer from chronic pain. Any use of herbal supplements or other alternative medicine should be discussed with your surgeon. Finally, alcohol should be avoided for at least a week prior to the surgery date.
* All products listed above have been used for lip augmentation and may not be the filler medium of choice in all cases.
Fat grafting of the lip ("lipo-sculpturing" or "structural fat grafting") is one of the best methods of maintaining a permanent full and soft lip. It is also widely used as it is well tolerated.
Lip augmentation or rejuvenation with Restylane®, Juvederm®, or other temporary soft tissue filler is performed by a smooth threading injection below the muscle of the lip to camouflage the filler. Superficial filling below the smooth outer surface of the lip may result in discoloration. Typically Restylane volumes of 0.5 to 1.0 cc per lip provide excellent results. Often, the addition of a larger molecule and more permanent fillers along the lip margin (like Perlane®) allows for greater definition of the lips white roll. This provides better visual effect in more comprehensive lip rejuvenation.
Care must be taken to avoid facial expressions as much as possible in the days immediately following procedure. Post-operative swelling and discomfort are considered normal for 3 to 5 days following treatment. Oral antihistamines such as Claratin, and ice packs can reduce this to a manageable level.
The use of temporary fillers for lip augmentation can be very desirable as there is little to no down time. Final lip shape and volume should be seen at 3-5 days post treatment assuming there is little residual bruising.
Any cosmetic procedure carries risks. Although these risks are uncommon, it is important that they are discussed between the patient and physician. Some potential risks are listed in the table below. For a more detailed discussion on expected results, recovery, and specific complications, please see your individual physician or surgeon.
WHAT TO EXPECT
Patient satisfaction with this procedure is extremely high.
Lip augmentation surgery is considered to be elective, and is not covered under the Canadian Medical Services Plan. The final cost of the procedure is at the discretion of the physician or performing surgeon, and is partially determined by the medium that is used for the filling.
This website does not cover all medical knowledge related to lip augmentation nor does it deal with all possible risks and complications of treatments to the lips. Although it is designed to provide the patient with greater depth of information in some areas, it is not intended to substitute for the in depth discussion between patient and clinician that must occur prior to any cosmetic procedure.
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