Lip Enhancement with Fillers

Loss of lip fullness leaves individuals feeling like they look stern. We frequently address these wrinkles and loss of fullness by using an injectable filler (Restylane, Perlane, and Juvederm) to fill the lips back up. In this type of treatment, a small needle (about the size of an eyelash) is slid up underneath the wrinkle or into the lip. As the needle is withdrawn, the filler is injected under the skin. The filler is very similar to “Jell-O?”, and it is its jelly-like structure that plumps up the wrinkle to reduce its appearance.

These fillers are made of a substance called Hylauronic acid. It is a lab-made substance, which is similar to human collagen. It does not come from any animal, unlike ‘Collagen’ brand and no skin testing is required. It lasts four to seven months for most individuals. Some individuals prefer dramatic changes; others prefer subtle changes. The beauty of this type of treatment is that it is tailored to the client’s specific desires.  

Before, During and After Protocol

Before a treatment:

• Pre treat the wrinkles with a very thick application of freezing gel if there is no history of allergies. It is important to apply this freezing thickly - like a strip of toothpaste – one hour before the scheduled appointment.
• If lips are to be treated, one can try using the topical freezing; however, an injected freezing may be necessary.
• Bring along some cover-up makeup if desired.

During a treatment:

• The freezing gel will be removed.
• A cold air device or cold packs may be used for additional relief of discomfort.
• The needle will be placed into the wrinkle or lip and the filler injected.
• Redness overlying the wrinkle will develop immediately - make up can be applied after the treatment.
• Swelling overlying the treated wrinkle will develop and will persist for one to two days. If the lip border is treated, swelling will be more noticeable, and will persist for three to five days. If the pink of the lip is treated, swelling is often highly noticeable by the end of treatment, and will last for up to a full week. Cold packs may be used to reduce this swelling.
• Bruising is an uncommon development, but can happen during the treatment - make up can be used immediately after the treatment.

After a treatment:

• It is expected that the region will be red and swollen. Makeup may be used if desired.
• Cold packs may be used to address the swelling. Do not use ice.
• Handle the area gently for the first week, as it may be tender. Aggressive handling can result in swelling and displacing the filler.
• It is expected that the filler will be ‘feel-able’ under the skin. There may be a degree of irregularity that can be felt. However, the skin should appear smooth after the swelling goes down.
• If there is any ‘lumpiness’ to see after the swelling is gone, it can be simply and gently smoothed away with careful massage.
• If any difficulties arise, please contact the Spa immediately - we are here to help you.