![]() Particularly challenging are the cases where the upper lip has suffered great deflation, or perhaps was never large to begin with, and appears to have fallen into the oral cavity. Many of these patients have structural defects that need rebuilding, such as effaced philtral columns, a flattened or non-existent Cupid’s bow, and missing Glogau-Klein (GK) points. Group one comprises middle-aged or older patients who are looking to restore lost volume and create a “stop” at the vermillion-cutaneous border where lipstick bleeds onto the skin. Women who seek out lip augmentation can be loosely divided into two groups. To frame the discussion, let’s first discuss the typical presenting lip issues. But as long as you respect the fundamental practices of lip fillers, your augmentations won’t scream “Made in the USA!” I’ve seen many lips that, despite their seemingly large size, are difficult to determine if they’ve been augmented or not. To say that over-inflation is the core problem is counterfactual. Or second, otherwise well-intentioned practitioners don’t fully appreciate the detailed anatomy of the lips and perioral area. ![]() The first is pressure from patients who actually desire unnatural looking lips. There are two ways artificial looking lips are making their way into society. Personally, I think the only sure way to persuade them is by showing them successful before and after pictures. When patients believe that all lip filler treatments are obvious, it’s pretty hard to change their perception. But try telling that to your average 45-year-old patient who thinks otherwise. Skillful augmentations look natural, so basically they’re invisible. What’s difficult to explain is that in real life it’s not possible to “see” a good lip job. The unfortunate thing is that the lay public actually doesn’t know better, and many won’t seek treatment based on what they see walking around. ![]() Barely a day goes by without a media report of another celebrity’s “bad lip fillers.” If you didn’t know better, you’d think that all lip jobs look fake. ![]()
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