Juvederm Lip Augmentation. Sarah tell me what you would like different about your lips?
I just want a little bit more fullness my bottom lip is kinda thin, when I smile it
disappears a little bit. A little more plumpy.
I think we should enhance the upper lip a little bit more than the lower lip and I believe
that the best choice of material is called Juvederm it is a type of filler called Hyaluronic
Acid it is used for Lip Augmentation. It lasts between six months and a year and a half on
an individual basis and I think you are going to get a nice result. Do you have any questions?
Are the injections going to hurt?
Well the material itself has a numbing medication in it, so we no longer have to use injections
to numb up the lips before we do it. We do however put an anesthetic cream that we leave
on for a few minute and we enhance it with ice compresses that serves two purposes: the
first purpose it to increase the numbness in the anesthesia and the second one is to
shrink the vessels to minimize any bruising. Everybody find it tolerable and there is no
need for any additional injections to numb up the lips.
Are they going to feel differently afterwords?
For the firs couple of days they are going to feel swollen but after a week they are
going to feel totally normal, you will not be able to feel the material in it, they will
feel just like your own lips.
How long is recovery, will I be able to wear makeup right away?
The recovery is extremely fast, I will give you the time table. I am going to ask you
to put ice compresses on your lips for the next couple of hours and then by this evening
you should be able to put makeup, lipstick what ever you like. The material will continue
to pick up water so it will actually look fuller and nicer tomorrow. There is obviously
some swelling from the injections itself, but you should be able to be out and about
later on this evening. The final result I would say you probable will reach in a week,
when the material picks up the water and the swelling comes down so that will be your final
end point but tonight you will be able to go out.
Ok, do you have time to do them today?
Absolutely! Lets go do this.
3-D Imaging. Ok Sarah I am going to have you look straight ahead, take a nice deep breath
in and out. Ok I am going to have you do the same thing with your moth slightly apart.
Maybe a lille bit more nice deep breath in and out. Good Job.
Now we are going to apply the anesthetic cream and you want to apply it to the outside first,
that is where we are going to do most of the injections but a little bit to the inside.
Then we are going to coat it well. The nice thing about this anesthetic cream is in your
lips is that the skin of the lips can absorb this very quickly. So we are going to enhance
this with ice. The ice is going to do to two things, its going to help with the anesthesia
and shrink the blood vessels so you have a minimized chance of bruising. You are going
to hold this ice back and try to keep it there as long as possible. I am going to get everything
ready for our injection and we are going to give this a couple of minutes.
Juvederm Lip Augmentation procedure. With each pass some anesthesia is released into
the tissues and it starts numbing up. Thats the lip line. I may add a little bit later.
I am going with the first bubble in the upper lip. The middle bubble , I am going to do
a little bit at a time and take a look at it.
The bubble is the enhancement of the lip itself. Then I get to move things around, because
it is a gel. I get to move it to where I want it, move it a little more to the side and
we'll come back to this side. We'll start with the lower lip lining.
Post-op Juvederm Lip Injection Augmentation Procedure. So how was it?
I was really impressed it did not hurt at all and I am really happy with how it went.
Ok lets take a look.
WOW! I love it! It looks so good! I really Love It!
Most important thing today is to keep ice compresses for the next couple of hours and
you are welcome to use any kind of make up. You are going to see some kind of swelling
that will get better. You might have a little bruising and it should all resolve in the
next few days.
Awesome! Thank you so much!
Very Good excellent we'll see you next week and we'll take a look at how it looks.
It have been two weeks now.
Has anyone noticed them?
Everybody has noticed them, everyone love them and commented on them positively. So
I am really happy.
Are you planning on doing this anytime in the future?
Yes I would definitely want to keep up with it, I love them I would never want them to
be the way they where before. I definitely will be doing it again.
Dr Manuel Pena - Board Certified Plastic Surgeon www.dr-pena.com www.pena-plasticsurgery.com
239-348-7362
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