Today: lip filler does it have to end up looking like a sausage or is that
optional? Okay guys I'm here today to talk to you about lip filler. I get all
kinds of requests in the clinic mainly from people who want to have a little
bit of something done but they don't want to wind up looking overfilled,
thinking sort of Kylie Jenner or Nicole Kidman in that particularly awkward
period. Someone like Angelina Jolie has got a really full pair of lips but the
anatomy of the lip has been well respected so it hasn't just ended up
like a big overstuffed sausage. And what about more under-the-radar celebrities
like Ellie Goulding for example, who's also recently being spotted with maybe
just a touch of extra jazz in the lip so how do we make sure that we are ending
up with something that looks really really natural and isn't stiff and
doesn't look like a just a couple of worms on a plate? Well it all depends on
how the product is put into the lip and really what you've started with in the
first place. So it used to be that back in the day we
would just just inject a whole bunch of product directly into maybe the body of
the lip right here, or just around the edge of the lip the Vermilion border, but
techniques have really changed since then and products have really changed as
well. So if you did want something that is barely detectable you can have that.
If you want something which is more of a fuller look, you can have that too.
It's my preference to try and steer away from things that maybe don't look so
anatomically correct but hey if that's your preference go for it. I always use a
hyaluronic acid filler in the lip and the reason for that is for safety, so you
know with a hyaluronic acid filler you can dissolve it if there's a problem
with it so if you wind up getting a little bump
or if God forbid there's some kind of vascular problem you just inject an
enzyme and the filler is gone even if you don't like it it's gone boom away. You
can't do that with the semi-permanent or permanent options, like I don't even
remember but maybe five to ten years ago a lot of people were having lip implants
placed and obviously the issue with that is once it's in there
you can't just inject an enzyme and get it out if you didn't like it. Let's just
have a look at a couple that I've done for the channel this patient came in
having had her lips augmented previously probably about six weeks ago and we
didn't really like the shape so we decided we were going to dissolve it if
you had a great shape anyway so we just injected an enzyme in there and you can
see it's pretty much gone afterwards. Men sometimes have lip filler
done too, I didn't particularly like the look of his so we again dissolved the
old filler and you can see here, here's the filler all gone. We then added some
more because he wanted to have a little bit more of a pout so we went ahead and
refilled the area. In terms of methods to augment the lip there are loads out
there. So most people will use just a needle they will put the needle in the
lip and then inject the filler as they're coming out and the common areas
to do that will be the Vermilion border which is around the outside of the lip
or sometimes they will inject directly into the body of the lip. You may even
have seen a technique called Lipton tea which is where the injections are placed
straight down like this and injected as they're coming out. Let me show you some
examples of how I like to do it so first of all this is me using a cannula. Now it
looks really weird when you use a cannula in the lip it looks like it
would be super painful but actually if you inject the product you're going in
and the filler will push out of the way the tissues
and it really takes the edge off the whole thing. I never use any cream or
that's topical anesthetic cream or injections when I'm doing lip fillers I
just do it all plain without. So it really depends on how the how the filler
is done as to whether or not it's particularly painful or not. Let's go and
have a look at a patient who's had lip augmentation done with a cannula. You
would really use cannula when you're trying to make the lip a little bit
wider so this is particularly useful in the upper lip you don't have to do it on
both sides. If someone's got a lot of asymmetry in the lip you can just add
product on one side where you're trying to lift it up slightly but using cannula
is suitable for both the bottom and the top lip. The next thing that I'd like to
show you is micro doses so this is where I swap out the needle and I use a really
really tiny little needle all the way along the border of the lip in little
tiny bonuses of product. And the point of this is so that we can flip open the lip
a little bit more. The reason that I like this particular technique is because
gives you a really really natural result and it helps to preserve the anatomy of
the lip as it was before you had the filler done, so no sausage looks here. You
can also use this technique to augment what's called the Glogau Klein point
which is the very very top bit of the Cupid's bow right there on each side and
that looks quite pretty. The classic way of doing in lip augmentation as I
mentioned is to inject the Vermilion border on this patient you can see that
I am injecting the Vermilion border but I am doing it in such a way that I'm not
going to inject all the way around the outside of the lip because that just
looks really weird so we've done the upper part of the Vermilion border and
now I'm going to go on to the lower lip and really just emphasize the middle
third that's the important area on a lip. So
it's the middle third of the lip should be the most full part the whole thing
and it should be in line with the distance in between the eyes so if you
measure this distance here that should be where the fullest part is of the
lower lip and that's the area that you really want to augment. The width of the
mouth should be the phi of this distance in between the eyes.
So remember I was telling you about golden ratios and earlier videos, well
that's it there. If you look at someone's lips like Angelina Jolie you can see
that she's got what we call tubercles in the lip these are naturally more full
sections. So you'll have two on the lower lip here and here and then there's one
in the middle right there and that's how you can keep a lip looking much more natural. So when
we're doing the lip augmentation it's really important that on some people we
maintain those tubercles. You can see that here I'm injecting into the
tubercle in the upper lip vertically straight down actually this is quite
interesting because if you've seen some videos on lip tenting which is where
somebody will go vertically into the lip from the outside the problem with that
is you don't know where the artery is inside the lip so you're just kind of
guessing. It's much safer if when you're doing this you inject all the way
through to just inside the lip here. And now that sounds mad but what I like to
do is I put my finger here and then inject down like that and then I like to
just feel where the outline of the needle is and then you know that there's
no blood vessel between the needle and the skin so it's much
safer to do it that way rather than just blindly injecting into the body of the
lip. You can also turn up the corner of the lip by injecting the commisure here
on both sides and that's something that we will probably do as standard.
When you are looking at the lip injection it's important to have a look
at the whole area. So if somebody doesn't really have very much of a chin or if
their chin is very depressed or they've got a big line across here it's normally
quite important to treat this whole area first because the way this looks will
inform how the lip looks. Ok so that's it for this week don't forget to let me
know in the comments section below whether you've had a lip augmentation
done, or if you're thinking about having one done. Come back next week for more of
the same and in the meantime don't forget to Like comment and subscribe!