Lip filler aims to support lip volume, proportion and border. The goal is not to enlarge the lips disproportionately but to give a measured, balanced look that fits the person's features. The lips are one of the most looked at parts of the face, so even small amounts make a visible difference and judgement about quantity matters just as much as technique.
What is assessed in the lips
Lips are not only about volume. The ratio between the upper and lower lip, how defined the border is, the shape of the philtral columns, the direction of the mouth corners and how much tooth shows when you smile are all considered together. With age the upper lip thins and lengthens, the border blurs and the corners turn downward. In other people the lips are simply naturally thin or asymmetric.
Which areas are addressed
- The body of the upper and lower lip, for volume and proportion
- The lip border, for definition and gentle eversion
- The philtral columns and the peaks of the cupid's bow
- Downturned mouth corners when needed
Who it suits, and who needs closer assessment
It is considered for people who want more lip volume, a clearer border, better balance between the two lips, or support for lips that have thinned with age. Treatment is postponed if there is an active cold sore, and a preventive approach may be planned for people who get them frequently. It is not performed during pregnancy and breastfeeding, with an infection in the area, or in bleeding disorders. The plan is entirely different in people who have had permanent filler in the lips. Suitability is determined by a medical examination.
How the session proceeds
Your lip structure, proportion and expectations are discussed and a realistic goal is agreed together. The skin and lips are cleaned, a topical anaesthetic cream is applied and given time to work. A soft hyaluronic acid filler is then placed in small amounts with a fine needle or cannula, balanced across both lips. A mirror can be offered part way through so you can see the progress. Some swelling at the end of the session is normal. The procedure is completed in an outpatient setting.
Onset and duration of the effect
The change is visible immediately, though swelling in the first days can make the lips look fuller than they really are. The final look usually settles within a few days. Duration depends on the product, the amount and the individual; because the lips are constantly in motion, product tends to fade faster here than in other areas. Results vary from person to person.
Aftercare
- Avoid very hot and very spicy food in the first days.
- Do not rub or press the lips, and try not to drink through a straw.
- Stay away from saunas, steam rooms and intense exercise for a few days.
- Skip lip makeup on the day of the treatment.
- A cold compress may be used for swelling on your doctor's advice.
- Contact the clinic if you notice unexpected pain, blanching or a colour change.
Points that are often confused
There is a direct relationship between a natural look and the amount used. A conservative treatment that respects the border and the proportions gives a result most people cannot identify but can see the effect of. The exaggerated looks seen on social media are usually the product of repeated, high volume treatment. It is also worth knowing that lip filler alone may not resolve fine lines around the mouth; other approaches are discussed together in that case. Swelling in the first days is temporary and does not represent the final result.
If this is your first lip treatment
Setting the bar low for a first treatment is almost always the better idea. Starting with a small amount lets you see how the result sits on your face and leaves room to complete it at a second session. Taking product back out is far more troublesome than adding a little more. For most people, defining the lip border and adjusting the ratio between the two lips is enough of a starting point. Not rushing is one of the strongest predictors of long term satisfaction in this area.
Useful things to know before the visit
Please tell us about the medications you take, especially blood thinning drugs and supplements, your history of cold sores, any known allergies and every treatment your lips have had before. If you have an important event coming up, arranging the treatment at least a week beforehand makes for a more comfortable process.