Technique for placing lip filler. Contraindications for lip augmentation with filler (lipofilling): before and after photos. Necessary safety during the procedure

The first rule that must be observed by those wishing to inject fillers into the lips is the right choice of place and doctor. The clinic must have a license for cosmetology activities. Doctor - a certificate from the manufacturer confirming that the specialist has been trained to work with this product. And finally, you can inject fillers into your lips only when you are convinced that this drug has been used in the world for a long time and is registered and approved for use in the Russian Federation. It is worth asking the doctor how long ago and how often he has been performing lip correction. If he has been practicing lip filler injections daily for several years, he can be trusted.

Preparations for lip correction

Recently, several new drugs for correction and lip augmentation have appeared on the Russian market, inferior in price to the most common ones. For example, Dermaviscease, PerfecthaDerm, Amaline, Glytone. But the most reasonable thing would still be to use the most well-known and proven products, since the maximum number of specialists around the world work with them, which means there is wide usage statistics, possible complications when correcting lips and methods of dealing with them. Although, if a doctor at a reputable clinic actively and successfully uses some relatively new drug certified in Russia, it may make sense to try it. For example, the French filler Glytone contains the antioxidant mannitol, which is designed to prolong the safety of the injected gel. Mannitol in this case does not act as an antioxidant for the skin, but as a “preservative” for a longer, prolonged action of HA in the skin.

Problems and solutions for lip correction

However, leading clinics still give preference to certain drugs: Restylane, Surgiderm, Juvederm, Teosyal, Perlane, Princess, Belotero. The choice of filler is determined by the doctor and depends on the goals - one or another gel solves its problem. For example, lip augmentation with Restylane Lipp filler is quite popular. Juvederm and Surgiderm will provide a clear contour due to their higher content of hyaluronic acid. Often, the doctor uses variations of the same filler of different densities in order to achieve the desired result. An example is this combination - a dense gel for contour and a softer filler to enlarge the lips and make them look natural. The last factor is very important and it depends on professionalism in the selection and administration of drugs.

The procedure and consequences of lip filler injection

Many people find injections into this area too painful, so anesthesia is used. This could be a numbing cream or more serious measure– conduction anesthesia, that is, an injection into the gum, as before dental work.

The effect of lip correction is visible immediately, but the result can only be assessed after two weeks, when it is completely swelling will subside. The lips can often look scary at first, which is made worse by swelling in the area between the nose and upper lip. But gradually the swelling goes away. After two weeks, the patient comes for an examination in order to understand whether lip correction will be required. It may be needed if during the first procedure it was not possible to completely correct the asymmetry; sometimes patients ask for additional lip augmentation with filler. Secondary injection of filler is done 2-4 weeks after the first procedure. Typically, 0.8–1 ml of gel is sufficient for one procedure, depending on the characteristics of the filler itself and the tasks to be solved. But the maximum amount of gel administered in one procedure is 2 ml. The insertion technique depends on the lips and the correction required.

Of course, side effects also happen. Rarely, there may be excessive swelling, pigmentation, bruising, erythema on and around the lips, or gel migration. If such manifestations do not go away within 2 weeks after lip correction, you will need the help of a doctor. If extensive and persistent swelling has formed, they resort to ultrasound - it can be reduced in a few procedures. It is also possible to form lumps, which usually go away with self-massage. According to statistics, seals disappear spontaneously within two weeks in 90% of cases. If the nodules remain, they are eliminated using injections of the enzyme hyaluronidase or the drug longidase, which breaks down hyaluronic acid. With the help of several such procedures for introducing fillers into the lips, you can completely dissolve the entire gel in a few days, if you absolutely do not like the effect. These drugs, like fillers, have contraindications, we will talk about them below.

After the procedure, you need to avoid kissing, minimize articulation, apply ice for a day, rinse your mouth with a saline solution for several days, and use antibacterial products for a week. local medications As prescribed by your doctor, protect your lips from the sun for two weeks.

It is very difficult to answer the most frequently asked question about how long the effect of lip augmentation with filler will last. It all depends on the characteristics of the body. On average, the figure given is 6 months. Sometimes there are fewer - only 4, but it happens that the lips retain their new volume for up to a year. Do not forget that the lips are constantly in motion, and this factor also contributes to the resorption of the gel. Some people unreasonably fear that after the gel dissolves, the lips will remain stretched. This is nothing more than a myth - the lips will return to their original state and size.

About contraindications to the use of hyaluronic acid fillers:

• injection of lip fillers is prohibited for persons under 18 years of age (only with parental consent)
• individual intolerance
• autoimmune diseases
• diabetes
• herpes during an exacerbation. If herpes is in remission, you need to take Acyclovir for several days before and after the procedure.
• pregnancy, lactation
• arthritis
• if the filler has not completely resolved, you can inject a different brand of gel into your lips, only if it is based on hyaluronic acid

Contraindications to and longidase:

• acute infectious and inflammatory diseases
• pregnancy and lactation
• taking estrogen

There may be an allergy to these drugs, and infiltrates may occur at the injection site. An allergic reaction test is recommended before use. In addition, the doctor must know the rules for working with hyaluronidase and longidase. The cost of one procedure for introducing fillers into the lips is about 1500 rubles.

As for the cost of fillers, the price range is quite wide: from 10 thousand rubles for a syringe with a 1 ml volume of the drug.

It also happens that the price includes a consultation with a specialist. In any case, if you decide to undergo the procedure, keep in mind that lip augmentation with fillers will generally cost you about 15 thousand rubles.

Lip augmentation using contouring is the most popular beauty procedure. Clinics and medical centers vied with each other to offer “the smile of Mona Lisa,” “ french lips» and "sexy lips".

Indeed, the procedure takes literally 40 minutes, makes the face sensual, rejuvenates and beautifies. Injecting filler into the lips allows you to restore the youthful fullness and clear contour of the lips that were lost with age, make thin lips more expressive, and remove wrinkles around the lips.

At first glance, the scheme is very simple: a small amount of a substance is injected into the lips, which, when it gets under the skin, begins to hold water molecules around itself, as a result of which the lips puff up, become juicy and seductive. Beauty! You inject the drug and expect a wonderful result.

But only on one condition. The procedure must be performed by a professional of the highest class. Contour plastic face and lips it just seems like a simple matter. Practice shows that otherwise the result will please only your worst enemies.

We are in medical center For many years now, Platinental has been engaged not only in beautiful contour plastic surgery lips People turn to us every day to correct other people's mistakes. Today we are sharing this “black list” in the hope that it will save you from disappointment and tears due to a thoughtless choice of doctor and drug.

Lip contouring with filler. Performed by a dermatocosmetologist.

Lip contouring. Performed by a dermatocosmetologist .

Lip contouring. Performed .

Hit parade of horror stories for adult girls

So, here are the most common problems that result from unsuccessfully performed labiaplasty.

1. Lips turn out to be larger than you wanted

Did you dream of Angelina Jolie's plump lips, but got Pamela Anderson's lips? Alas, you have been given an excessive amount of gel.

Amanda Lepore, freak. “Pumped” lips look approximately the same on all types of faces - too unnatural to take their owner seriously.

If this is a modern drug based on hyaluronic acid, then you shouldn’t be too upset. Within a year, hyaluronic acid will dissolve on its own, and the lips will return to their natural shape. However, if the image of a “Malibu lifeguard” is not to your taste, come. Using special Spanish enzymes, we will delicately eliminate excess drug, maintaining the volume in the right places.

2. The harmonious proportions of the face are disrupted

A very common mistake. To see this, watch the opening of any film festival or other event where the elite gather. Most older actresses undergo lip contouring – this is a fact.

For one actress, “pumped” lips are perceived separately from the face as something completely foreign. And for some, the correction is completely invisible - for example, Dame Moore. She always had string lips. And now they do not stand out on the face with their fullness. But look how perfectly they harmonize with the rest of the facial features.

Dame Moore is one of the few who does not “pump” her naturally thin lips. Despite the use of contouring, her lips look natural and youthful. Perhaps this best example good taste of the cosmetologist and his patient.

If, unlike Damie, you made a mistake, it makes sense to correct it and return your lips to a proportional appearance.

If the harmony of features is disturbed, the face is not perceived as beautiful. In order to avoid the effect of someone else's lips, a contour plastic specialist needs to know in detail the structure of the face and its proportions, the laws of harmony, and also take into account several dozen features of the structure of the lips themselves, their age, balance in the upper and lower lips, their symmetry with the left and right sides

For example, at Platinental we use 13 criteria to create an irresistible smile. All of them are carefully taken into account each time before the procedure - individually for each patient.

Adequacy test: do you still think extreme lip size is beautiful?

3. Violation of the correct lip volumes

Lips seem beautiful to us not when they are simply equally large, but when they meet certain criteria. It is very important that the lower lip in profile is fuller than the upper lip.

If this is not so, then there is no need to talk about beauty. And here it doesn’t matter: they are the same or upper lip plumper than the bottom one. The ideal ratio of the size of the upper and lower lip is 1/3 to 2/3. This is the golden ratio, which was described in his works by Leonardo Da Vinci and which every self-respecting contouring specialist strives for in his works.

4. Destruction of the delicate anatomy of the lips

When a child draws a beautiful princess, he most often carefully draws her lips with a heart: the top one is in the shape of a bow, the bottom one is plump. A child will never draw two identical sausages instead of lips for a princess. And he's absolutely right.

The upper lip in humans has complex structure. It must have a vertical groove (filtrum). At the junction with the red border, the philtrum forms a labial tubercle. The two smoothly curved ridges of skin along the edges of the groove are called columns of the philtrum.

The border between the skin and the red border of the lips is usually curved like a bow. The romantically minded ancient Greeks, famous connoisseurs of beauty, compared lip shape beauties with Cupid's bow, and this name has survived to this day. There is also a Cupid's arch - the central part of the upper lip.

In order for lips to be beautiful, all this delicate anatomy must be carefully preserved. If, during contouring, an excess of the drug is injected, then the natural contours of the lips disappear - and we see just two plump pancakes, which can delight only a hungry person.

Beautiful lips are:

• A clearly defined Cupid's bow.
• Clear columns of the filtrum.
• Clearly defined red border of the lips, emphasizing the curves.
• Smooth skin between the nose and upper lip.
• The distance from the base of the nose to the upper lip is less than 2 cm.
• The Mona Lisa fold (a smile hidden in the corners of the lips) even at rest.
• The lower lip is 1.5 times fuller than the upper lip.
• The most protruding point in the profile of the upper lip projects forward relative to a similar point on the lower lip.
• The angle between the upper and lower lips at rest is clearly visible.
• Ricketts' line (Riccets E-line) is a straight line that runs from the tip of the nose to the protruding point of the chin, at a distance of 4 mm from the upper lip and 2 mm from the lower lip.
• At rest, the upper lip slightly opens the tips of the teeth.

As you can see, beauty has many parameters and subtle nuances. And if you evaluate the beauty of lips by only one of them - size - this clearly betrays provincialism. Wearing “dumplings” on your face is as bad manners as appearing in public with extended and painted nails.

5. Lip eversion

If excess filler was injected from the lip mucosa, there is a risk of lip eversion. In this case, the inner mucous surface of the lips becomes visible, which should only come into contact with the teeth.

Jackie Stallone is the famous mother of her son, Sylvester Stallone. Eversion of the lips as a result of the injection of an excessive amount of artificial gel.

Try doing this procedure in front of a mirror - turn your lip out a little. Do you see? The shade of the mucous membrane is light, it differs from bright color lips Therefore, any inversion is very noticeable. In this case, it is hardly possible to talk about the beauty of lips. But the beauty here is not even the worst thing.

The everted mucosa is not intended for contact with air. As it dries, it becomes covered with cracks that become inflamed. If nothing is done, stomatitis (inflammation of the entire oral cavity) and cheilitis (inflammation and severe peeling of the lips) develop.

6. Asymmetry

If not the same amount of drug is injected into the lips, then asymmetry occurs: for example, Right side the upper lip becomes larger than the left. This is one of the common mistakes when unprofessional plastic surgery is performed.

Pamela's bewitching charm and open smile make this defect not obvious. However, there is a clear asymmetry of Pam's lips, which appeared after their enlargement.

7. Duck Mouth

Famous " duck mouth“This is also the result of a medical error. It appears when at a young age an excessive amount of the drug is injected into the skin of the upper lip.

As a result, the gel partially migrates, the upper lip swells, becomes longer, and truly begins to resemble a duck's beak.

“Before” and 2 weeks “after” removal of the biopolymer from the lips. Surgeon: Iskornev A.A.

Before and after photos of duck lips correction surgery.

Lip reduction, removal of silicone from lips. Surgeon: Andrey Iskornev.

8. Drooping corners of the lips

"One wrong move and you're a father." The same phrase very accurately conveys the features of contour plastic surgery. Two wrong movements with a syringe in the corners of your lips - and you literally become 10 years older in 30 seconds.

Have you ever wondered why celebrities constantly smile? Perhaps only Victoria Beckham allows herself to walk along the Red carpet without smiling.

In addition to demonstrating friendliness, a smile helps very well to hide the corners of the lips and low cheekbones that have drooped with age.

This is not an exaggeration. One of the clearest signs of a “woman over 40” is drooping corners of the mouth. This facial expression has nothing to do with a bad mood. Drooping lips are as obvious a sign of age as nasolabial folds and bags under the eyes.

But unlike a bad contouring specialist, good specialist will make every effort to lift the corners of your lips. Like this:

A good doctor will definitely make your face more attractive by turning the corners of your lips upward.

With superficial and uneven introduction of the gel at the border of the red border and mucous membrane, it leads to the appearance of a wavy edge of the lips.

10. Inflammation

Inflammation on the lips can occur if sterility rules are not followed during and after the procedure.

However, the doctor is not always to blame for this problem. Very often, patients ignore care recommendations and do not follow the regimen prescribed by the doctor. Lips after contouring are easily affected negatively Sun rays, too hot air in baths and saunas, non-compliance with hygiene rules.

11. Lip deformation

If earlier we talked exclusively about the unprofessionalism of the doctor, now is the time to remind you that “not all yoghurts are equally healthy,” and filler is different from filler.

There are a number of problems associated with administering the wrong drug. Permanent fillers (PAGE and silicone-based gels) do not dissolve. It would seem that one can only dream about this. What's better than beautiful lips for life? But in reality, everything turns out to be far from the case.

Once under the skin, permanent fillers over time:

• migrate, which leads to lip deformation,
• cause inflammation and swelling,
• lead to the formation scars,
• come into conflict both with each other and with the tissues of the body, which is fraught with very dire consequences.

We wholeheartedly advise you not to experiment with your own health with dubious cosmetologists. Low prices drugs should not please, but alert: no one will work at a loss, so what are we saving on? Most often, unfortunately, it is on the qualifications of doctors and medications. And then the question, how much does lip contouring cost, turns into the question: how can I live with what was done to me, and how much does it cost to fix everything?

We correct the consequences of unsuccessful contouring every day:

We do it every day ,

We excise granulomas and oleomas,

Modeling the shape of the lips

We carry out lip plastic surgery,

Excising scar tissue

Using special Spanish enzymes we remove excess filler,

How to make lips plump with a natural effect and without harm to health? Use lip fillers. These are the drugs that are chosen by girls and women who strive for perfect shapes and curves. Fillers are cosmetic products in the form of a plastic gel that are injected under the skin, filling the right places volume and correcting problem areas by long time. What you need to know about fillers before the procedure, which filler to choose and how to care for your lips to avoid complications.

Indications for use

Filler placement is permitted for persons over 18 years of age.

Drugs are prescribed in situations where:

• you need to get the volume;
• it is necessary to remove irregularities, scars, scars and wrinkles;
• I want to change the shape of my lips.

Efficiency of use

Lip fillers allow you to achieve the following effect:

• smoothing purse-string wrinkles;
• obtaining a clearly defined contour;
• eliminating wrinkles of grief;
• raising the corners of the lips;
• inversion of the upper lip;
• the shape of the mouth, as the Mona Lisa is famous for;
• getting rid of asymmetry.

Attention! The drug gradually dissolves, so the procedure must be repeated every half to two years.

Types of fillers

All fillers are divided into two main groups:

• permanent - permanent;
• biodegradable - those that dissolve over time.

Permanent

Consist of polymers. The most famous ones are based on liquid silicone. They are not excreted from the body. Over time, there is a risk of inflammation of the tissue around the implant and migration of the gel, resulting in distortion of the original shape of the lips. They are rarely used in modern cosmetology, since there is a high probability of side effects, and permanent filler can only be removed surgically.

Biodegradable

They are completely eliminated from the body within a certain time. How long the result lasts depends on the drug - the denser it is, the longer it retains the required volumes.

• fat;
• collagen;
• with calcium hydroxyapatite;
• with polylactic acid;
• based on hyaluronic acid.

Fat injections

The peculiarity of these fillers is that the drug is obtained from the patient’s own fat tissue. The material is obtained by liposuction of fat deposits. Then it is processed and injected under the skin of the lips. The effect of this filler ends quickly - after 3–6 months. Partially dissolves. There is a risk of migration and emergence inflammatory processes, if the technique of performing the procedure is violated.

The drug is administered under general anesthesia, since the local anesthetic does not allow the tissues to take root. It is difficult to predict what the outcome of the session will be, so this method is used when others are not suitable.

Collagen

They are created on the basis of collagen of animal or human origin. They fill the subcutaneous layers with collagen and add volume. The effect lasts about six months. Despite the careful processing of the biomaterial, there is a risk of infection, information about which is preserved in the DNA of the original gel material.

Fillers based on calcium hydroxyapatite

The drugs have a viscous structure. Active substance V in kind is contained in human bone tissue, so this type of gel is rarely rejected by the body. Stimulates collagen production. Over time, calcium hydroxyapatite forms a durable implant, which gradually dissolves. Because of increased density It is not recommended for lip correction, as there is a high probability of getting “bumps”, tubercles and even granulomas.

Polylactic acid injections

Polylactic acid is also a natural part human body. The activity of the drug is aimed at stimulating the production of its own collagen in the subcutaneous tissues. It has a long-lasting effect and cannot be used on lips.

Features of preparations with hyaluronic acid

According to many cosmetologists, these are the best fillers for lip correction. Hyaluronic acid is a natural part of human muscle tissue. Attracts and retains moisture well. Injections with hyaluronic acid replenish its lost reserves, which decrease with age. How long the drug lasts depends on the consistency and manufacturer of the gel chosen.

Top best drugs

Gel for lip correction must have plasticity. In the manufacturers' lines, it has the least dense structure and moderate viscosity. The rating of the best fillers that allow you to lift the corners of the lips, create contour and volume includes the following drugs.

Princess Filler

A product from the Austrian company CROMA containing hyaluronic acid 23 mg/ml. The drug is intended for correction of the lips, area around the eyes, nasolabial folds, neck and skin of the hands. The effect lasts for about six months. After which the filler must be injected again. Release form - 1 syringe with a volume of 1 ml. The price of Princess Filler is about 3,000 rubles.

Princess Volume

Another drug for lip correction from CROMA. Designed for volumetric contour plastic surgery. Therefore, it works well for adding volume to the lips. The effect lasts up to 12 months. Available in 1 capsule, each 1 ml. Price - within 3600 rubles.

Juvederm (Yuvederm)

French gel from Alergan, which has high plasticity. The line has several positions for lip correction.

Juvederm Ultra 2

Hyaluronic acid is contained in the drug in an amount of 24 mg/ml. Lidocaine is also present here. Ultra 2 is intended to smooth out moderate wrinkles. Available in 2 syringes per pack of 0.55 ml. The kit includes 2 needles 30G 1/2". Cost - about 7100 rubles.

Ultra 3, Ultra 4

Both gels work to eliminate problems with aging skin, lifting the corners of the lips and giving them volume. They have a long-lasting effect - up to a year. The package contains 2 syringes with a volume of 1 ml. The cost of gels is 10,700–12,000 rubles.

Juviderm Ultra Smile

Specially designed for the delicate calf area. Creates clearly defined contours, natural plumpness, saturates the subcutaneous layers with moisture. In addition to hyaluronic acid, the gel contains lidocaine and phosphate buffer. The last component is responsible for the duration of the effect - 8–12 months. Release form Juviderm Ultra Smile - 0.55 ml. Each package contains 2 syringes. Cost - approximately 7500 rubles.

Surgiderm (Surgiderm)

Another product from the Alergan brand. Surgilips is used to correct and fill lips. The drug eliminates purse-string wrinkles and asymmetry well. Resistant to temperature and enzymatic changes. For optimal effect, it is often used simultaneously with other Surgiderm fillers. The effect lasts 9–12 months. You can buy the drug for about 8,000 rubles.

Restylane (Restylane)

Swedish filler from Q-med. It is a biogel with 2 percent hyaluronic acid. Accumulates water well, smoothes wrinkles and adds volume. Ideal for correcting areas with increased facial activity. The duration of the effect is at least 6 months. Available in 1 bottle of 1 ml. Cost - 6000 rubles.

Teosyal (Teosial)

For lip correction, the Swiss company Teoxane produces Teosyal Kiss. The concentration of hyaluronic acid in the filler is 25 mg/ml. Creates volume, desired contours, eliminates asymmetry. The effect lasts up to 9 months. The drug costs around 11,000 rubles. The package contains 2 syringes of 1 ml each.

Yvoire classic (Ivor)

Korean filler based on hyaluronic acid from LG Life Sciences. The active component of the drug launches rejuvenating processes immediately after its introduction under the skin. The kit includes 1 syringe with a volume of 1 ml and two thin-walled needles (27G and 30G), allowing the procedure to be carried out without anesthesia. The cost of Yvoire classic is about 4,700 rubles.

Dermaren (Dermaren)

Fillers from the manufacturer Dermaren (Korea) are presented in the following options:

• Dermaren FINE - for correcting shallow wrinkles and creating lip contour;
• Dermaren DEEP - adds volume, shapes contour.

Korean Dermaren fillers are made using a special technique - the gel works like a spring, resisting the load during compression. This creates an additional lifting effect - 4D-matrix. Fillers are available in one syringe per package, volume - 1.1 ml. The cost is approximately 3500 rubles.

Preparation

Before injecting filler, you need to:

• 1 day before the procedure, remove hot drinks and alcohol from the diet;
• 3 days before the correction, stop taking medications that thin the blood;
• take Acyclovir to people predisposed to the appearance of herpes.

Administration technique

Lip augmentation with fillers is a rather painful procedure, so it is advisable to use anesthesia before starting injections:

• Local - cream is applied to the lips and time is waited for it to take effect (20–30 minutes).
• Conductive - the area near the nerve is blocked with drugs containing lidocaine or ultracaine. As a result, the entire surface of the lips is anesthetized and their shape is slightly distorted. Infrequently used. This option is suitable for patients with a low pain threshold.

After anesthesia, if the puncture is felt, it resembles a light mosquito bite. Severe pain is unacceptable.

How does the procedure work?

The patient is seated on the couch in a semi-sitting position. The future form and choice of drug are determined. What is the best filler is decided by the doctor in each specific case, taking into account the client’s opinion.

After this, the dermatocosmetologist must show the patient the packaging, paying attention to the date, name of the drug and its series. As a rule, fillers for lip augmentation are sold in syringes, 1-2 pieces per box. The dosage of all drugs is different; for correction, volumes of up to 1 ml are taken. The gel is also printed in the presence of the client.

1. Cleanses lips.
2. Injects anesthesia.
3. Treats future puncture sites with an antiseptic.
4. Corrects the upper lip first. The technique for introducing filler is different for each doctor. The depth of the puncture and the amount of the drug depends on the initial shape of the lips. Many dermatocosmetologists recommend stretching the sponges before injecting filler to see the movement of the needle and how the filler is distributed. During the procedure, the superficial subcutaneous and deeper layers are affected. It is recommended to administer up to 0.5 ml per session top part and about the same amount - to the bottom. In order to lift the corners of the lips, injections are made just below them at the edges. To make a clearer contour, correction is carried out along the line around the lips. As the injections are administered, the doctor may massage the areas with the gel for better distribution. This stage lasts from 5 to 15 minutes.
5. After the filler is injected, the puncture sites are treated with an antiseptic and the patient can go home.

So that after correction you don’t need a correction and don’t have to figure out how to remove filler from your lips due to undesirable consequences, you need to choose an experienced doctor with a good reputation and appropriate education. He must have certificates of completion of thematic courses. It is also advisable to familiarize yourself with examples of his work and reviews from patients.

What techniques are used

The administration regimen is conventionally divided into two types.

1. Superficial. The puncture depth is several millimeters. The goal is to eliminate superficial wrinkles, unevenness, add a little volume, increase lower lip. The work uses not only needles, but also cannulas.
2. Internal. The dermatocosmetologist inserts a needle to a depth of 1 cm. The technique is used to “break up” scars, eliminate scars, and add significant volume.

The doctor decides exactly how and in what direction to move the needle during correction.

Important! Lip correction is a procedure that requires knowledge and preparation. Complications from improper administration of the drug can be very serious. Therefore, you cannot inject filler into your lips yourself at home.

Mixing gels

It happens that during one session it is recommended to eliminate different problems with drugs that differ in density. Is it possible to mix fillers in this case - yes, if they are from the same line of the same manufacturer. No, if the drugs are from different manufacturers, since their further interaction is unknown. You can try a new filler only after the previous filler has completely absorbed.

Photos before and after

Rehabilitation period

Swelling after lip filler injection is inevitable. How long does swelling on the lips last - 1–3 days. To speed up the process, cold is applied to the treated area every two hours for a few minutes. Do not bring tissues to extreme hypothermia to avoid injury. Bruises and bruises may also appear, which are considered normal.

To avoid complications after the procedure, you need to follow some rules.

What not to do after lip augmentation with fillers in the first day:

• consume food and drinks whose temperature is above 60⁰С;
• applying decorative cosmetics and drinking alcohol is prohibited;
• It is not allowed to massage the lips, kiss or subject them to other mechanical stress;
• avoid active facial expressions;
• take painkillers, blood thinners - ibuprofen, aspirin, etc.; Paracetamol can be used to relieve pain.

Restrictions for the first 2 weeks after injections:

• playing sports;
• any cosmetic procedures on the face;
• baths, saunas, solariums;
• hot bath, shower;
• sleep on your stomach or side, best option- lying on your back;
• massage.

Massage may be prescribed if lumps have formed. The technique of using such a procedure after volumization and the possibility of performing it at home should be discussed with your doctor.

Lipstick is allowed after a day, but it is better to put off cosmetics until the puncture sites are completely healed - for 3-7 days.

As for smoking, there is no categorical ban on it. But it is worth considering that smoke dries out lips, so there is a risk of peeling and cracking. Nicotine also interferes with tissue repair, so the rehabilitation period may be delayed.

Care after lip filler injection:

• treatment of puncture sites with an antiseptic - chlorhexidine bigluconate;
• what to smear your lips after the injection of filler - wound-healing and softening agents like arnica ointment, Bepanten, Traumeel S, decongestant Dolobene, etc.;
• if bruises appear and they do not go away for a long time, a few days after the injections you can use Lyoton and Troxevasin.

Attention! The rehabilitation period is controlled by a dermatocosmetologist, so the doctor decides whether to use any medications or not.

The filler comes in correct position immediately during the session. Afterwards, the drug begins to act depending on the active component. The final result after introducing the gel is visible after two weeks. After this period, additional correction can be carried out, if necessary. This period is also optimal for the introduction of hyaluronidase, when it is necessary to remove filler from the lips.

How long it takes for the filler to wear off and completely dissolve depends on the drug. Fillers with the lowest viscosity have the shortest effect and last no more than 6 months. Gels of medium viscosity can last on the lips for about a year or more.

Cost of the procedure

Since injection correction is fraught with complications if the technique of drug administration is violated, it is better to do it in special clinics or cosmetology centers. The cost of the procedure is influenced by the prestige of the institution, the qualifications of the doctor and the price of the drug that will be administered. On average, one session of lip augmentation can cost 6,500–22,000 rubles.

Contraindications

Lip augmentation with filler cannot be performed if:

• allergies to drug components;
• problems with blood clotting;
• pregnancy and lactation;
• under the age of 18;
• exacerbation of chronic diseases;
• diabetes mellitus;
• viral, bacterial or fungal diseases;
• damage of various nature on the lips;
• presence of a polymer implant.

You should not resort to the procedure if the last herpetic rash on the lips was less than six months ago.

Indirect contraindications - menstruation period. At this time, it is not recommended to inject fillers into the lips, as the pain may increase, and rehabilitation will be more difficult - there is a risk of getting many bruises and increased swelling.

What could be the consequences?

The appearance of slight swelling, bruising or hematoma in the first day is a common phenomenon and is considered normal. There may also be side effects in the form of activation of herpes.

But there are more serious complications that should alert you.

Gel displacement

Filler migration manifests itself as distortion existing form. It occurs due to improper administration of the drug or due to mechanical pressure on the lips during the rehabilitation period. A massage or additional correction can correct the situation. If the filler has severely distorted the face, you need to inject hyaluronidase to quickly neutralize the hyaluronic acid.

Lumps

If lumps form on the lips, this means that the gel was chosen incorrectly, or it was introduced in excessive quantities. Massage and hardware therapy will help.

Granulomas, fibrous capsules

A solid substance in the form of small capsules, which may be accompanied by purulent inflammation, It has different reasons appearances:

• “dormant” chronic ailments triggered the inflammatory process;
• violation of hygiene rules during a session or improper care after it;
• the body's protective reaction to a foreign substance. It is extremely rare, since fillers consist of components that are naturally present in the body.

Such consequences are treated by prescribing a course of antibiotics and concomitant therapy. In particularly difficult cases, granulomas are surgically excised.

Allergy

May occur during or after a session. Treated with antihistamines.

Embolism, necrosis

Embolism occurs as a result of entry into a vessel and its blockage. First, pain, swelling, and redness intensify. If not treated in time, necrosis develops with tissue death.

The problem is eliminated by the introduction of hyaluronidase and symptomatic therapy.

Comparison with other procedures

Other methods are also used to rejuvenate and correct lips.

• Biorevitalization. The technique is based on the introduction of gels based on unstabilized hyaluronic acid of the lightest consistency. The procedure is aimed at moisturizing and preventing tissue aging. Does not add volume or change shape. Used in courses.
• Mesotherapy. Lip mesotherapy consists of administering injections based on various components: hyaluronic acid, vitamins, minerals, collagen, antioxidants, amino acids. Applied by the course. The action is aimed at general healing and rejuvenation of tissues, saturating them useful substances. After mesotherapy, lips acquire a slight volume and are moisturized.
• Cheiloplasty. Surgery, which allows you to significantly change the shape and volume. Features long lasting rehabilitation period. To add volume, special implants based on the patient’s own tissue are introduced into the subcutaneous layers. Seams are inevitable.
• Electroporation. Hyaluronic acid is injected using a special device. Conducted in courses. The procedure is not as effective as fillers.

How to eliminate the effect of filler

The filler can be completely removed only within 2 weeks after the procedure by injecting hyaluronidase. This method quickly and effectively breaks down hyaluronic acid, therefore it is used to neutralize fillers based on it. You can buy an “antidote” for filler in pharmacies. Name of drugs - Lidaza, Longidase, Hyaluronidase, etc.

Advice. To reduce the effect of the filler after 2 weeks or speed up the process of resorption of other fillers (calcium hydroxyapatite, collagen), massages and hardware procedures are used - phonophoresis, electrophoresis and others.

Reasons for the rapid resorption of fillers

There are several reasons why the drug dissolves very quickly:

• excessive secretion of hyaluronidase due to chronic or latent inflammatory processes, as well as disorders of the thyroid gland;
• active lifestyle or exposure high temperatures during the rehabilitation period;
• the patient’s metabolism is accelerated, so hyaluronic acid disappears quickly; in this case, denser fillers are recommended.

Advantages and disadvantages

The benefits of lip correction with fillers include:

• the effect is noticeable immediately;
• harmlessness if biodegradable preparations are used in the work;
• after the session you can return home immediately;
• short rehabilitation period;
• Filler intolerance is extremely rare.

The disadvantages of the procedure are relative:

• price;
• fragility;
• Complications are possible due to violations of the rules of the procedure.

Experts' opinion

Dermatocosmetologists are also no strangers to the sense of self-improvement. So, in this review, the specialist says that she prefers to work with Princess filler and has even experienced its effect on herself. She does not use anesthesia when working with clients.

A cosmetologist at next review. And he advises which drug will help achieve the desired effect.

Another cosmetologist shares a side effect that she experienced after lip correction - the reaction went to the nasolabial folds, they became numb, turned blue and pain appeared in this area. Asks colleagues for advice.

In answer to the question posed, another dermatocosmetologist suggests that this is a reaction to anesthesia, which caused a persistent spasm of the vessel. Recommends ways to fix the problem.

Answering the patient’s question about complications of this kind https://prnt.sc/jii3d8, the cosmetologist explains that it is herpes. And it could have been avoided if the doctor had prescribed preventive treatment in a timely manner, a few days before the procedure.

To make the image even more attractive Lately Lip fillers are very often used. After all, a seductive smile makes the face brighter, softer, sexier.

Not all women are happy with their appearance. And to be precise, almost no one. Ladies different ages They constantly find some flaws that they really want to eliminate. Lips are no exception. Few people are satisfied with their volume, shape, smoothness.

In this case, contour plastic surgery with fillers will come to the rescue. These miracle drugs will help give your lips the desired swelling, get rid of wrinkles, or eliminate more serious cosmetic defects.

Modern cosmetology offers a fairly impressive number of fillers. Which one to choose to achieve desired result? Let's figure it out together.

Indications for use

First of all, let's remember what filler is. This cosmetic product is in the form of a plastic gel, which is injected under the skin through injections and fills the subcutaneous space. With its help, problem areas are corrected for quite a long time.

Attention young beauties! You can only enlarge your lips after 18 years of age, unless there are special indications for the injection of filler in the form of pronounced visual defects.

Lip augmentation with filler is indicated (if I can say so in relation to some positions):

• Correction of cosmetic defects resulting from trauma;
• Elimination of scars, cicatrices and pronounced wrinkles;
• Increase in volume;
• Changing or correcting the shape of the lips.

Some of the above indications cause heated debate among doctors. If such an operation (this is an operation, albeit a minimally invasive one!) can really correct serious defects in appearance, then the intervention is justified. If it’s just a whim, a tribute to fashion, a desire to “outdo your friends” (this also happens) - this is just stupidity. After all, nature.

It should also be noted that modern drugs are considered absolutely safe for the body. But there are times when our body may react inadequately to even the most harmless and natural drug, which in this particular case is foreign to it.

Therefore, you need to very carefully choose a cosmetologist or plastic surgeon who will perform the manipulation. Listen to his opinion on even the most insignificant trifles. Choose a filler only together with a specialist and follow all post-treatment rules. Otherwise, you can get a result that is completely opposite to what you expected.

Lip filler is designed to perform a specific function. If you decide to carry out such a manipulation, the effect will be as follows:

• Purse-string wrinkles will be smoothed out;
• The contour will become clear, pronounced, beautifully outlined;
• The corners of the lips rise;
• The so-called “wrinkles of grief” (furrows on the lips that become deeper with age) will disappear;
• If the upper lip is thin, it can be turned out;
• The shape of the mouth is corrected;
• Asymmetry (if any) is eliminated.

By changing the shape of your mouth in this way, you can achieve a perfect look. The lips will become even, smooth, beautifully defined. The skin will become moisturized, soft, shiny.

But remember! The desire for perfection is not the desire to give already beautiful lips a fashionable look. Indeed, there are cases when such a procedure will help get rid of external defects and improve what is given by nature. However, resorting to lip augmentation only according to the dictates of fashion - is this reasonable?!

Now is the time to pay attention to which lip filler is best to choose. After all modern cosmetology offers a lot of them, and every young lady will be able to choose the appropriate option for herself.

Types of fillers

Lip augmentation with fillers is a procedure that gives a long-term, but not permanent effect. The time factor largely depends on the type of filler. They are all divided into two main ones:

• Permanent;
• Biodegradable.

The latter, in turn, also have several subspecies.

Permanent

The permanent lip augmentation product consists of polymer materials. The most common is silicone. It is not excreted from the body and does not dissolve in surrounding tissues. Such materials are distinguished by their special density. With their help, the shape of the mouth is qualitatively modeled and the desired volume is given.

But such fillers have recently been used quite rarely. It's all about the long-term side effects. Namely:

• Gel migration, causing deformation of the initially given shape;
• Inflammatory processes in the tissues around the implant;
• Formation of granulomas and other problems.

The permanent filler can only be removed surgically.

Biodegradable

Injections of biodegradable drugs are less dangerous, since when making the right choice filler and competently performed manipulations practically do not cause side effects or complications.

Biodegradable means that they are completely eliminated from the body over a certain period of time. How long the effect lasts depends on the density of the filler. The result can last from six months to 3 years.

1. Fat injections help create shape and volume for the most a short time– from 3 to 6 months. The patient is injected with a filler made from his own fat cells, which have been subjected to special treatment. The procedure is performed under general anesthesia, as local anesthesia interferes with the absorption of material by the body. Side effects are possible in the form of filler migration and inflammatory processes if the injection technique was violated. This filler is used only if other options are not suitable for any other reason.
2. Collagen fillers are made from human or animal collagen. The effect lasts for about six months. This drug is created on the basis of biomaterial. Despite the careful processing of raw materials, there is a possible risk of infection of the patient, since information about the infection can be stored on the DNA of the source.
3. Fillers based on calcium hydroxyapatite. The substance is found in human bone tissue, so the viscous gel is rarely rejected by the body. The active substance stimulates the production of your own collagen. After about four months, a strong implant is formed, which dissolves over time. The density of the filler is high, so experienced cosmetologists advise using it in extreme cases and very carefully to correct the shape of the lips.
4. Injections with polylactic acid are practically not used for lip surgery. Although this substance is part of the human body, it can cause various side effects when injected into the lips. In essence, such fillers are designed to stimulate the production of your own collagen in the subcutaneous tissues.
5. Fillers based on hyaluronic acid are recognized as the best today. This acid is part of connective tissue. It attracts and retains moisture in the epidermis, stimulates internal processes, and improves the condition of the skin. Lips acquire the desired volume, become moisturized, soft, and get rid of wrinkles and grooves. The duration of the effect depends on the concentration and consistency of the drug and the manufacturer.

Note! We talked about all types of fillers used in cosmetology. Not all of them are suitable for lip augmentation. So carefully study the composition of the products. Better yet, look for an experienced and conscientious doctor who will take into account all individual characteristics and wishes. And only after that he will select the most optimal option.

Top best drugs

And so, we have already found out that the best fillers for lip augmentation are based on hyaluronic acid. The list of such drugs is quite large, since many manufacturers of cosmetics produce lines of similar products. We present the top best lip fillers according to experts and consumers. Our rating is based on monitoring many customer reviews and expert opinions.

Remember - the best lip filler is the one that suits all parameters and takes into account individual characteristics and needs.

A product from an Austrian company based on hyaluronic acid. Used for correction of lips, periorbital area, nasolabial folds, neck, hands. The effect lasts on average from six months to a year. Then, to maintain the desired shape, the procedure is repeated. Available in a sterile 1 ml syringe. Price – from 3000 rubles.

Another Austrian drug for volumetric lip contouring. The effect lasts from one to two years (depending on the individual parameters of the client’s body). Available in 1 ml capsules, cost from 3,600 rubles.

According to experts, this is the best filler for lip augmentation from French manufacturers. Has high plasticity. The product line includes several drugs:

• Juvederm Ultra 2 with lidocaine. Designed to correct moderate wrinkles. The cost of packaging (2 syringes of 0.55 ml each, with special needles) – from 7,000 rubles;
• Ultra 3, Ultra 4 – for working with aging skin. Packaging price (2 syringes, 1 ml each) – 10,000-12,000 rubles;
• Juviderm Ultra Smile is a special development for creating a contour, as it has a positive effect on the delicate perioral area. The cost of packaging (2 syringes of 0.55 ml.) – from 75,000 rubles.

A French drug that effectively fights purse-string and age-related wrinkles, eliminating asymmetry. To achieve maximum effect, are often used in combination with other fillers from the same manufacturer. Cost – from 8000 rubles.

Swedish filler with hyaluronic acid in the composition. Moisturizes very well, adds volume, smooths out wrinkles. Effective for up to a year or more. Ideally corrects areas with increased facial activity. Price – from 6000 rubles.

Also a representative of the Swedish cosmetics industry. Smoothes wrinkles well, adds volume, creates contours, eliminates symmetry. Effective for up to a year. Cost – from 11,000 rubles.

The Korean drug for lip augmentation is characterized by a quick effect. It starts rejuvenation processes almost immediately after getting under the skin. The set includes 1 syringe with the drug (1 ml.) and two sterile thin-walled needles, making it possible to carry out the procedure without anesthesia. Cost – from 4500 rubles.

Korean fillers, available in two versions:

• Dermaren FINE - for correcting shallow wrinkles and creating lip contour;
• Dermaren DEEP - adds volume, shapes contour.

A special technique for producing gels makes it possible to achieve a lasting and pronounced lifting effect. Package cost – from 4500 rubles (1 syringe with a volume of 1.1 ml.)

Preparation

Lip augmentation with fillers requires certain preparation. Necessary:

• Three days before the procedure, stop taking medications that thin the blood;
• Avoid hot drinks and alcohol during the day;
• For those who have a penchant for herpetic rashes, it is recommended to take a course of Acyclovir or other antiviral drugs.

The technique for introducing filler into the lips is selected individually:

• For those who have a high pain sensitivity threshold, a conductive method is used - blocking the nerves with anesthetic drugs with lidocaine or ultracaine. As a result, the entire lip is anesthetized, but its shape is slightly distorted, which is not very good for modeling the shape during manipulation;
• Local technology is used more often. To do this, apply a special cream to the lips and wait about half an hour. After which the drug can be administered.

Injections into the lips are a painful procedure, as there are many nerve endings in this place. After pain relief, the puncture does not cause any significant negative reactions, only slight discomfort.

How does the procedure work?

First of all, you need to choose the most best drug, which will satisfy all the client’s requests. This is done together with the doctor and taking into account all individual characteristics the patient's body.

• Cleansing the surface of the lips from cosmetics, dust and dirt;
• Anesthetic treatment;
• Antiseptic treatment;
• Administration of the drug. First, the upper lip is corrected, then the lower lip;
• Repeated treatment with antiseptic.

What techniques are used

In each specific case, the doctor chooses the drug administration regimen. They are divided into two types:

• Superficial - insertion several millimeters deep. Used to add a little volume, eliminate wrinkles, and enlarge the lower lip;
• Internal - the drug is injected to a depth of up to 1 cm. With this technique, you can give your lips significant volume, get rid of pronounced unevenness, wrinkles, scars, and correct the shape of your mouth.

The doctor decides which way to enlarge lips with the greatest effect and safely.

Mixing gels

Mixing gels is acceptable if several problems need to be solved during one session. But you can only mix drugs from the same line from the same manufacturer.

Otherwise, it is unknown how products from different companies will react and what effect they will have on the patient’s body.

Here are the results of lip augmentation medications from different manufacturers.

Rehabilitation period

Preparations for lip augmentation must take root in the body before the effect is visible “in all its glory.” Swelling on the lips may last from 1 to 3 days - this is normal. Here is a list of prohibitions for the first time:

• Do not subject your lips to mechanical stress - do not kiss, do not massage, and generally do not touch unless absolutely necessary;
• Do not consume food and drinks with a temperature above 60ºС;
• Do not use decorative cosmetics;
• Do not drink alcohol or smoke;
• Avoid active facial expressions;
• Do not sleep with your face in the pillow and do not tilt your head for more than ten minutes;
• Treat the surface of the lips antiseptics and moisturizing creams on the advice of a cosmetologist;
• If necessary, take paracetamol to relieve pain, ibuprofen or aspirin to thin the blood;
• Avoid visiting places with high humidity and air temperature for two weeks;
• Do not actively engage in sports for the same amount of time;
• Do not do massage or other cosmetic procedures on the face.

Compliance with all precautions will prevent the risk of side effects and complications.

Contraindications

An absolute ban on the procedure will be:

• Pregnancy and lactation;
• Age up to 18 years;
• Diabetes;
• Poor blood clotting;
• Allergy to any of the components of the drug;
• Diseases of any etiology, accompanied by febrile conditions or elevated temperature;
• Violations of the integrity of the skin on the lips.

It is worth postponing the procedure if it is scheduled during menstruation. At this time, the threshold for pain sensitivity increases, and anesthesia may act less adequately. In addition, there may be a risk of prolongation of the rehabilitation period, bruising and bleeding.

After the procedure, everyone hopes for a perfect result. But due to incorrect administration of the drug, non-compliance with post-treatment rules, or an unpredictable reaction of the body, the following unpleasant consequences may be observed:

• Gel displacement;
• Lumps;
• Granulomas;
• Fibrous capsules;
• Allergy;
• Embolism;
• Necrosis.

If any incomprehensible or frightening symptom is detected, you must immediately contact the specialist who performed the procedure.

Comparison with other procedures

In addition to the injection of fillers, other methods are used for lip care and correction. Among them:

• Biorevitalization. Does not affect the volume of the lips, but is a good prevention of tissue aging, moisturizes and maintains skin tone;
• Mesotherapy involves the introduction of nutritional and therapeutic multi-component cocktails. Heals and rejuvenates the skin of the lips. For some time after the procedures, the effect of a slight increase in volume will be noticeable, which passes very quickly;
• Cheiloplasty is a surgical technique for inserting implants. Stitches inevitably remain;
• Electroporation is the introduction of hyaluronic acid through microcurrents. The result is less noticeable than after the injection of fillers. Course application required.

Reasons for the rapid resorption of fillers

After the injection lip augmentation procedure, we hope for a lasting result. But it happens that the effect disappears very quickly. There are several reasons for this:

• The presence of hidden inflammatory processes in the body or disorders of the thyroid gland;
• The influence of high temperatures during the recovery period or an overly active lifestyle;
• Accelerated metabolic processes as an individual feature of the patient’s body. In such cases, you need to choose a denser filler so that it stays longer in the lips.

According to experts, lip fillers are a necessary measure that should not be resorted to in the “pursuit of fashion.” If we talk about biodegradable drugs, they do not cause sharply negative reviews.

But you should also know that a good specialist will immediately tell you what results can be achieved. After all anatomical structure leaves a certain “imprint” on your appearance. The doctor will immediately tell you whether you will look the way you planned for yourself.

Tell me which drug is better for lip augmentation. No specialist can definitely do this. After all, each has its own pros and cons, indications and contraindications. And everything again depends on the initial problems that you want to solve.

Useful videos

Contour plastic surgery allows you to slow down the aging process, adjust the shape and volume of different parts of the face, and improve the overall appearance without surgical intervention and the use of a scalpel. Patients are increasingly resorting to lip contouring procedures, thereby getting rid of cosmetic flaws and increasing their level of attractiveness.

What's happened

Cheiloplasty is a lip correction aimed at increasing their volume and raising their corners, changing the contour and getting rid of asymmetry.

The desired result can be achieved by introducing fillers under the skin - compositions made on the basis of hyaluronic acid.

At what age can correction be done?

You can change the shape and improve the contour at any age, especially when it comes to clearly defined cosmetic defects, which it is advisable to correct early. But experts advise resorting to this type of procedure after 18 years of age.

Age-related changes in the skin of the lips and around the mouth become noticeable after 30-35 years. The changes are more clearly visible in men and women who smoke. At this age, correction of the volume and shape of the lips may be indicated, which will rejuvenate the appearance and give confidence to the patient.

Indications for surgery

It is carried out for women and men of any age. Indications for a cosmetology session are:

• thin, narrow lips;
• pronounced asymmetry;
• dryness and flaking of the skin;
• drooping corners;
• folds and wrinkles around the mouth;
• desire to change the natural shape of the lips.

All the pros and cons

The procedure based on hyaluronic acid has both advantages and disadvantages compared to other facial correction methods.

Advantages:

1. There is no risk of the drug being rejected by the body, since hyaluronic acid is a “native” substance for facial tissues. The development of an allergic reaction is excluded.
2. The result is noticeable after the session and lasts for a long time.
3. The technique is safe and painless. It is allowed to use local anesthetics to reduce discomfort to a minimum.
4. The recovery period takes several days. You can return to your normal life the next day, as bruises (if they occur) are easily camouflaged foundation.

Although there are few disadvantages, they also exist:

1. After the procedure, swelling often appears. Many patients like this by-effect, as the lips become even fuller and juicier. The swelling completely disappears in 5-7 days, depending on the drug and the individual characteristics of the body.
2. As a result of needle damage to blood vessels, bruises may form in the area near the lips. They are small and easily hidden with regular foundation. They go away on their own within a week.
3. The effect lasts for a period of 6 to 14 months, depending on the drug used. Periodically it is necessary to carry out repeated contouring to maintain the effect.

Contraindications for use

The session is contraindicated for people with the following conditions:

• oncological diseases;
• blood or connective tissue pathologies;
• epilepsy;
• the presence of inflammatory foci in the area around the mouth - redness, acne, herpes, etc.;
• all types of infectious diseases.

Preparations for lip contouring with fillers

From a chemical point of view, hyaluronic acid is a polysaccharide. In its natural state, it is present in skin tissues and actively promotes the processes of cellular regeneration of the epithelium, moisturizing, increasing the level of smoothness and elasticity of the skin. It is the decrease in the amount of synthesis of such a polysaccharide that negatively affects the condition of the skin. Lips become dry, fade, become covered with fine wrinkles, and lose elasticity.

Among the preparations made on the basis of hyaluronic acid, which are most often used in contouring, we can highlight:

A drug	Manufacturer	average price	Restylane Lipp	Q-Med, Sweden	From RUB 15,500 / 1ml	Juvederm (Juvederm Ultra Smile, Juvederm Ultra 4, Juvederm 30, Juvederm 30 HV)	Allergan, Ireland	From RUB 10,500 / 2 x 0.55 ml	Princesses (Princess Filler, Princess Volume)	CROMA, Austria	From RUB 9,000 / 1ml	Surgiderm (Surgilips)	Corneal Group (part of Allergan), France	From 10,500 / 0.8ml	Teosyal Kiss	Teoxane, Switzerland	From 10,000 / 1ml

The above fillers are hypoallergenic and safe for the health of patients. There is no discomfort when the compounds are administered, and the immune system does not give a negative reaction.

Lip contouring technique

To get the most effective result after a session, which will last for a long time, you need to follow the preparatory recommendations:

• within seven days before the session, avoid using pharmaceuticals, reducing the level of blood clotting;
• take antiviral medications for a week - Acyclovir, Valtrex, etc.;
• conduct a text on individual hypersensitivity to filler components;
• Do not drink alcoholic beverages 24 hours before the procedure and reduce physical activity.

Lip contouring carried out in stages:

1. A cosmetologist treats the skin with an antiseptic composition.
2. A cream with an anesthetic effect is applied to the lips. In some cases, this step is skipped if the filler already contains an anesthetic.
3. The filler is introduced using a thin needle according to a special scheme.
4. At the end, the specialist massages the treated areas, thereby promoting uniform distribution of the injected gel.

The depth of needle penetration during lip contouring is 2-4 ml.

Surgery or injection?

Whether to choose surgery or an injection procedure for lip correction is a question many patients ask. Both the first and second manipulations have both pros and cons, so the decision should be made carefully. Thanks to developments, it is possible to quickly and painlessly obtain results using injections, for which previously it was necessary to use a surgical scalpel.

Injection lip surgery allows you to get results immediately and keep them for about a year. Rehabilitation takes no more than seven days.

Contour plastic surgery with hyaluronic acid is safe; the main component does not provoke rejection. If something goes wrong and the patient does not like the result, the situation can be corrected by re-introducing a composition that breaks down hyaluron and promotes it rapid elimination from the body. Or you can just wait and the filler will dissolve on its own over time.

The operation requires long-term rehabilitation. The result obtained will be more difficult to correct. It is worth resorting to this method in cases where the patient requires more complex lip correction, that is, when desired result cannot be obtained through injections alone.

Despite the fact that rehabilitation after lip contouring is short-lived, there are still a number of recommendations that must be followed during the post-procedure period:

• You can get rid of swelling and bruises faster with the help of a special cream recommended by your doctor;
• if recommended, take antibiotics to avoid the development of inflammatory processes;
• Be sure to visit a cosmetologist for a second scheduled examination.

How long does the result last?

The effect after a lip contouring session can last from six months to one and a half years. How long the result will last depends on many factors, the main of which are:

• composition of the drug, the concentration of hyaluronic acid in it;
• individual characteristics of the patient's body.

It has been noticed that hyaluron lasts longer in those people who drink a lot of water, since the acid has the property of attracting liquid to itself.

What not to do after contouring

• visit the pool;
• sunbathe in the sun and in the solarium;
• stay in the bathhouse and sauna.

The following recommendations will help you avoid post-procedure complications:

1. During the first 24 hours, try to minimize the activity of the facial muscles, do not open your mouth too much, so as not to provoke displacement of the injected filler.
2. Do not use cosmetics for one or two days, do not apply makeup. The exceptions are those formulations recommended by a cosmetologist.
3. Sleep on your back so as not to rub the treated area on the pillow.
4. Do not fly on an airplane for the first 15 days.
5. Apply sunscreen in summer.
6. Avoid drinking alcohol and spicy foods for 7 days.

Side effects and complications

Despite general security lip contouring, however, in rare cases, complications and unpleasant adverse reactions from the body. These include:

1. Seals. If the cosmetologist unevenly distributes the filler under the skin, hard areas that look like balls or bumps may form. The reason may also be that the filler was not injected as deeply as it should have been. There is no need to worry about this, since the seals dissolve on their own within 5-7 days.
2. Bruises. This phenomenon often occurs after a contouring session. The problem sometimes lies in the excess amount of filler injected. But even more often this happens due to damage to small vessels in the area treated with a needle during puncture. You can try applying ice to speed up recovery or use pharmaceutical ointments recommended by a cosmetologist.
3. Swelling. Lip contouring is often accompanied by swelling. The degree of edema depends on the drug and on the site of administration of the composition. The reaction goes away on its own within a few days. You can speed up the process with cold compresses.

Almost all adverse reactions are reversible and short-term. Usually the appearance returns to normal within 5-7 days.

How to remove filler if something goes wrong

In some cases, situations may arise when the result of cheiloplasty differs from what was expected. Serious consequences occur extremely rarely. This:

• filler migration – displacement into the cheekbones or chin, as well as lip deformation;
• seals that do not dissolve for a long time;
• low viscosity filler has clogged a blood vessel;
• scar formation;
• an infection was introduced.

If any of these manifestations are noticed, you should immediately consult a cosmetologist to avoid further development of complications, necrosis (death) and tissue scarring. A specialist will be able to quickly remove hyaluronic filler by injecting the enzyme hyaluronidase under the skin. The correction session is painful, but effective.