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"A good lip enhancement can be achieved utilizing both collagen and hyaluronic acid gel," said Dr. Butterwick. "By using the collagen first, the skin is numbed allowing the hyaluronic acid gel to be used pain-free. Additionally, each filler provides a different level of support, so the overall enhancement looks very natural. Dr. Butterwick noted that regardless of which filler is used, the effect is temporary and multiple treatments will be required for a long-lasting effect.
Other fillers, such as calcium hydroxyapatite and poly-L-lactic acid, often are used for enhancement of the lips´ surrounding areas. While these fillers are not placed directly in the lips, they add to the overall effect by filling and supporting the lines and hollows around the lips. They can soften a down-turning mouth and restore fullness to the larger folds of skin around mouth. Botulinum toxin also may be placed in key areas around the lip to minimize muscle movement that contributes to wrinkles such as frowning and pursing.
Dr. Butterwick recommends that anyone considering a lip enhancement consult a dermatologist to discuss the best options for treatment. "Despite their ease of use, filler injections are a medical procedure and should be handled by a board-certified physician in order to achieve aesthetically natural lips and to reduce the risk of side effects," reminded Dr. Butterwick.
