When we interact socially our vision lingers around the eyes and mouth. As noted on the section on eyes and brows, features in this area are major determinates in our appreciation of beauty. Aesthetic enhancement focuses on lip volume, posture, proportions, definition and surface contour. The two attached figures (slides 1 and 2 from the power point slide set) demonstrate how subtle contour and volume alteration result in large aesthetic change.
Augmentation in this area can increase lip volume, with improved proportional relationships between the upper and lower lips, lip contour and the areas of transition from the lips to the cheek, chin and other adjacent structures. A variety of techniques and materials are available to create these changes and range from injectable fillers, like Juvederm, Bolotero, Vobella, and Refyne to fat injections, and, rarely, implants. However, more important than the materials used is the artistry and aesthetic judgment of our physicians. We have all seen images of patients with hyper-inflated lips or unnatural contours. Our aesthetic values emphasize natural, flattering contours and enhancement of attractive, pleasing lip shape as demonstrated in figures 3,4 and 5 (slides 4,5 and 14 of the power point slide set).
Volume enhancement is often achieved by placing filler along the red/white border of the lip as well as in the red portion as demonstrated in figure 5 (slide 6 from the slide set). As shown in figure 6 (slide 9), a superior aesthetic outcome often includes precise volume addition at the transition zones between the lips, cheeks and chin where muscle activity, volume depletion and a generalized laxity have altered desirable contours.
The posture of the lip may change over time with the upper lip lengthening and having a flattened shape. A subnasal lip lift can re-establish proper proportions, shorten the lip, improve the smile, accentuate the red/white border and increase the volume of the red portion of the lip. This procedure is performed through an incision hidden under the shadow of the nose. Often it is combined with a corner of the mouth lift to redirect a downturn at the corner of the mouth that suggests sadness. These procedures are outlined in figure 7 (slide 13) and results are shown in figure 8 (slide 22). Treatment of vertical wrinkles in an important part of facial rejuvenation, as effacement of these surface irregularities compliments all the other rejuvenation options we have. Texture improvement is achieved by a variety of chemical peels, dermabrasion and laser resurfacing. Stacy, our aesthetician, has effective, minimally invasive care options that can complement and maintain the results achieved with the treatments discussed.
Rejuvenation of the perioral area is often overlooked in practices that do not specialize exclusively in facial plastic surgery. Yet improvements in the area are essential to a flattering, natural youthful change. As in all areas of our practice, during your consultation with us, we will guide you through a comprehensive evaluation and create a plan that meets your priorities and needs.