How is the Lip Injection Done?
A typical lip augmentation appointment is scheduled ahead of time. First you will meet with Dr. Jugenburg's for an assessment. You should not have any fillers in your lips at this time (if you have had recent lip injection elsewhere and want us to correct your lips, we recommend either melting the existing filler away ($350/treatment) or letting it absorb first). Avoid taking any blood thinners that may increase your risk of bruising and swelling for two weeks before your treatment (Aspirin, Advil, Ibuprofen, Fish Oils, Omega 3s, high fish diet). If you had any cold sores in the past, please let us know ahead of time. We'll prescribe medication for you to take prior to your treatment to lower the risk of the injections triggering the cold sore virus from coming back (the medication lowers the risk, doesn't make it 0%).
On the day of your treatment, you will come in to meet with Dr. Jugenburg and/or one of his injectable nurses. If you need a pre-treatment, this can be arranged. If you are looking to have a numbing cream used, we will apply it and allow it to sit on your lips about 15-20 minutes before doing the treatment. If you wish to have a nerve block (completely freeze your lips), an appointment will have to be scheduled with Dr. Jugenburg who will perform the block by injecting a local anesthetic that will completely freeze your lips for an hour.
Typically, there is no need for pre-treatment with a numbing cream or nerve blocks. Lip Augmentation takes approximately 10 minutes. You will first be given a small icepack to apply to your lips to cool them down. This acts to numb the nerves so that the treatment is as comfortable as possible. The cold also causes blood vessels to constrict, therefore significantly decreasing swelling and bruising after the lip injections.
The treatment itself is relatively simple. During the procedure, we inject a small amounts of Lip Filler (Juvederm or Teosyal) directly into your lips. We use both regular needles and blunt cannulas (the decision which is best to use depends on your lips and what you wish to achieve). The choice of a filler will also depend on your existing lips and what you are trying to achieve. We carry various products by Juvederm and Teosyal for lip enhancements. The injection itself takes about 5-10 minutes.
After the treatment, we recommend you stay in the clinic and apply an ice pack for a further 10 minutes. This is once again to help minimize bruising and swelling. However, you should expect to have some slight swelling, which usually resolves during the first 2 days after treatment. Most people can return to work immediately and full written aftercare instructions will be given to you.
For 95% of patients, this swelling is minimal and only you and people who know you well will know your lips are swollen. Stranger who have never met you will not be any wiser. 5% of patients can get an excessive reaction leading to significant swelling. This is a temporary condition and WILL settle, although first time this happens to a patient they are often very concerned. Using ice packs and Benadryl helps to speed up the resolution of the swelling. You don’t need to worry, because ALL patients recover from this unusual swelling.
What is Hyaluronic Acid?
Youthful skin is naturally rich in Hyaluronic Acid, a substance that binds water, thereby giving it volume, hydrating the skin, and promoting the softness and fullness of the face. As we age, the Hyaluronic Acid has a weaker effect, leading to a loss of volume and facial wrinkles. Used widely in general medicine, over 30 million people have been treated with Hyaluronic Acid worldwide. When injected, the Hyaluronic Acid is eventually absorbed and broken down by the body. Results therefore last from 3 months in very mobile areas, such as the lips, up to a year in regions, such as the nose or cheeks.
Your Lip Filler Options
Many options are available in Lip Fillers, with clinical differences being predominantly governed by how long the effects last and how the filler feels. There are some Hyaluronic Acid Fillers that help to smooth and improve hydration of the lips, while others have more volumizing properties that can contour the lips, correct asymmetry, and plump up tired and deflated lips subtly. At the Toronto Cosmetic Institute, we use only the latest brands of Hyaluronic Acid Fillers to give softer, more natural results and cause less discomfort and bruising to our patients. During your consultation, Dr. Jugenburg will recommend which of the brands Juvederm®, Teosyal® or Restylane® will be most suited to your specific needs. Such Lip Fillers may differ slightly in terms of consistency (thickness), durability and cost, but all contain non-animal derived Hyaluronic Acid, and are Health Canada approved, safe and effective. Once injected, these substances will lift, add volume, and help diminish fine lines for long-lasting results. Benefits of Hyaluronic Acid-based Fillers:
- Proven safe and effective – approved by Health Canada
- Provides instant improvement to the lips
- Quick and easy procedure (take less than 20 minutes), there is no downtime
- Soft, natural results
- Temporary effects (the product is reversible/biodegradable) that can be easily corrected if you are unsatisfied with the results
Should You Consider A Lip Enhancement?
If any of the following effects concern you, you may be an ideal candidate for a Lip Augmentation at the Toronto Cosmetic Surgery Institute:
- Your lips have always been thin and seem to disappear when you smile
- As you have aged, your lips have become thinner and less full
- You feel self-conscious about how your lips look
- Having fuller lips will help balance out your face
Every year, thousands of people undergo a successful lip enhancement and are pleased with the results. However, if your lips are too large and overwhelm your face, you may not be a suitable candidate for Lip Fillers and might instead consider a Lip Reduction surgery.
What Happens to the Lips During Aging?
As part of the natural ageing process, the composition of our lips and surrounding tissues alter. From the peak of fullness in your 20's, your lips begin to change:
- The volume of your lips depletes, leaving a thinner, flatter appearance.
- Wrinkles and fine lines appear, and the vermillion borders (the dark pigment of the lips) and Cupid’s bow (or philtrum column – the double curved shape of the upper lip) become less defined.
- The area around your mouth and between your upper lip and nose can become flattened.
- Other factors such as gravity, genetics and smoking can cause the corners of the mouth to turn downward or droop, creating a tired, aged appearance.
At this point, even those who were born with perfectly beautiful lips may want to consider a lip enhancement.
Aesthetic Benefits of Lip Injections
Lip Fillers are a safe and natural way to enhance the volume, contour, definition and overall shape of your lips for a fresh, natural, new look. Besides creating the lips you have always wanted, treatment can improve the signs of aging by addressing your lips’ texture and smoothness, and filling the lines and wrinkles that are caused by smoking and/or pursing the lips over time.
- Vertical lines (or lipstick bleed lines) and smile lines can be softened by enhancing the edge of the lips
- Creation of a natural contour for the lips through the restoration or enhancement of the volume of the lips
- Lifting the edges of the lips to restore their youthful position
- Create a stronger, more beautifully defined Cupid's bow (below the philtrum column)
- Treating the area underneath the mouth (the marionette area) to provide support to the lip, thereby improving shadows and the profile of the lower face
Lip Augmentation FAQs
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure at our clinic.
The following are some common reasons why you may consider a lip enhancement:
- Good candidates for a lip enhancement want to plump up thin lips or create a fuller look.
- Lip Fillers can improve uneven lips, the shape of your mouth, and the symmetry of the gum-show when you smile.
If you are pregnant or breastfeeding, or have history of severe allergies, you should not have this treatment. People with certain connective tissue disorders may also be at a higher risk of side effects.
Side effects are rare but can include redness, swelling, pain, itching, bruising and discoloration at the injection sites. These effects typically resolve spontaneously or within 1 to 2 days after treatment.
Injections with Lip Fillers can be performed with little to no downtime and minimal preparation. Your nurse will prepare the area to be treated and take precautions to minimize your pain. The procedure should take less than 20 minutes, and you will be given instructions to follow once you leave the clinic.
Injections in the lips can be uncomfortable; however, at our clinic we use a topical anesthetic cream that numbs the lips so that the needle prick cannot be felt. For almost all of our patients, this is sufficient and no other treatment is needed to counter pain. If necessary for patients who are particularly sensitive, we can inject a local anesthetic (or freezing) to completely numb the lips and surrounding areas and temporarily remove all feeling.
Following your lip injection procedure, you will have some swelling; however, swelling is normally minimal and barely visible. It is recognizable only in the fact that the day after your procedure when the swelling subsides, you may notice that your lips look marginally smaller than they appeared immediately after the injections. Dr. Jugenburg’s patients rarely experience any bruising or excessive swelling that temporarily makes it obvious they had a lip enhancement done.
The enhancement from Hyaluronic Acid Lip Fillers generally lasts for about 6 to 9 months. The exact time varies between patients and the type and amount of filler that is used. Since Hyaluronic Acid is completely absorbed and broken down by the body over a period of months, a retreatment session is recommended every 6 months to maintain results.