The nasolabial folds are two longitudinal grooves that extend from the wings of the nose to the corners of the mouth. The deepening of these folds is one of the main signs of facial aging. Accordingly, reducing the severity of “nasolabial lips” allows you to give the face a more youthful and fresh appearance.
There are many techniques aimed at correcting this type of wrinkle, each of which has its own limitations. Dr. Kieren Bong talks about the 3Lift technique for injecting fillers into nasolabial folds.
About contour correction of the lips and area around the mouth
By injecting hyaluronic acid filler subcutaneously into the red border of the lips and the area around the mouth, you can:
- emphasize the contour and add additional volume;
- moisturize the skin of the lips;
- straighten the folds around the mouth - purse-string wrinkles;
- correct the shape of the lips and eliminate asymmetry of lines in this area;
- rejuvenate the skin of the red border;
- raise the corners of your lips.
For this procedure, monophasic and biphasic gels based on hyaluronic acid of a very high degree of purification are used - for a natural and uniform distribution of the gel and varying degrees of viscosity - depending on the problem being solved.
Doctors at our clinic use exclusively certified drugs registered in the Russian Federation and tested in practice. Differences in price are determined by the type of drug, dosage, viscosity and density.
What are the different filler injection techniques?
There are more than 14 techniques for introducing fillers. Among them:
- micropapular and papular,
- "point by point"
- linear-retrograde,
- "fan" etc.
The scope of application, the desired goal and the condition of the problem area are taken into account. This is the decisive factor when choosing a particular technique. With the help of fillers, it is possible to improve the contour not only on the face, but also on other parts of the body. New technologies appear constantly, the old is replaced by the new, more advanced, effective and less traumatic.
The filler injection technique is selected individually by a cosmetologist or doctor.
This video will tell you about the basic techniques for introducing filler:
Drugs
In our clinic, you can increase the volume of your lips with hyaluronic acid fillers, correct problems in the area around the mouth, and also moisturize and emphasize the contour of your lips with the following medications:
- "Belotero Basic" (Germany);
- "Teosyal RHA2, RHA3" (Switzerland);
- “Juvederm Volbella;
- Volift;
- Ultra 3;
- Ultra 4;
- Smail" (France);
- "Ivoir classic s" (Korea);
- "Neauvia Intense Lips" (Italy);
- "Viscoderm 2.0%" (Italy), etc.
“They want to make money from me!”
Comparing prices in reputable clinics and at home, many patients cannot resist an offended exclamation: “They want to cash in on my desire for beauty!” Well, let's face it: everyone who offers services wants to make money from those who purchase these services. This is how the world works, and the field of aesthetic medicine is no exception. Nobody works for free, everyone expects a reward for their work. For your education.
Another thing is also true - a low price does not mean that the provider of the service works for free, at a loss. Rather, it speaks of the neglect of some of the components of a quality service. For example, if a counterfeit is used instead of an original drug, a guarantee for the procedure is not provided, and the performer does not have the necessary knowledge and skills.
To get beautiful lips, you only need to visit a cosmetologist once. The result lasts for a year and a half, in the future the procedure can be repeated. Sometimes this is no longer necessary - the condition of the lips noticeably improves. The cumulative effect is due to the fact that as a result of the procedures, the synthesis of collagen and elastin increases, the tissues are saturated with moisture.
In terms of many months of enjoying the result, the standard price of 14 – 16 thousand per procedure turns out to be not so high. At the same time, you can be sure that a certified drug will be used, and its administration will be carried out correctly and according to the rules by an experienced doctor.
The results of unsuccessful contouring are too noticeable to take risks and trust lip augmentation to just anyone.
Benefits of lip augmentation with hyaluronic acid fillers
- Hyaluronic acid is a natural substance for the body that is part of its tissues. The method of increasing lip volume with fillers based on hyaluronic acid is safe for health.
- The procedure does not leave significant damage in the lip area, which eliminates the formation of scars.
- With a moderate dosage of the gel and the correct viscosity, the lips look natural.
- Hyaluronic acid-based gel can always be removed by injecting the enzyme hyaluronidase
Filorga X-HA 3® – more than 70% of facial areas
Techniques Linear retrograde for rhinoplasty and correction of medium and deep wrinkles Bolus injection
X-HA 3 – dynamic modeling capability
Areas of application: Wrinkles and folds Nose Temples, cheekbones, cheeks Chin and facial contours Lips Nasolabial folds Injection techniques Deep dermal and subcutaneous injections in linear, fan, sandwich, rib, bolus techniques
Filorga X-HA® Volume – lasting effect for up to 18 months when following the deep bolus injection technique
Techniques upraperiosteal Bolus subcutaneous injections in linear, fan, “sandwich”, “rib”, bolus techniques
X-HA Volume – volume replenishment without the weighting effect
Areas of application: Zygomatic Buccal Nasolabial Chin Lips Injection techniques Deep subcutaneous or supraperiosteal injections in linear, fan or bolus techniques
Filorga M-HA 18® - double-action microfiller for superficial wrinkles and biorevitalization
Techniques Linear retrograde for the correction of crow’s feet Deep hydration – intradermal papules
Preparation for the procedure
Before volumetric correction of the lips and perioral area, a consultation with our doctor is carried out. The specialist will examine the lip area, evaluate the indications for lip augmentation and correction of their shape, discuss the desired and possible results, and establish contraindications.
Depending on the purpose of the procedure, the required drug of a certain degree of viscosity and its required volume are selected.
2 weeks before the procedure, you must refrain from visiting the solarium, staying in the open sun, and 2-3 days before the procedure, do not drink alcoholic beverages.
In addition, before such injections, peeling, hair removal and other cosmetic manipulations in the perioral area should not be performed.
The feasibility of correcting nasolabial folds with fillers
When using RHA fillers, the following factors must be taken into account:
- patient's skin quality;
- depth of nasolabial folds;
- patient expectations;
- duration of correction results;
- possible risks and contraindications.
To assess the condition of the face, it is necessary to objectively determine the degree of tissue volume loss in the area of the nasolabial folds and the middle part of the face as a whole, as well as their structure, symmetry and proportions.
A photo of the patient before the injection of fillers into the nasolabial folds before drawing up a treatment plan will help demonstrate to the patient the features of his face and explain the rationale of the chosen rejuvenation plan.
For the 3Lift technique, patients with mild to moderate nasolabial swelling are suitable candidates. For patients with deep nasolabial folds and a high degree of skin laxity, it is better to recommend surgical rejuvenation methods.
The goal of the 3Lift technique is to reduce the severity of nasolabial lips, not eliminate them completely.
A practical guide to the injection of fillers into the nasolabial folds and middle third of the face
The 3Lift technique uses a microcannula with a blunt tip. Features of filler injection:
- in case of a slight loss of volume in the middle third of the face and a low degree of severity of the nasolabial folds, RHA3 filler is injected into the fold itself;
- in case of a slight loss of volume in the middle third of the face and moderate severity of the nasolabial folds, RHA4 filler is injected into the nasolabial fold and the middle part of the face;
- In case of moderate loss of volume in the middle third of the face and moderate severity, Ultra Deep and RHA4 fillers are injected into the middle part of the face, and RHA3 filler into the nasolabial fold.
RHA4 filler is injected into superficial fatty compartments, and Ultra Deep filler into deep fatty compartments.
The filler injection points are determined depending on the severity of the nasolabial fold and the degree of volume loss in the middle third of the face. When choosing an injection site, it is important to consider the fact that restoring contour and volume in one area can improve the condition of the adjacent area.
For example, the appearance of nasolabial folds can be reduced by injecting fillers into the jaw and zygomatic areas, especially in patients with mild to moderate volume loss and minimal or no shifting of fat compartments in the midface.
Contraindications for lip contour correction
Procedures to increase lip volume and rejuvenate the area around the mouth are not carried out if you have:
- Autoimmune diseases;
- diabetes mellitus in the stage of decompensation;
- the presence of inflammatory changes in the lip area;
- intolerance to the components of the administered drug (allergy);
- the presence of biopolymer gel or other implants in the lips;
- epilepsy;
- oncological diseases.
If there is a history of recurrent herpes before the procedure, prophylactic use of the drug “VALTREX” 500 mg is recommended - 1 tb x 2 times a day (morning, evening) - 5 days.
Inflammation
Infection of the lips occurs when sterility is violated during and after manipulations. The rules of asepsis and antiseptics are known to cosmetologists as the multiplication table. This is one of the foundations of medicine. Non-professional craftsmen, especially those who are self-taught or who see patients at home, violate the rules of sterility. As a result, the puncture sites become infected and the lip becomes inflamed. The consequences can be extremely dire. You can't do it without the help of a surgeon.
In cosmetology centers, such a complication occurs in extremely rare cases. Most often, they are associated with existing acute and chronic diseases, about which the patient decided not to notify the cosmetologist. A consultation before the procedure is carried out to identify contraindications. It is very important not to hide information from a specialist. Patients may also ignore post-procedure care recommendations given by their doctor. This can also lead to inflammation.
After the procedure
After administration of hyaluronic acid preparations, pain may persist in the lip area. As a rule, this lasts no more than a week. During the first 24 hours after the procedure, it is recommended to limit excessive facial activity, drink hot drinks, and avoid heavy physical activity. For 10-15 days after increasing lip volume, you should not sunbathe, visit a sauna or bathhouse, and also limit your alcohol intake.
The result of lip volume correction and rejuvenation of the area around the mouth is noticeable immediately after the procedure. During the first 2-3 days, swelling and bruising in the area of manipulation is possible, which resolve within 1 week. The final effect of the correction is assessed after two weeks.
What is mesotherapy
Mesotherapy of the face and body is a procedure during which special preparations are injected into the patient’s skin at different depths - meso-cocktails (fillers).
It is applied for:
- prevention of aging and elimination of the first wrinkles;
- saturating the skin with vitamins, minerals, amino acids, peptides and other components for its healing;
- increasing the tone of the dermis;
- smoothing scars;
- combating acne and acne;
- eliminating pigment spots;
- reducing fat deposits and fighting cellulite;
- prevention of hair loss and treatment of alopecia.
The effect of mesotherapy of the face and body is achieved by administering mesoinjections with a special cocktail. The composition can be either ready-made or created by a cosmetologist from various components, taking into account the needs of the patient’s skin. To consolidate and enhance the effect, mesotherapy is carried out in courses several times:
- 5–10 sessions once a year;
- up to 7 sessions - once every six months.
Photos "before" and "after"
Lip contouring with filler.
Lip contouring.
Lip contouring.
Lip augmentation with Surgiderm 24xp. Completed by: Elmira Baltacheeva.
Elena Savitskaya “before” and 6 months after lip contouring with the drug “Ekvio”. A natural smile without the effect of pumped lips. Completed by: Andrey Iskornev.
Upper and lower transconjunctival blepharoplasty. Neck liposuction. Thread neck lift. Removing Bish's lumps. Botulinum therapy. Lip contouring with Equio. Surgeon: Iskornev Andrey.
How to behave after injections?
Hyaluronic acid injections are not abdominal surgery. Usually, the next day you can lead your usual lifestyle. Of course, with some restrictions.
For the first days after the procedure, you should not drink hot (and strong!) drinks, visit the bathhouse or sauna, or smoke. However, visiting the sauna and solarium, or staying in the sun for a long time, is generally undesirable if you do not want the results to quickly fade away. Your new lips require care. Protect them from bright sun, excessively high temperatures, and dehydration. Drink more water. In gratitude, your lips will look great and will give you another pleasant bonus: lips that are enlarged or corrected with hyaluronic acid will apply any lipstick much better and more evenly, they will not crack or dry out.
Contraindications
There are really few contraindications for the use of hyaluronic acid:
- inflammatory processes in the injection area,
- herpes,
- oncology,
- autoimmune diseases.
Review
“I used to be against “unnatural” interventions in the body, such as hair extensions, breast augmentation and lip reshaping. But the enthusiastic recommendations of my friends did their job, and I made an appointment with Andrei Alexandrovich. The volume needed to be adjusted.
The lip pumping itself lasts about 10 minutes. After the procedure, the numbness went away quickly. And by the evening the lips looked smooth, there was no trace left of the injections
.
For the first 3-4 days they were quite swollen, the swelling completely disappeared on the 7th day.
I can't say that the procedure is pleasant. But for the sake of the result, believe me, it’s worth being patient. I always wanted to wear bright makeup before. Now your lips are plump, smooth, and red lipstick looks great.
My opinion about this procedure is that filling is worth doing. If there are no problems with your lips, but you want to make them more expressive, don’t go too far - pumping 1 syringe of 0.8 ml is enough. And girls with “duck lips” pump 3-4 syringes, now I understand it))
The effect of voluminous lips lasted for 9 months.”
Milena, 27 years old
