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    Correction of the lips

    Lip contours

    The shape and volume of the lips characterize a person’s first impression in fractions of a second. Raised corners of the mouth have a sympathetic effect. Full and well-formed lips are perceived as attractive. An exact understanding of the age-related changes as well as a detailed knowledge of the anatomy of the lips are decisive for the success of the treatment. A frequent treatment error is undifferentiated and inappropriate lip enlargement, although other treatment methods are necessary instead of or in addition to injection.

    The border zone between the red of the lips and the skin around the lips forms a harmonious, slightly raised transition. The border between the upper lip red and the skin above the lip is called the “cupid arch”. In the area between the upper lip and the nose there is a vertical groove, also called “philtrum”. The natural height ratio between the upper lip and the area between the upper lip and the nose lies between 1:1,2 and 1:2,3. A loss of fat tissue or bone mass, intensive sun exposure or smoking can impair these ratios. By nature, the lower lip is slightly higher than the upper lip. The ratio between the upper and lower lip red is between 1:1 and 1:1.6. Seen from the side, the silhouette of the upper lip usually towers over the contour of the lower lip by slightly more than one millimetre. When the opening of the mouth is slightly relaxed, about two millimetres of the incisors are usually visible. Eight different facial muscles that unite at the corner of the mouth (also called “modiolus”) reveal our current mood. The tension of these muscles can cause laugh dimples, wrinkles between the lower lip and chin (also called puppets wrinkles) or wrinkles between the nostrils and the corner of the mouth.

    From birth until old age, the shape of the lips, the red of the lips, the proportions of the lips, the contours of the lips, the volume of the lips and the skin around the lips change. These changes are partly due to our genetic make-up. If our facial features do not reflect our inner sensitivities, posture, personality or health, various treatments can reconcile them. As a rule, these procedures can be performed under local or surface anesthesia.

    What lip enhancement techniques do we offer?

    In order to achieve a harmonious result, it is often necessary to combine different techniques.


    • The injection can achieve the following changes particularly effectively:
    • Increase lip volume.
    • Increase in lip diameter forward parallel to the tip of the nose (projection).
    • Correction of vertical lip wrinkles on the upper lip (pleats, smoker wrinkles, “perioral wrinkles”).
    • Correction of wrinkles between lower lip and chin (mentolabial wrinkles, puppet wrinkles).
    • Correction of wrinkles between the wing of the nose and the corner of the mouth (nasolabial wrinkles).
    • Correction of chin wrinkles (horizontal wrinkles between lower lip and chin).

    An injection can be performed with nanofat or hyaluronic acid. The effect of hyaluronic acid lasts about six to nine months. The nanofat treatment leads to a lasting result.


    Botox can effectively achieve the following effects:

    • TCorrection of hanging corners of the mouth.
    • Gummy smile correction for overdeveloped lifting muscles of the upper lip.

    Direct skin tightening

    The removal of skin wrinkles serves the treatment of:

    • Deep mentolabial wrinkles (puppet wrinkles).
    • Deep nasolabial wrinkles.

    Deep nasolabial wrinkles can usually be harmoniously corrected by face lifting and own fat treatment. The best individual procedure can be recommended during the consultation and examination.

    Needling and endogenous platelet-rich plasma (PRP)

    The combination of PRP and Needling with three repetitions at intervals of two to six weeks helps against:

    • vertical lip wrinkles on the upper lip (pleats, smoker wrinkles, “perioral wrinkles”).

    Why should you entrust yourself to an experienced plastic and aesthetic surgeon?

    Improving the shape, proportions, contours, volume or skin around the lips requires more than just mastering a treatment method such as lip injection. The choice of the best individual treatment method should not depend on the abilities of the doctor, but on the needs of the patient.

    Only an experienced physician can quickly identify and treat possible adverse effects. Botulinum toxin (Botox) is a prescription drug. Hyaluronic acid does not require a prescription, but the antidote Hylase®, which should always be present in an emergency, requires a prescription.

    Only approved and certified products of safe origin may be used for treatment, and hygiene rules must be observed. In addition, precise knowledge of the anatomy is important. The disregard of natural proportions quickly leads to an unnatural result.

    How can you prepare for a lip correction?

    • All your questions about possible complications and alternative treatments should be answered before surgery.
    • Keep nicotine and alcohol consumption to a minimum.
    • Botox and hyaluronic acid treatments should be avoided during pregnancy and lactation.
    • Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your doctor.
    • Vitamin preparations (A, E) and food supplements (omega-3 fatty acids, St. John’s wort preparations, etc.) must be stopped at least four weeks before the operation.
    • At home, prepare ice cubes or cooling pads to cool the skin after the treatment.
    • If you suffer from cold sores (herpes), you should tell them so that they can be prevented.
    • You should take out follow-up insurance before performing aesthetic procedures.

    What do you need to keep in mind after lip surgery?

    • An elevation of the upper body of about 30 degrees (also during sleep) and a cooling of the lips over two to three days is beneficial for the decongestant and healing of wounds.
    • Showering is possible immediately before the wound check from the first postoperative day.
    • Speaking should be reduced to a minimum in the first 48 hours.
    • Chewing gum and hard food should be avoided in the first five days.
    • This is followed by regular checks of your well-being and the results of the operation.
    • The skin threads are removed about five to six days after the operation.
    • After about one, better two weeks you can go back to work. With VY lip augmentation, swelling, stiffness and loss of sensation can affect drinking and speaking in the first week. Swelling and loss of sensation usually disappear after three to six months.
    • From the third postoperative week onwards, several daily massages for a few minutes in a circle, lengthwise and crosswise to the course of the scar with oily creams (e.g. Bepanthen® ointment or Linola® fat) help to inconspicuous scars.
    • Bending down, lifting heavy loads, swimming, saunas and sporting activities should be avoided for two weeks, possibly longer if swelling still exists.
    • Excessive UV radiation (solarium/sunbathing) should be avoided for at least three months.

    Author’s statement

    Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.

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