Beautiful and sensual lips
Well-shaped, full lips look sexy and youthful on every mouth. With increasing age, the subcutaneous fatty tissue and bone density decrease. The corners of the mouth may droop and the lips become narrower. When the skin’s elasticity is reduced, wrinkles or small lines form under the influence of the muscles in the face and gravity. As a result, upper lip wrinkles, mouth wrinkles (marionette lines) and wrinkles between the wing of the nose and the corner of the mouth (nasolabial fold) can develop. Is lip make-up not achieving your desired results? Are you also starting to feel the effects of age? Do you also want full and attractive lips?
We can help you with lip injections with fillers in Saarbrücken.
A younger look and sensual lips with hyaluronic acid lip injections:
- Rejuvenate your appearance
- Pleasing yourself again
- Increase attractiveness with a youthful center of the face
- Professional advice
What our patients say
Information at a glance
Duration of treatment
30 minutes
Anesthesia
Anesthetic cream / local anesthesia / vibration anesthesia
Hospitalization
Outpatient
Socially acceptable
immediately
Costs
Additions or alternatives

Lip injections with fillers
Fillers emphasize the harmonious and sensual contours of the lips and help to create a beautiful shape. After hyaluronic acid treatment of the mouth area, the subjective well-being of patients is rated higher1. Lip filler injections are a safe treatment and are characterized by a high level of patient satisfaction2. The following aesthetic treatments of the lips with fillers increase their attractiveness:

- Emphasis of the upper lip tubercles (Tuberculum labii superioris)
- Volume build-up of the red lips (lip tubercle)
- Restoring a youthful relationship between the upper lip and the lower lip
- Definition of the elevation immediately above the lip red border (white roll)
- Raising the corners of the mouth
- Highlighting the cupid’s bow
- Enhancement of the vertical hollow between the lip and nose (philtrum) to correct flat lips
- Reduction of lip wrinkles (pleats, smoker’s lines, perioral wrinkles).

1. philtrum column 2. philtrum (hollow between nose and mouth) 3. cupid’s bow 4. oral cleft (rima oris) 5. lip cushion (tubercle) 6. chin furrow 7. nasolabial fold 8. upper lip white 9. corner of the mouth 10. lip red border
In which cases does lip augmentation make sense?
A certain dissatisfaction with the facial expression is often attributed to the lips. A certain predisposition or changes in age can cause both women and men to inquire about a lip correction due to narrow lips. During an examination at CenterPlast, your facial features, skin elasticity and volume distribution are examined. Misaligned teeth or jaws must also be taken into account, as they can affect the proportions of the lips. This allows the treating physicians to weigh up the various methods in your case and select the most suitable tissue fillers.
Occasionally it can be helpful if you bring pictures with you that illustrate your desire for change and the look you hope to achieve with beautiful lips. During the examination, Dr. Santos Stahl, a specialist in aesthetic medicine, will show you which features of the lips help to create a more youthful, attractive, open-minded or friendly expression.
A lip filler treatment helps to create more volume and a more beautiful contour. To achieve a harmonious result, drooping corners of the mouth or wrinkles around the mouth are also taken into account. An additional injection with a muscle-relaxing agent can be useful to emphasize the lip border (lip flip technique). The use of such a preparation is also suitable for lip correction in the case of so-called gummy smiles. Thanks to her many years of extensive experience, Dr. Santos Stahl can provide you with comprehensive information on both non-invasive and permanent surgical treatment methods.

Injections with a muscle-relaxing active ingredient around the edge of the lips will simultaneously treat wrinkles around the mouth and emphasize the lips (lip flip technique).
What are the alternatives to lip injections?
An alternative to injections with hyaluronic acid is the use of autologous fat. The advantage of this method of lip correction with nanofat is that the results are permanent. This keeps the lips full and completely without surgery. In addition, the precursor cells have a positive effect on the skin’s properties. The skin’s elasticity and collagen content improve.
As the cells are the body’s own material, there is no need to worry about allergic reactions. The body does not reject it. An autologous fat treatment can be performed on an outpatient basis and under local anesthesia (local anesthesia) or in twilight sleep. So-called permanent make-up is not an alternative, as it does not give the lips more fullness or volume.


What products are used for lip injections?
Only high-quality, certified products are used for lip injections at CenterPlast. As the administration of hyaluronic acid is hardly regulated by law in Germany, skilled practitioners repeatedly offer hyaluronic fillers from countries without any quality control. The best-known certified products that have been in use for many years include the fillers from Merz, Allergan and Galderma.
The precise application of small amounts of a muscle relaxant to the outer edge of the upper lip causes the upper lip to roll outwards. This creates a sensual pout with full lips. This method of lip augmentation with a special effect is also commonly referred to as a lip flip. A muscle-relaxing agent can also be used on the corners of the mouth. If the corners of the mouth are drooping, the active ingredient helps to create a friendly and open facial expression.
The use of autologous fat is a good and permanent alternative to the use of hyaluronic acid. It offers you permanent lip augmentation. You can find out more about other treatment methods under Questions and answers about lip correction.
Our tips for natural, sensual lips with hyaluronic acid
The right filler should be selected for the individual needs of your lips. A preparation with a low modulus of elasticity should be selected to increase the volume of the desired lip augmentation. The treatment of upper lip wrinkles requires a hyaluronic acid gel with low cohesiveness. Lifting the corners of the mouth requires the use of a firmer hyaluronic acid gel.
Other possibly effective treatment options should not be withheld from you. If the corner of the mouth is drooping and there is increased muscle tension (depressor anguli oris muscle), the use of a small amount of muscle relaxant can be useful. Upper lip wrinkles can also be treated with a small amount of Relaxant. In older patients with a thin upper lip and a wide upper lip, a minimally invasive surgical procedure (minimally invasive lip augmentation) may be more effective for tightening. This is known as the bullhorn lip lift. On this page you will also find detailed information on pre- and post-operative care as well as details such as the duration of the operation.
We always strive for natural lip correction results that also suit you visually. With Centerplast, you do not have to worry about excessively inflated lips, so-called inflatable lips. During and after the hyaluronic acid injection, there is occasionally a slight but temporary swelling. Many patients want to find out in advance what volume should be used when injecting lips for the first time in order to avoid unwanted swelling in the first few days and to achieve an optimal result: It is advisable to limit the injected volume to one milliliter and, if necessary, to inject a little more after one to two weeks for lip correction.
We use various techniques and methods to achieve the best possible effect. The hyaluronic acid is injected at specific points, for example to emphasize the upper lip tubercle (tuberculum labii superioris) or to lift the corners of the mouth. The fan technique is used to increase the volume of the red lips. The linear technique is used, among other things, to define the transition to the lip red border, the cupid’s bow and the vertical hollow between the lip and nose (philtrum).
What you should know before lip injections
Lip augmentation or lip correction with fillers is in itself a safe treatment with few side effects. Temporary swelling and small bruises may occur after each lip injection. Inflammations and allergies are rare. In rare cases, hyaluronic acid can lead to vascular occlusion and impair blood circulation. To avoid this, we use our expertise and experience to ensure your safety and satisfaction:
- Dr. Santos Stahl is proficient in all injection techniques and, after years of specialization in the field of facial surgery, is very familiar with anatomy
- Due to her training and experience, Dr. Santos can also offer you alternative treatment methods and provide you with comprehensive advice
- As part of the examination and consultation, an optimal treatment plan will be developed together with you
- We only use high-quality hyaluronic acid products
- The hyaluronic acid with the best properties is selected taking your skin conditions and facial region into account
- The doctors at CenterPlast are also technically and professionally prepared to treat complications
- After treatment, Dr. Santos Stahl can be reached by telephone at any time in an emergency
- We would like to check on your satisfaction after the injection via video consultation or in person on site
You can find additional information on the general precautions to be taken before undergoing a lip corrure with fillers under Fillers – everything you need to know.


What should be considered after lip injections?
After lip augmentation, the lips are slightly anesthetized, but this quickly subsides. You should not exercise for the rest of the day of the procedure. Treat your body to rest and relaxation. Saunas and swimming pools are also taboo during this time. This is possible again from the next day. During your consultation with your doctor, it will be explained to you that occasional light massaging of the lips after lip correction is beneficial in order to promote the even action of the active ingredient and to achieve an optimal treatment result with smooth lips.
After lip correction, you should refrain from smoking for at least 24 hours or reduce it to a minimum. You should also avoid mouth movements after lip injections as much as possible (talking, kissing, etc.) so as not to impair the desired result of full lips. So that you chew less with your mouth, it is advantageous to preferably eat pureed food, such as soups. Avoid overly hot foods and extremely cold foods such as ice cream.
Fillers and cold sores
Hyaluronic acid injections are very effective and have very few side effects when performed by experienced plastic surgeons. Nevertheless, cold sores can break out in less than 1.45 percent of cases 24 to 48 hours after the filler injection3. Cold sores are a sign of herpes simplex virus 1 inflammation.
Over two thirds of the population carry the virus. If the body’s defense mechanisms are temporarily disrupted, a herpes infection can be triggered. Initially, small painful nodules appear on the lip. As the disease progresses, blisters and small crusts develop with reddening around the edges.
An experienced plastic surgeon can distinguish the skin changes from an allergic reaction. Allergies are very rare and occur in the first 48 hours after the injection. If you suffer from herpes infections at least three times a year, we recommend preventive treatment with a virus-inhibiting medication.
Nodules after filler
Unlike irregularities, which are visible immediately after the injection and disappear on their own, hardening only develops after a few days and can be palpable for many months. Hardening can be a sign of a reaction of the immune system. If the immune defense is directed against germs, a painful hardening, redness, overheating and possibly wound secretion occur on the second or third day.
An examination of the wound secretion can help to clarify the cause. Redness and hardening can occur in 0.8 percent of patients two to three days after the injection. A nodule that appears 21 to 28 days after the injection can have various causes. The late appearance of nodules is caused by unusual germs or an intolerance to components of the filler. A tissue sample should be examined if the nodules are very pronounced.
An allergy test is informative if the nodules are only slightly pronounced. If the nodules are the result of hypersensitivity to the filler, they usually disappear quickly after cortisone injections. Post-injection hypersensitivity affects an estimated 0.04 percent of patients4. Unusual or atypical germs are also treated with antibiotics.
What are the risks of lip injections?
Temporary swelling and small bruises may occur after each injection. Inflammations and allergies are rare. Lip injections are in themselves a safe treatment with few side effects. The following necessary requirements must be met for this, to which CenterPlast pays particular attention:
- The hyaluronic acid treatment taking into account your findings and your goals appropriately
- The respective hyaluronic acid is appropriate for the treated region
- High-quality hyaluronic acid is used
- Your experienced doctor masters the techniques of injections
- The surgeon is very familiar with the anatomy
- The practitioner has experience with alternative surgical procedures
- The doctor is professionally and technically prepared for the treatment of complications
- Your surgeon can also be contacted after the treatment if required.
Too much hyaluronic acid, what now?
Hyaluronic acid products bind water to varying degrees. A perfect lip correction with filler therefore requires a lot of experience to inject the right hyaluronic acid, in the right amount and in the right place. As we attach great importance to natural and harmonious results for lip augmentation, we dose the hyaluronic acid very carefully. If desired, a second touch-up for lip correction is performed at a follow-up appointment after one week.
The result of unskilled and uninformed treatment is disfigured lips, which are a recurring motif in tabloid beauty trends. Injections that are too superficial can lead to a Tyndall effect, or a blue discoloration of the skin. Over- or incorrect corrections can be treated with an enzyme that acts as an antidote. The enzyme is marketed as a medicinal product under the name Hylase® and may therefore only be administered by doctors. Hyaluronic acid, on the other hand, is classified as a medical product and is therefore also injected by medical laypersons without the necessary training and experience. Anyone who undergoes non-medical treatment for lip augmentation therefore runs the risk of not being helped in time in the event of a complication. It is therefore best to entrust yourself to a specialist in aesthetic surgery/plastic surgery (plastic-aesthetic surgeon).
The more time has passed since the injection, the less effective the enzyme is. If the injection was not more than four days ago, we use 15 to 30 units of Hylase®. If necessary, the treatment can be repeated after one week. An allergic reaction to Hylase® is rare (0.05 percent5).
Other frequently asked questions about lip injections
Many patients wonder whether a natural result is even possible with lip injections, as they have seen many negative examples in the media. This is the result of treatment by unqualified and inexperienced, often self-appointed experts.
You can also read more about frequently asked questions there:
- How fillers work for anti-ageing wrinkle treatment
- How long a lip injection lasts
- When a lip injection should be repeated
- when the swelling subsides
- Which product lasts the longest
- when the final result can be expected
- whether it is permitted to have lip injections during pregnancy or while breastfeeding
- whether minors are allowed to have their lips injected
- What to consider before injecting lips
Our before and after pictures of lip injections
Before patients decide to have lip injections, they often want to see before and after photos of treatments that the practice has carried out. Centerplast also offers the option of being shown before and after results.

AUTHOR
Dr. Adelana Santos Stahl
Our aim is to offer optimal, discreet and precise treatment based on our extensive expertise in the field of plastic surgery.
Dr. Adelana Santos Stahl has a unique international perspective with a female view of plastic surgery. Your individual and detailed approach is the key to the beautiful and natural results. Having trained in Brazil, one of the largest and best-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.
She completed her medical studies and training as a specialist in plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the state medical examination.
Two years later, in 2011, she received the German and in 2012 the EU specialist certification (EBOPRAS) for plastic surgery. From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.
A VDÄPC Fellowship (continuing scholarship for graduate students) in Switzerland, France and the USA has further enriched her professional experience. Dr. Santos Stahl is active in various renowned professional associations. In addition to the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.
She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.
She has been based in Saarbrücken since 2019.
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