Correction of aged lips with a filler based on hyaluronic acid

Correct proportions, fullness, curves, minimum wrinkles in the perioral region – the main components of attractive lips.

Non-surgical augmentation can be used to lips that meet the above criteria.

Correction of age lips filler has its own characteristics and difficulties associated with the aging process of this zone.

On the anatomical features and augmentation of the lips of aged patients on the example of a case from practice in the article  com tells Dr. Sarah Holness Anatomical features and blood supply of age lips Practice: correction of aged lips with filler GK

• Anatomical features and blood supply of age lips Correct lips – their shape, structure and volume – 
in aged patients it is more difficult
• than in young ones, because with age there are: flabbiness of the skin; presence of perioral wrinkles; shortening of teeth; remodeling of the bone tissue of the lower jaw;
Changes in bone density (associated with age, diet, hormonal changes, comorbidities, and tooth loss).

The upper and lower labial arteries are responsible for blood supply to the lips – branch of the facial artery that branches off from the internal carotid artery.

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Maximum naturalness: a modern approach to injection lip correction

The facial artery
•  passes into the angular artery and then connects to the dorsal nasal artery, which emerges from the ophthalmic artery – branches of the internal carotid artery.
The infraorbital artery
•  has several anastomoses with the facial artery and branches supplying blood to the cheeks and lips.

The mental artery

 Nourishes the chin and lower lip.

The arterial and venous networks in this area are quite complex, there are various options for the relative position of vessels.

Practice: correction of aging lips with HA filler

A 74-year-old female patient who had previously undergone upper facial augmentation approached the author with a request:

make lips more attractive; smooth fine wrinkles around the mouth;

"refresh" perioral zone, while maintaining its natural appearance.

For the correction of age lips, the author chose 

filler Belotero

 

Balance

 + lidocaine

 – a poly-thickened, cross-linked gel with high and low density areas that integrates evenly into the dermis for a 6 to 12 month effect.

Before procedure:
doctor documented patient's medical history;

patient signed the informed consent form; patient confirmed that she is not planning any dental procedures in the near future; the author took a photo of the patient's face without makeup. Before the procedure, it is important to warn the patient about the swelling, which disappears after 3-4 days.

In this case, due to the absence of contraindications, the patient took  

an antihistamine drug before the procedure; in order to reduce swelling and sensitivity, the doctor also used ice pack

.  

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• To smooth fine wrinkles and lines, the filler is injected 
superficially

.

To avoid  

the Tyndall effect and gel contouring, it is important to choose the right preparation.

Dr. Holness prefers to apply a topical anesthetic to the lips

before performing injections. To cleanse the skin, the author uses solution 

Clinisept+

.

The procedure was performed with the 27 gauge needle supplied with the Belotero Balance filler.

Fig. 1: patient before and after lip augmentation with dermal filler Sequence of correcting aged lips with filler:

First, the border of the red border of the lips was processed, starting from the lateral point, in a retrograde technique without strong pressure on the syringe plunger.

After augmentation of the border of the red border of the lips, a light massage of the lips was performed. Aspiration was performed before injecting the drug into the red border of the upper lip. The lower border of the red border of the lips and the central part of the red border of the lower lip were processed.

Since 0.7 ml of filler was used to correct the lips directly, the remaining 0.3 ml of the product was injected into perioral wrinkles using the blanching technique.

Soft palpation of the treated area was performed in order to evenly distribute the product.
After augmentation, the lips and adjacent areas were re-cleaned.
2. A photo was taken after the procedure for correcting aged lips with a filler.
3. The patient was completely satisfied with the result of lip correction with filler.
4. Patient received information about 
post-procedure care
5. , which included, but not limited to, the contact details of the doctor, 
rules of general hygiene
6. , as well as recommendations:
do not apply makeup to the target area for 12 hours;
be sure to tell your doctor about any problems or changes.
9.  

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Creating attractive upper lip curves: Cupid's arch correction with HA fillers

At follow-up two weeks later, the outcome was evaluated.

It was not necessary to administer the drug additionally.

• Based on 
magazine 
Aesthetics

.

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