One of the most popular areas for correction with dermal fillers is the lips. At the same time, correction of the Cupid's arch, along with an increase in volume and elimination of asymmetries, is in the top of injection procedures aimed at beautification of this area.
Arch (or arc) of Cupid is a curly curve of the red border of the upper lip, which runs on the border with the skin and resembles the bow of the Roman god of love in shape. Having given the correct and clear contours to this "highlight" upper lip, you can make the lips more aesthetically appealing. How to do it, tell Dr. Jeff Downie (Jeff Downie) and Mark Devlin (Mark Devlin).
Preparing for Upper Lip Correction: Important Aspects
There are several contraindications for injection correction of the upper lip:
• active herpes on the lips;
• allergy to drug ingredients;
• dysmorphophobia.
It is important to document the presence of any imperfections in the lip area, such as scars, bumps, mucosal cysts, asymmetries, before the procedure. This is necessary to avoid possible complaints about the appearance of such defects as a result of the correction performed.
It is important to note that work with the lip area is extremely rarely limited to the beautification of Cupid's arch. As a rule, in order to get a pronounced, but at the same time natural result, fillers are injected into both the upper and lower lip.
Anatomical features to consider when working with Cupid's arch (H2)
The superior labial artery runs directly under the lining of the inner lip. As a rule, two branches of – columellar arteries, which are almost parallel to each other and are located quite deep.
Lip augmentation: how to achieve ideal proportions and a rejuvenating effect
Many specialists try to maintain ideal proportions when correcting Cupid's arch and lips in general. However, the authors of the article believe that the most important thing is not to be guided by changing ideals and formulas of beauty, but to focus on harmonizing the face of each individual patient.
It is also important to understand how bone tissue affects the appearance of the face. Therefore, before performing a correction, it is always necessary to assess the condition of the supporting structures of the lips.
The most important thing is not to be guided by changing ideals and formulas of beauty, but to focus on harmonizing the face of each individual patient.
Choice of dermal fillers for upper lip correction
For superficial injection, the authors recommend the use of low elasticity fillers that integrate well into the vermilion border of the lips or filtrum columns.
For deep insertion, products with higher elasticity are suitable, which provide noticeable volumization.
The authors use products from the Restylane portfolio (Restylane Kysse) to correct Cupid's arch, but note that there are other HA fillers that provide good results in this area.
Because the authors use fillers with lidocaine in their composition, the procedure is quite comfortable for the patient without the additional use of an anesthetic.
Cupid's arch correction technique with hyaluronic acid fillers
Before correcting Cupid's arch, it is necessary to determine its purpose:
• reconstruction of contours lost as a result of aging;
• Creating Cupid curves from scratch.
As we age, the volume of the lips decreases, which, among other things, can lead to a flattening of the Cupid's arch. In this case, the task of the doctor – to make up for lost volumes: inject the filler into the red border of the lips just below its border with the skin.
Natural results can be obtained by superficial application of the drug, and subsequent volumization will restore the former fullness and attractive contours of the lips.
When working with lips it is very important to avoid overcorrection: excess volume can lead to flattening of Cupid's arch. The introduction of a large amount of the drug into the red border is fraught with such an occurrence of such an undesirable phenomenon as “duck lips”.
It is very important to avoid overcorrection when working with lips: excess volume can lead to flattening of Cupid's arch.
For patients who have never had Cupid's arch, a different approach is taken for best results, involving multiple filler sessions.
So, the authors inject the drug into the red border of the lips under the filtrum – this provides volumization in the central part of the upper lip. Small amounts of filler can then be injected directly into the filtrum columns to elevate the Cupid's bow.
It is recommended to inject 0.1-0.2 ml of the drug into each zone at a time. It is important to carry out the correction gradually, taking into account the opinion of the patient after the introduction of small amounts of filler.
The authors prefer to use a needle when correcting Cupid's arch because it allows better control of the injection and more precise injection of the product. However, for beginners, it is better to use the cannula – it reduces the risk of vascular damage. However, both tools can be used simultaneously: lip body volumization is performed using a linear cannula technique, and Cupid's arch correction – needle, accurately injecting small amounts of filler.
According to statistics provided by the expert panel on combating complications and adverse events in aesthetic medicine, 53% of all complications after fillers in 2016-2018. arose after lip augmentation. Bruising and swelling were the most common, but rarer and more serious vascular complications have also been documented.
Hyaluronic acid lip correction: how to get a natural result and avoid complications
Therefore, when starting to correct the Cupid's arch with hyaluronic acid fillers, the practitioner must be sure to understand the anatomy of the target zone, use only high-quality and suitable preparations, and also apply the most effective and safe insertion techniques.
Adapted from Aesthetics
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