The widespread use of lipstick clearly demonstrates the demand for fullness of the lips. Female patients frequently look at celebrities and socialites whose lips are ‘over the top’ in terms of augmentation, however, and are fearful that they might end up with huge, ‘fake’ looking lips if they were to undergo injection augmentation.
The truth is that, similar to breast augmentation, patients can choose the degree to which their lips are enlarged. A reputable, experienced facial plastic surgeon will use injectables such as Restylane, Perlane, Juvederm Ultra, or Juvederm Ultra Plus, in combination with numbing cream and a dental block, to augment the lips to whatever degree, and in any manner that a patient chooses.
As far as choosing an injectable, I find that Juvederm lasts longer for most patients than Restylane. I also strongly recommend against using Radiesse in the lips, as it definitely has the potential to form firm lumps.
