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Lip Augmentation

(17 posts)
  • Started 1 year ago by ranga0007
  • Latest reply from pinastro
  1. History


    Full lips with an accentuated border have often been associated with beauty and youth. It has been suggested that this is because the lips occupy both sides of the face and, with the smile, constitute a major focal point of overall facial beauty.[citation needed] Tribal peoples worldwide have introduced various materials into and through the upper and lower lips of both genders to enhance beauty. Unfortunately, one of the effects of human aging is atrophy of facial fat including the lips. In most cultures, this translates as no longer attractive, youthful nor desirable. The procedure to enlarge lips can also reduce the fine lines and wrinkles above the top lip, flaws often referred to as “smoker’s lines.”

    Around 1900,
    surgeons tried injecting paraffin into the lips without success.Liquid silicone was used for lip enhancement, starting in the early 1960s but was abandoned thirty years later due to general -- and later, unfounded -- fears about the effects of silicone on general health.

    About 1980, injectable bovine collagen was introduced to the cosmetic surgery market and became the standard against which other injectable fillers were measured.However, that collagen does not last very long and requires an allergy test, causing the patient to wait at least three weeks before another appointment, after which more waiting is required to see cosmetic results.

    Currently, fillers containing hyaluronic acid like Restylane and Juvederm have captured the attention of consumers and physicians in Europe, North America, South America and Australia.

    Posted 1 year ago #
  2. Materials and techniques

    In the late 1990s, with the huge popularity of surgical rejuvenation and concomitant increase of cosmetic surgery procedures worldwide, more substances, along with biocompatible materials commonly used in other medical applications for years, became available to surgeons for use in augmenting thinning or misshapen lips into more plump and attractive features.

    Some of the first widely used lip augmentation substances were:

    * Autologen, an injectable dermal material made from the patient’s own skin. No risk of allergy exists but the results are very temporary because the body quickly absorbs the material.
    * Collagen requires an allergy test because the material is extracted from bovine hides. It lasts anywhere from four weeks to three months because it is also absorbed into the body. However, the allergy test must be observed for four weeks.
    * Dermalogen is taken from the patient’s skin -- and through a laboratory process -- made into a high concentration collagen that can be injected into the lips. Some studies indicate it lasts somewhat longer than collagen.
    * Alloderm is donor tissue taken from cadavers and then denatured, purified and treated to remove viable cells that could pass along disease. Under a local anesthesia, Alloderm is placed into the mucosa, or body, of the lips in small rolls to make them larger. Alloderm can also be placed into the vermillion, the pink area of the lip, to provide definition and a sharper border.
    * Radiance, a synthetic, laboratory produced solution containing calcium hydroxylapatite (bone) suspended in a gel that has been safely used in medicine for years. Some studies indicate Radiance can last between three and five years. One researcher (Tzikas) found in a study of Radiance on 90 patients that 59 percent felt when injected, moderate to severe pain which disappeared two to five minutes later. But the substance produced results for an average of two years with a few patients reporting the plumping effects being sustained as long as three to five years. Of the 90 patients, four required surgical intervention due to nodules in the lips.
    * Gore-Tex implants. In medical uses, Gore-Tex is known as EPTFE, or expanded polytetrafluoroethylene and, commercially as Advanta, UltraSoft and SoftForm. The EPTFE is delivered to surgeons in strips that are 1/16 inch (2.4mm) and 3/16 (3.4 mm) diameter tubes.

    Posted 1 year ago #
  3. Current popular procedures

    Since 2000, more products and techniques have been developed to make lip augmentation more effective and patient friendly. The relative ease of many injections is due to surgeons using tiny 30 and 31 gauge (about as thick as a dozen human hairs) needles that are used to inject the very sensitive lips. Nonetheless, topical anesthesias are often used for lip enhancement procedures.

    Some of these new techniques and substances include.

    * Fat transfer. Surgeons harvest through liposuction or excision the patient’s fat from places on the body where it can be spared and either injected or surgically placed into the lips. Surgical applications usually require general anesthesia.
    * Restylane, a non-animal, clear gel that is reported to be very close to the hyaluronic acid found naturally in the body. According to the American Society of Plastic Surgeons, there were 778,000 cases of Restylane injection in 2006, the most recent year for which statistics are available.The substance usually lasts six months and, sometimes, longer. While Juvederm is extremely chemically close to Restylane; many surgeons report the former is slightly smoother to inject.
    * Artecoll. Both Artecoll and ArteFill are not used to inject the body of the lips because the substance is heavy and would show as white through the thin skin of the lips. Additionally, both products contain tiny microspheres known as PMMA (polymethylmethacrylate) which remain in the face permanently. In cases where Artecoll has been used around the edges of the lips to remove fine lines and wrinkles, some patients have reported annoying nodules or small lumps. In a few cases, surgery was required to remove the Artecoll.

    Posted 1 year ago #
  4. Risks and side effects


    Most patients are satisfied with their lip augmentation procedure and would undergo the treatment again. Several studies have found fat grafting of the lip to be one of the best methods of maintaining a semi-permanent fuller and softer lip.When the lips are overfilled, the results can be comic, often supplying fodder to tabloid newspapers and offbeat websites. Overaggressive injections can lead to lumpiness while too little can result in ridges.

    Common reactions can range from redness, swelling or itching at the injection site(s). Other possible complications include bleeding, uneven lips, movement of the implants or extrusion, when an implant breaks through the outermost surface of the skin. The usual, expected swelling and bruising can last from several days to a week.

    Some patients are allergic to the common local anesthetics like lidocaine and probably should not consider lip injections. A few others react badly to the skin test patients must take before receiving collagen, again, because the substance contains animal byproducts. Other patients who should forego procedures to the lip include those who have active skin conditions like cold sores, blood clotting problems, infections, scarring of the lips or certain diseases like diabetes or lupus that cause slower healing. Patients with facial nerve disorders, severe hypertension or recurrent herpes simplex lesions should also eschew lip augmentation. As in all surgeries, smokers complicate completion of their procedure as well as the speed of healing.

    Fat transfer can last longer than other injected materials but can have lumping or scarring effects. The length of time a fat transfer may last in the lips is often determined by how much the area moves and how close it is to a major blood supply. In addition, the donor fat must be harvested from another area of the patient’s body which leaves another -- albeit tiny -- surgical wound. However, donor fat harvesting techniques have become extremely well refined.

    Gore-tex, despite its impressive rates of success in lip augmentation and other procedures, is nonetheless a foreign body which bears a slight risk of becoming infected or rejected.

    Posted 1 year ago #
  5. [+] Embed the video | Video DownloadGet the Video Plugins
    This is a very nice video about lip augmentation ....
    Regards
    Dr-lokku

Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    What Is Lip Augmentation:

    Lip augmentation is a cosmetic procedure designed to create fuller, smoother lips, and can also reduce fine lines around the mouth. Lip augmentation can be accomplished with the use of injectable fillers, implants, or through other surgical techniques. This is not only an appearance-enhancing procedure, but also an anti-aging procedure, since thinner lips are one of the most noticeable and universal signs of aging.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Who Is a Good Candidate:

    The best candidates for lip augmentation are non-smokers who are in generally good health and who have a positive outlook and realistic expectations about the procedure’s outcome. Those with very thin lips, fine lines around the mouth, or asymmetry of the lips can benefit from lip augmentation.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Pre-Operative Considerations:

    With certain filler materials, your surgeon may require a skin allergy test prior to performing the procedure. Patients who exhibit a reaction to the skin test, those with a serious allergy history, or those who are allergic to lidocaine should not undergo lip augmentation. In addition, the procedure will usually be postponed if you have an active infection (such as a herpes outbreak) or other inflammatory skin condition present. As with all other cosmetic procedures, you should let your surgeon know about any medications or herbal supplements you may be taking.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Post-Operative Care:

    Even with surgical lip augmentation procedures, incisions are usually tiny and heal quickly. Therefore, no special wound care is usually required. Most patients find that intermittent application of a cold pack can helps with swelling and bruising.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Recovery & Downtime :

    When performed as a stand-alone procedure, most non-surgical lip augmentations are considered a “lunchtime” procedure, meaning you can return to work immediately afterward. However, some swelling and bruising is normal, and can last an average of 3 to 7 days. On the other hand, surgical methods of lip augmentation can come with up to a one week recovery period. Guidelines vary based on the technique and type of filler material used.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Risks & Complications :

    Risks and possible complications include: bleeding, asymmetry, migration (movement) of the implant, extrusion of the implant (the implant or filler pokes or oozes out from under the skin, usually through the incision or injection site), and allergic reactions which can cause prolonged redness, itching, swelling, or firmness at the injection site. Warning: For your own safety, lip injections should be performed only by a qualified physician. Liquid silicone injections are not legal in many countries, including the U.S., because of unacceptable levels of risk to patients.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Costs:


    The average total cost for lip augmentation is between $300 and $1000 per session for most injectable fillers. However, fat transfers can be more expensive, as are surgical options for augmentation. These can range from $1500 to $5000, depending on the specific technique and materials used, as well as the geographical area. Keep in mind that the cost of injectable fillers may actually end up being more than permanent options, since repeated treatments are required to keep your new fuller pout.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Complementary Procedures:

    Lip augmentation is often done in conjunction with other procedures to enhance the patient’s results. In an office visit, these complementary procedures can include the use of the same or similar fillers in other areas of the face (resulting in what is known as a liquid face lift), Botox injections, laser skin resurfacing, or non-surgical skin tightening procedures. Sometimes, lip augmentation is done as the last step in a complete facial “makeover” while the patient is still under anesthesia after getting a more serious operation such as a face lift.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    How It’s Done:

    There are many different techniques used today for lip augmentation, each with its own list of pros and cons. The first is the injection method, wherein a liquid/gel-consistency filler material is injected underneath the skin of the lips and vermillion border. The second involves making tiny incisions inside the corners of the mouth and implanting a biocompatible solid (but flexible) implant. A lesser-known option does not use implants or fillers at all, but uses a V-shaped incision inside the mouth which is then sutured into a "Y". This rolls the lip outward, creating a subtly fuller-looking lip.

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Lip Augmentation Options:


    * Collagen –

    a natural injectable substance which gives the skin its support; bovine collagen (derived from cows) is the usual source; effects last 3 to 4 months, and must be repeated to maintain the desired effect

    * HylaForm, Restlyane -

    clear injectable gels made from hyaluronic acid, similar to the hyaluronic acid naturally found in the human body; Hylaform lasts about 3 months, while Restylane lasts about 6 months

    Thank You
    Regards Dr-Lokku

    * Radiance –

    injectable filler made of calcium-based microspheres suspended in a water-based gel; provides both immediate and extended results because it stimulates production of collagen and encourages tissue regeneration; lasts up to 1 to 2 years

    * Autologous Fat -

    the patient’s own fat; no risk of rejection, but most of the fat is eventually re-absorbed by the body, so repeated treatments are necessary; provides longer-lasting results than collagen, but can have lumping or scarring effects, and must be harvested from another part of the patient’s body

    * Alloderm, Dermalogen -

    products made from donated cadaver tissue which eventually becomes integrated with the patient’s own natural tissues; is not rejected by the body; generally produces a pliable, natural feel

    * Autologen -

    injectable dermal implant material made from the patient's own skin; no risk of rejection

    * Fascia -

    donor tissue made from the dense white connective tissue that supports body structure; can be used as an injectable or a surgical implant

    * Gore-Tex, Soft-Form -

    permanent, synthetic surgical implants which do carry a small risk of rejection by the body, though they are generally well-tolerated

    * VeraFil –

    inflatable saline implants (yes, like breast implants); like all saline-filled implants, there is a risk of deflation; although long-lasting, will probably eventually need to be replaced


    * The V-Y Technique –

    surgical technique which uses no implants or fillers; results are subtle but permanent

    * Laser Lip Rejuvenation –

    not actually an “augmentation” procedure, but can provide a lifting and smoothing effect to the lips by tightening the lips’ underlying collagen and elastin support structure

    Posted 1 year ago #
  • ranga0007

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    Dr-lokku

    Regards
    Dr-lokku

    Posted 1 year ago #
  • pinastro

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    Key Master

    strange !!!

    Posted 1 year ago #

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