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Do you want to improve the appearance of your face?
A bit of anatomy first: to understand this part of your body.
The lip has its own structure, which allows us to work on each of its areas in different ways to achieve the desired effect. The most prominent anatomical landmarks in the lip area are the philtrum, the philtral columns, the Cupid’s bow, the vermilion, and its border.
In addition, although they are not part of the lip, we must take into account two folds: the nasolabial fold, which runs from the nasal wings to the corner of the mouth and borders the cheek; and the mentolabial fold, between the lower lip and the chin (also called the ‘marionette line’). The greater or lesser prominence of these folds will also impact the effect of our lip. We must not forget the vertical lines that form on the upper lip, known as the ‘barcode lines,’ which appear as part of the aging process in the area.
The oral commissure is located at the level of an imaginary line drawn from the inner edge of the iris. In the upper lip, the most striking feature is the Cupid’s bow, which lies between the two philtral columns and is the curve formed by the vermilion line between them.
With aging, we observe a deepening of the nasolabial and labiomental folds, which become more noticeable, marked, and pronounced. Over time, there is also an atrophy of lip volume and thinning of the upper lip, along with wrinkles on the upper lip commonly referred to as ‘barcode lines,’ and when they appear on the sides, we call them ‘marionette lines.
To evaluate the proportion of natural lips, several studies have been conducted and conclude that the perfect proportion is when the lower lip is twice as thick as the upper lip—that is, the upper lip occupies one-third of the mouth and the lower lip two-thirds. Another factor to consider when speaking about lips is not to forget the shape and volume of the chin, since, just like the facial folds, the chin also plays an important role. Therefore, beyond the more academic beauty standards, what really matters is seeking harmony and the beauty of our own lips.
“Not all lips are the same. Lips can have different volumes—thin or thick—different sizes, large or small, and also different shapes. Some lips are very straight, while others clearly define the anatomical structures we mentioned earlier. To achieve a natural result, it is important to consider the existing structure of the lip, which will determine the treatment to perform and how much volume can be added.
The lip augmentation procedure is simple and can be performed with topical (cream) or local anesthesia. The method is carried out gradually, and you can immediately see the result, allowing you to decide if you want more volume in the area. A touch-up can be done after about 10 days.
Currently, hyaluronic acid is the most commonly used lip filler. It is a very safe material, with extremely rare complications, and provides excellent results. We have different types of hyaluronic acid that allow us to work differently on lip contouring or volume. These hyaluronic acids have evolved, improving their characteristics compared to those used years ago, allowing lip volume while maintaining elasticity and natural expression, without it being obvious that a filler has been applied. Naturalness and harmony are the goals of our treatment.
Treatment of the cutaneous-mucosal line of the upper lip defines its contour and increases projection. We can also inject into the philtral columns to provide more definition in that area. To add volume, we work in the submucosal area of the vermilion, applying different techniques depending on the type of lip and the desired result. If vertical lines are present, they can also be treated with hyaluronic acid. We particularly like the blanching technique, which improves fine wrinkles without adding volume.
La Dra. Laura Salvador Miranda es socia fundadora de Antiaging Group Barcelona, con más de 25 años de experiencia en Medicina y Cirugía Estética. Licenciada en Medicina y Cirugía por la Universidad de Barcelona, se especializó en Cirugía General en el Hospital Clínic de Barcelona. Desde 1999 se dedica exclusivamente a la Medicina Estética, liderando desde 2004 el grupo de Medicina Estética y dirigiendo el área de tratamientos láser avanzados desde 2006.
Actualmente es profesora del Máster de Medicina Estética y Bienestar del IFMiL (Universitat de Barcelona – COMB), participa activamente en investigaciones y publicaciones científicas, y es miembro de sociedades médicas como SEME, SELMQ, SETGRA y la Sección Colegial de Médicos de Estética del COMB.
La Dra. Camila Lovaisa es médico asistencial en Antiaging Group Barcelona, con un firme compromiso hacia el bienestar del paciente y en constante formación profesional. Licenciada en Medicina por la Universidad Nacional de Córdoba, Argentina, ha realizado un Máster en Medicina Clínica y actualmente cursa el Máster en Medicina Estética y del Bienestar de la Universitat de Barcelona.
Su trayectoria incluye experiencia en medicina interna prequirúrgica en el Hospital Quirónsalud Barcelona y atención en urgencias médicas generales en Argentina. Además, ha realizado cursos especializados en soporte vital avanzado y talleres de emergencias con simulación avanzada, mostrando un interés permanente por actualizarse profesionalmente y ofrecer a sus pacientes los mejores tratamientos disponibles en Medicina Estética.
The effect of hyaluronic acid in the lips can last approximately 6 to 12 months, depending on several factors, such as the quality of the product used, the patient’s metabolism, and the application technique. However, it is important to remember that hyaluronic acid is a biodegradable substance, so the results are not permanent, and touch-up sessions will be necessary to maintain the desired appearance of the lips.
Hyaluronic acid is a natural component of our body, so the risk of allergic reactions or intolerance is very low. Additionally, hyaluronic acid is biodegradable, which means that any unwanted effect can be reversed with special enzymes if necessary.
Lip filler with hyaluronic acid can be a little uncomfortable, but it is not painful in most cases. Most hyaluronic acid lip fillers contain lidocaine, a local anesthetic that helps numb the lips during the procedure.
The side effects of lip filler with hyaluronic acid may include swelling, redness, and bruising. These side effects usually disappear after a few days. In rare cases, an infection or allergic reaction may occur, so it is important that the treatment is performed by a qualified physician.
Recovery after lip filler treatment with hyaluronic acid is generally quick. You may experience some mild side effects, such as swelling and bruising, for a few days after the procedure. After that, you can return to your normal daily routine.
Yes, you can continue to use makeup after lip filler treatment with hyaluronic acid. However, it is important to wait a few hours after the procedure to ensure that the lips have recovered sufficiently.
It is recommended to avoid any intense physical activity or sports during the first 24 hours after lip filler treatment with hyaluronic acid. This will help reduce swelling and bruising. After that, you can return to your normal routine, but you should avoid rubbing or pressing your lips strongly.
