If you look closely at your upper lip you will see a margin that separates face skin from lip skin.
This margin is called the white roll. It should run from one corner of the mouth to the other. In
the center of the upper lip line there is a little peak on either side with a depression between
them. The peaks and the depression are called cupids bow. Regardless of how thick or thin the
lips actually are they appear thin if this white roll and cupids bow are not well developed and
well defined. This is what makes lips sexy, the architecture of this line. This line is why
professional makeup artists recommend lip liner. Lip liner not only slows the bleed of lipstick
when done correctly liner makes the lips look fuller with a perfect pout. In some people the line
doesn’t go all the way to the corner of the mouth, I call this short lip. In either case I inject the
filler directly into the roll.
In the center of the upper lip in the cupids bow area I am very careful to create a nice peak on
either side. When this is done there is usually some filler left. The left over can be used to create
a little pout or to add volume to the upper or lower lip. Filler can also be used to fill pits and
craters or depressed scars. Take a good look at yourself before your filler appointment. It’s best
to tell the doctor in advance what you would like to do with any leftovers. The nice thing about
fillers is they work immediately. I usually do one side then let the patient look in the mirror to
compare the treated side to the untreated side. First time patients always say “ohh wow”.
Lip reduction is performed in the office under local anesthesia. This procedure is most
commonly performed to correct traumatic deformities of the lip. It is also performed for
cosmetic reasons to bring the two lips into balance with one another. The lower lip should
always be fuller than the upper lip. The correct approach may be reducing one lip or enlarging
the other. The most important measure is what the patient wants. Reduction involves cutting,
enlarging does not.