Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Wednesday, June 25, 2008

Juvederm and Lip Enhancement

Dr. Rivkin,

Is it possible, with Juvaderm, to make the top lip fuller, maybe the border a bit "lifted" .... but not jutting OUT? And can Juvaderm in the bottom lip be used to make the lip fuller by rolling it out a bit?

I've had Restylane and Juvaderm a few times, and all but one time, the top lip had a bit of a Marge Simpson look to it, kind of extending out shelf like, but not poofy and lifted.

Thanks


hi,
avoiding the marge simpson look has more to do with the injector than the product. both restylane and juvederm can give a really nice, natural and full effect (although i personally prefer juvederm - i think that it is smoother) if injected carefully, correctly and in moderate quantities. it sounds like you had too much material injected. and yes, rolling the bottom lip out should be not that difficult to do, although some people have anatomy that is resistant to a roll effect.
injecting lips is a bit of an art. not everyone can do it well. you should find someone who is really good at it and stick with whatever filler they prefer (as long as it is a hyaluronic acid like restylane or juvederm - nothing else belongs in the lips - not radiesse, not artefill and not sculptra).
cheers

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