Miami Cosmetic Surgery

This is a common reason that people use fillers around the mouth. Patients usually ask me to improve the look and contour of this area. The lip corners are an area where several lines and folds unite. From above, the nasolabial fold ends on the corner of the lip. If this is prominent, it can make this area seem heavy and can hide the corner of the lower lip. In addition, the heaviness can translate to a downturned lower lip, making the patient seem sad. I treat this area with a combination of fillers and Botox. I start with filling the nasolabial fold to decrease its depth. I then use filler to fill and elevate the lower lip corner. The last step is to place a small droplet of Botox on the lower lip muscle to relax it. The relaxation of this muscle helps to elevate the lower lip just a little bit. The result is a beautiful lower lip and a happy patient!

Posted by Dr. Bustillo

My favorite filler for the lips is Restylane. I think it works very well and gives a very natural look when placed in the right location and amount. I like to add a thin strip to the border all around the upper and lower lip. I then place a moderate amount in the inside of the upper and lower lip. This allows a moderate amount of eversion, or turning out of the lip. When done in a moderate manner, the lips can be filled in a very natural way. The procedure is done in the office and usually takes 10 minutes to perform. Topical anesthesia cream is applied to the lips and then the Restylane is injected. One recent innovation is the addition of lidocaine local anesthetic to the Restylane. This has reduced the discomfort associated with the injections a great amount.

Posted by Dr. Bustillo