Dermal fillers can enhance your own natural contours to create the ideal shape and fullness. Dermal Fillers is used for Lip Augmentation to restore volume and shape to your lips, and also to define the border of your lips for a more defined look.  We can even soften ‘smoker’s lines’ around your mouth.

Perioral Rejuvenation

The perioral region comprises the lower one third of the face, which consists of the upper and lower lips, the cheek-lip grooves or nasolabial folds, and the chin. As we age, the perioral region ages with time because of volume loss and bone loss in the maxilla and also because of gravity pulling the cheeks and jowls down.

The absorption of bone is important since the bone supports the soft tissue of the upper and lower lips. The upper lip lengthens, the philthrum flattens, Cupid’s bow disappears, and the vermilion thins, leaving a flat, thin profile instead of the nice curvature seen in youth. The upper incisors are no longer visible in repose, vertical rhytides deepen and appear, the corners of the mouth droops with gravity and volume loss, and the nasolabial folds deepen.

Dr. Sam Rizk, a New York facelift surgeon, states that all of these changes result in a sad, tired look of old age. The perioral region must be addressed in facial rejuvenation to achieve a complete, balanced, and more youthful appearance.

Accurate preoperative assessment is essential for perioral rejuvenation. Very often, the perioral area can be addressed at the same time as a facelift or necklift. The surgical or laser procedures or fillers depend on the desired change. Autogenous fat transfer has had a significant impact on rejuvenating this region, according to Dr. Sam Rizk, and particularly the stem cell fat transfer procedure pioneered by Dr. Sam Rizk in New York.

Flat lips require augmentation whereas thin lips can benefit from augmentation or advancement. An elongated upper lip can be corrected by excising excess tissue (lip advancement or subnasale lip lift).
A downward turned oral commissure can be treated with a corner of the mouth lift or fillers/autogenous fat transfer. Vertical perioral rhytids are addressed by resurfacing procedures with a fractionated co2 laser or chemical peels as well as injectable fillers. Deep-cheek-lip grooves or nasolabial folds can be treated by a facelift to lift the cheek if severe or can be managed at a younger age with fillers if mild.