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Achieve youthful lips with hyaluronic acid lip fillers: A cosmetic dermatologist explains design, pain, downtime, and duration of effects.

Achieve youthful lips with hyaluronic acid lip fillers: A cosmetic dermatologist explains design, pain, downtime, and duration of effects.

Introduction | Lips are an unexpected cause of looking older

Director Tomoko
Lately, I feel like the area between my nose and upper lip has gotten longer... Is there anything I can do about it?
Director Shiramizu
That's a type of sagging. As we age, the upper lip tends to droop forward, making the red lip surface appear thinner when viewed from the front, and making the area under the nose appear longer when viewed from the side. By injecting hyaluronic acid into the lips to lift the red surface, you can restore a youthful appearance to your mouth.

The lips are one of the areas of the face where age-related changes significantly impact facial appearance. As the upper lip tilts forward, the red surface visible from the front becomes thinner, and from the side, the area under the nose (philtrum) appears longer. Hyaluronic acid injections into the lips are an effective anti-aging treatment to address these changes.

In this article, Dr. Shiramizu, the chief director, clearly explains everything from the effects, design options, pain, downtime, duration, and risks of lip hyaluronic acid injections. If you want to make your lips look more defined, shorten your philtrum, or try it with just one injection, please refer to this article.

What you'll learn in this article
  • Anti-aging effects of lip hyaluronic acid (addressing thinning lips and elongated philtrum)
  • Design types (Cupid Bow, corner of the mouth, volume enhancement, philtrum reduction, etc.)
  • Pain and anesthesia (with nerve block anesthesia, you will feel almost no pain)
  • Downtime and post-treatment precautions
  • Duration of effect, recommended amount to avoid detection, and risks.
  • Order of use when combining with Botox

*This article is a revised and expanded version of the content from the YouTube video.

The effects of lip hyaluronic acid injections | Youthful lips and anti-aging

As we age, the upper lip tends to tilt forward. When this change occurs, the area of ​​the red lips appears smaller when viewed from the front, and when viewed from the side, the curve of the area below the nose (philtrum) becomes more pronounced and appears longer.

By injecting hyaluronic acid into the lips to lift the red surface,Your lips will return to their youthful shape, giving you a more youthful appearance both from the front and in profile.Furthermore, because hyaluronic acid has high moisture-retaining properties, it also helps to moisturize the lips of those who are concerned about dryness.

Director Shiramizu
The lips are a part of the body that changes considerably with age, yet they are surprisingly often overlooked as a target for anti-aging treatments. If you've noticed that the area between your nose and upper lip is getting longer, or that your lips are thinning, please feel free to consult with us.

Design types | How to insert them according to your preference

Lip hyaluronic acid injections can be customized to your desired design.

  • Cupid's bow (standard method of insertion)Lift the tip of the upper lip to define the lip contour. This is the most common method.
  • Lifting the corners of the mouth: Hyaluronic acid is injected into the corners of the mouth to slightly lift them.
  • Volume Up (Deep Injection): Adds volume to the deeper layers of the skin, stretching it and making fine lines less noticeable.
  • Make the outline sharper: Defines the blurred lip contour and tightens the overall impression of the mouth.
  • Philtrum shortening effect (approach to the vermilion border)By slightly adding volume to the red lip border of the upper lip (the boundary between the skin and the lip), the lips appear to protrude forward, visually creating the effect of a shorter philtrum.
Director Tomoko
Is it possible to apply it in a way that makes the corners of the mouth appear up, like a duck face?
Director Shiramizu
Yes, we can. You can choose a design to suit your preferences. Adding fillers to the corners of your mouth can make them appear slightly lifted, and it can also tighten the overall impression of your mouth by defining a blurred outline. We will discuss your desired look during the consultation to determine the best design.

Pain, downtime, and duration

Item Message
pain Because the lips are mucous membranes, they are easily sensitive to pain. A nerve block (dental anesthesia) is administered before the procedure, numbing the lips before the treatment, so there is almost no pain. The anesthesia itself may cause a slight stinging sensation.
Swelling/puffiness Immediately after the procedure, the lips may appear to have about 2% more volume due to the stimulation from the needles. This will subside from the next day onward. The lips are a mucous membrane and are therefore prone to swelling.
No good on the day Avoid alcohol, strenuous exercise, and salty foods on the day of the procedure, as these can increase swelling. Also, avoid keeping hot objects on your lips for extended periods.
Internal bleeding If bruising occurs, it will take about two weeks for it to be absorbed. If you have an important event coming up, schedule the procedure considering the downtime.
duration Use a soft formula specifically designed for the lips (such as Volbella). The recommended duration is approximately one year.
Director Shiramizu
If hard hyaluronic acid is injected into the lips, it can feel like a lump. At Elm Clinic, we use a very soft formulation called Volbella, which is specifically for lips, so it spreads naturally once applied. The effects last for about a year.

*The perceived effects and duration of effects may vary from person to person.

Guidelines for discreet amounts and risks

The final result of lip hyaluronic acid injections varies greatly depending on the amount injected. Since many Japanese people prefer a natural look without excessive volume,Start with one bottle as a guideline, and adjust gradually while observing the results.Is the basic.

Director Tomoko
Will they find out I put it in?
Director Shiramizu
It really depends on the amount. Using two tubes will definitely make the effect more noticeable. You don't need to use up the whole tube; one tube is a good guideline, so just adjust the amount to suit your desired look. It's a soft hyaluronic acid, so it spreads nicely once you apply it.
Risks and Precautions
  • Internal bleedingRisks of injection-based procedures: If bruising occurs, it takes about two weeks for it to be absorbed.
  • Swelling/puffinessThe lips are mucous membranes and therefore prone to swelling. Avoid drinking alcohol and strenuous exercise on the day of the procedure.
  • An unnatural finish due to over-application.Adjusting the dosage is important. It's crucial to start with a small amount and observe how your body reacts.

Botox and combination order

When combining Botox and hyaluronic acid injections for the lips during treatments around the lips, we sometimes receive questions about the order in which these procedures are performed.

Director Shiramizu
There's no strict rule about which should come first, but I personally think it's better to inject hyaluronic acid first. The results are better if you inject Botox after you've established a certain shape. If you inject Botox first when the hyaluronic acid is still thin, the appearance might change too drastically when you inject hyaluronic acid.

Case studies showing the effects of lip hyaluronic acid injections.

We will show you the changes in lip hyaluronic acid, along with actual case examples.

Full course of lip hyaluronic acid injections | Changes in profile

This is a case study of a patient who was concerned about the thinness of her lips and the lengthening of her philtrum.With the full hyaluronic acid lip filler treatment, my upper lip was lifted, and the lines of my profile became more youthful and refined.

Case photos (side profile) of a full course of lip hyaluronic acid injections.

Our Treatments
Full course of lip hyaluronic acid injections
Treatment amount
69,800 JPY (tax included) / Nerve block anesthesia: 3,300 JPY extra
Side effects/risks
internal bleeding, swelling, pain

*The effects may vary from person to person.

Lip permanent makeup × lip hyaluronic acid

This is a case combining lip permanent makeup and lip hyaluronic acid injections.The defined contours and volume are achieved simultaneously, dramatically changing the overall impression of the lips.

Case photos of lip permanent makeup combined with lip hyaluronic acid injections.

Our Treatments
lips hyaluronic acid
Treatment amount
69,800 JPY (tax included) / Nerve block anesthesia: 3,300 JPY extra
Side effects/risks
internal bleeding, swelling, pain

*The effects may vary from person to person.

Full lip hyaluronic acid injection | Changes from the front

This is a case study of a patient who wanted to increase the overall volume of her lips.Full lip hyaluronic acid fillers balance the upper and lower lips, creating a naturally fuller look.

Case photo (front view) of full lip hyaluronic acid injection.

Our Treatments
lips hyaluronic acid
Treatment amount
69,800 JPY (tax included) / Nerve block anesthesia: 3,300 JPY extra
Side effects/risks
internal bleeding, swelling, pain

*The effects may vary from person to person.

Summary | Start with just one consultation.

Key points of this article
  • Lip hyaluronic acid injections are also effective as an anti-aging treatment for thinning lips and elongated philtrum.
  • Choose from a variety of designs to suit your needs, including Cupid Bow, corner of the mouth lift, volume enhancement, and contouring.
  • Because nerve block anesthesia (dental anesthesia) is used, you will feel almost no pain during the procedure.
  • The area may appear slightly swollen immediately after the procedure, but this will subside by the following day. Avoid alcohol and strenuous exercise on the day of the procedure.
  • Use a soft lip-specific formula (such as Volbella). The effect is expected to last for about one year.
  • For a natural, undetectable finish, one bottle is a good guideline. It's recommended to start with a small amount and adjust as needed.
  • When combining with Botox, injecting hyaluronic acid first will result in a better finish.

Lip hyaluronic acid injections are an easy procedure that can be started with just one syringe, yet they have the power to dramatically change the appearance of your mouth. If you've started to notice changes around your lips, such as "the area between your nose and upper lip seems to be getting longer" or "the contours of your lips are becoming less defined," please feel free to come in for a consultation.

*This article is a revised and expanded version based on a YouTube video. Individual results may vary. Please confirm the treatment details, fees, and risks during your consultation.

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