Lip and Perioral Enhancement
Adding Volume and Softening Age Related Changes
of the Peri-Oral Region
Volume Restoration
Enhance your natural lip contours with dermal filler
Smoothing Effects
Restore lost collagen, smoothing unwanted lines
Natural in Motion
Advanced Techniques for Natural Looking
Correction
Peri-Oral Rejuvenation Doesn’t Have to Look “Fake”
Modern techniques utilizing hyaluronic acid (HA) dermal fillers, along with other collagen
stimulating modalities, can restore lip volume, contours, and smooth surrounding skin
for a more youthful appearance.
The peri-oral region undergoes significant changes over time as a result of age-related collagen loss, sun damage, and repetitive muscle
action. The body of the upper and lower lip can lose volume, the surrounding skin may develop fine lines, and the corners of the mouth
can turn downward which leads to a “sad” or “displeased” expression. Fortunately, there are a variety of interventions which can
rejuvenate this region, restoring lost collagen and volume which leads to a softer, more youthful appearance. Even in more youthful lips,
dermal filler can be used to enhance natural contours to produce a plumper, more voluptuous contour.
Enhance volume, contours and smoothness with minimal
downtime and a natural looking result
Several techniques are available to rejuvenate the peri-oral region depending on your individual needs. In most cases, there is minimal downtime and immediate improvement.
Dermal Filler
Hyaluronic acid (HA) dermal fillers designed especially for the lip are available which restore lost volume, move naturally with expression, and if needed can also be used to correct fine lines and downturned corners.
PDO smoothing threads
Tiny collagen stimulating threads can be introduced into the border of the lips and/or into the surrounding skin to stimulate new collagen. The threads dissolve over the course of about 3 months, but the collagen they stimulate can last for years.
Energy based treatments
There are many choices for collagen stimulating treatments in the perioral region- most commonly laser resurfacing, microneedling with or without platelet rich plasma (PRP), and microneedling with radiofrequency energy delivery for additional collagen stimulation.
This patient can benefit from addressing multiple issues, including loss of lip volume, vertical lip lines, correction of the, irregular vermillion border, improvement of the oral, commissures (corners of the mouth) and smoothing of the, marionette region. This can be accomplished utilizing dermal filler alone, or combining dermal filler with other techniques, such as
- Laser skin resurfacing
- Platelet rich plasma injection
- PDO smoothing threads - a method of collagen stimulation using dissolving sutures placed under the dermis
-
Microneedling, or microneedling with radiofrequency
energy- stimulating new collagen gradually through the
creation of “micro-injury”
Let us help you choose the best filler and/or
rejuvenating procedure to meet your needs
With several options available, we understand it can be difficult to figure out which
procedure or combination of procedures might best suit you.
That is why we offer free customized consultations where we can make recommendations based on your particular needs, preferences and
goals for correction. Which procedures are recommended will depend on several factors including most notably:
- Your specific concerns - volume, fine lines, and/or changes in contour such as downturned corners
- How quickly you want or need to see correction develop
- Your past experience with fillers or other forms of intervention
Technique
Mechanism
Onset, Expectations and Duration of Effect
Downtime
Technique
Hyaluronic Acid Filler
Ex
Lip volume: Revanesse Versa Lips
Fine Lines: RHA Redensity
Mechanism
Hyaluronic Acid Fillers restore lost volume and can also be used to smooth fine lines, smooth the lip border, and change contours such as downturned corners
Onset, Expectations and Duration of Effect
Correction is immediate
1 or 2 syringes may be required
Most clients will repeat dermal filler 1 to 2
times per year
Downtime
Temporary swelling- usually lasts 24 to 72 hours depending on extent of procedure
Bruising is more common with fine line correction
Technique
Platelet Rich Plasma, “limited area”- a targeted injection of PRP to the peri-oral region
Mechanism
Your own growth factors, obtained by isolating your platelets from a blood draw done just prior to procedure, which are then injected into the area where fine lines have formed.
Can be done alone or in combination with PDO.
Onset, Expectations and Duration of Effect
Correction develops gradually as collagen forms in the region which has been treated. It may take 3 weeks to begin to appreciate the improvement. It may take 3 months to see the full effect of the treatment.
Results are long lasting because you have formed new collagen, which can last years.
It may take more than 1 session to achieve your desired result (depends on how much collagen loss you are starting with and your individual biologic response to the treatment, among other factors.
Downtime
Temmporary swelling- usually lasts 24 to 72 hours depending on extent of procedure
Bruising may occur but usually resolves quickly.
Technique
Laser Resurfacing
Mechanism
A combination of exfoliation of older layers of skin as well as new collagen formation produced as the dermis heals from the therapeutic injury caused by the laser energy
Onset, Expectations and Duration of Effect
Correction develops gradually as collagen forms in the region which has been treated. It may take 3 weeks to begin to appreciate the improvement. It may take 3 months to see the full effect of the treatment.
Results are long lasting because you have formed new collagen, which can last years.
It may take more than 1 session to achieve your desired result (depends on how much collagen loss you are starting with and your individual biologic response to the treatment, among other factors.)
Downtime
Temporary swelling, redness, and peeling
Special skin care may be required during the healing process
Avoidance of excessive sun exposure is required post procedure
Technique
Microneedling
With PRP=
“Vampire Facial”
With Radiofrequency energy (usually done as a full face treatment):
Ex:
- AGNES RF
- Lutronic Genius RF
- Profound RF
Mechanism
Microinjury is created with a medical microneedling device - resulting in new collagen formation during the healing process
Onset, Expectations and Duration of Effect
Correction develops gradually as collagen forms in the region which has been treated. It may take 3 weeks to begin to appreciate the improvement. It may take 3 months to see the full effect of the treatment.
Results are long lasting because you have formed new collagen, which can last years.
It may take more than 1 session to achieve your desired result (depends on how much collagen loss you are starting with and your individual biologic response to the treatment, among other factors.)
Downtime
Temporary swelling, redness, and peeling - usually less than is seen with laser skin resurfacing
Special skin care may be required during the healing process
Technique
PDO smoothing threads
Mechanism
Extremely thin, tiny dissolving threads are introduced under the dermis usually after the region has been numbed either topically or with lidocaine injection. They dissolve over time (about 3 months), but during that process you form new collagen in the regions where the threads are placed.
Can be combined with platelet rich plasma (PRP) if double stimulation is desired.
Onset, Expectations and Duration of Effect
Used more for smoothing than for volumization.
Correction develops gradually as collagen forms in the region which has been treated. It may take 3 weeks to begin to appreciate the improvement. It may take 3 months to see the full effect of each treatment.
Results are long lasting because you have formed new collagen, which can last years.
It may take more than 1 session to achieve your desired result (depends on how much collagen loss you are starting with and your individual biologic response to the treatment, among other factors.)
Downtime
Temporary swelling
Possible bruising
Technique
Botulinum toxin “Lip Flip”
Mechanism
Limited injection of a few units of botulinum toxin above and sometimes below the lip
Can be performed alone or in combination with dermal filler
Onset, Expectations and Duration of Effect
Onset of action within a few days
Reduces pursing of the lips temporarily and can result in a slightly more “plump” or “lifted” look to the lip
Does not eliminate all lip lines
May only last 6 weeks
Downtime
No downtime expected
Not recommended for those who depend on string lip pursing (such as those who play certain wind instruments)
Multiple Syringe Peri-Oral correction- Marionette lines, vertical lip lines, oral commissure correction
PDO smoothing threads placed in the perioral
region
Smoothing PDO threads being
placed above upper lip to correct
vertical lip lines
Smoothing PDO threads being
placed to lift the oral commisure
Before & After Photos
Correcting volume loss and fine lines in the perioral
region restores a more youthful appearance
Our techniques are designed to give you the results you are looking for, to stimulate new and long lasting collagen, and to minimize
downtime. Whether you are looking for plumper lips or smoother skin, we can help you achieve your goals with the latest in regenerative
techniques at Renew MediSpa!
PRICING *Save up to 15% when you Join our Membership Program
Procedure
Regular Price
Comments
Procedure
Dermal Filler
Regular Price
$650 per syringe
Comments
May require more than 1 syringe to achieve desired result
Procedure
PDO Smoothing Threads
Regular Price
10 threads: $120
20 threads: $240
Comments
For peri-oral fine lines and oral commissures (not lip border)
May require more than 1 session to achieve desired result
Procedure
PDO Lip Threads
Regular Price
5 threads: $240
10 threads: $480
Comments
For vermillion/lip border +/- perioral region
May require more than 1 session to achieve desired result
Procedure
PRP “Limited Area”
Regular Price
$600
Comments
May require more than 1 session to achieve desired result
Procedure
Microneedling or Radiofrequency Microneedling (ex: AGNES RF)
Regular Price
Consultation required
Usually done as a Full Face treatment
Comments
May require more than 1 session to achieve desired result
Procedure
Laser Skin Resurfacing- Peri-Oral Only
Regular Price
$650
Comments
May require more than 1 session to achieve desired result
Procedure
Botulinum Toxin “Lip Flip”:
Usually 4-6 units upper lip, optional 2-4 units lower lip
Regular Price
$13 per unit
(as low as $9.99 per unit for Members-see Membership Page for details on our “Tox Club” benefits)
Comments
Effect is not as pronounced as with dermal filler, and not as long lasting
Lip Filler microcannula technique
PDO threads in the peri-oral region
Questions?
We've Got You Covered!
- We recommend that you avoid having procedures such as dental work, which might stretch or deform your result, for a period of 3 weeks.
- Procedures involving heat, such as RF Microneedling or Laser Skin Resurfacing, should be avoided for 3 to 4 weeks if the skin around the lips has been treated with dermal filler.
- Do not massage the region during the healing phase as you may increase swelling by doing so, and could alter the shape of the result.
- Some people feel that premedicating with arnica tablets and/or bromelain tablets, beginning 1 day before or the morning of your injection and continuing for 2 days afterward, reduces the amount of swelling. These supplements are available OTC. We also have arnica available for purchase at Renew.
- You can also use topical arnica preparations during the healing process.
- Immediately post procedure you can apply an ice pack which we can provide.
- You may wish to avoid extremes of heat or vigorous exercise- they will not affect the dermal filler but might temporarily increase your swelling response.
- Again, premedicating with arnica and/or bromelain tablets can be helpful. Avoid aspiring containing products (even baby aspirin) for 3 to 4 weeks, and anti-inflammatory medications for 2 weeks pre-procedure (ex:ibuprofen/Motrin, Naprosyn/Aleve, naproxen/Anaprox).
- You can still have these procedures if you are on blood thinners, but your likelihood of bruising will be increased.
- Avoid nutritional supplements which increase bruising for at least 1 week (ex: fish oil, vitamin E, garlic, ginger, gingko, ginseng and turmeric)
There is no “best” dermal filler per se. For fine line work around the mouth we highly recommend RHA Redensity! No other HA filler on the market performs as well in reducing the appearance of etched peri-oral lines. For lip volume primarily we utilize Revanesse Versa Lips (a slightly larger 1.2 ml syringe compared to competitors). We will guide you based on your specific needs.
- The smoothing threads are loaded onto very tiny needles which introduce them into the subdermal region of the skin around the lips. They are placed close together in “rows” to stimulate maximum collagen response over time.
- PDO Lip threads are loaded onto very thin microcannulas, which are dull tipped but otherwise similar to the needle loaded threads. They are introduced into the border of the lip, usually 5 in total, and are more expensive due to their special design and longer length.
Disclaimer: Individual results will vary by person and are based upon patient variables (such as genetics, age and lifestyle), the severity of
the condition before the procedure, the procedure(s) chosen, and compliance with any recommended aftercare program. No one can
guarantee an exact outcome for any aesthetic procedure.
The content of this website is intended to be general information- it should not be used to diagnose or treat a medical condition, and is in
no way meant to be a substitute for seeking appropriate medical care.
