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Video Library Before/After Gallery IN THE NEWS/blog

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

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:

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:

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.