This is a first-person procedural demonstration by Dr. Shervin Naderi showing Juvederm injections for lip augmentation. He describes using a dental block (given about five minutes to take effect), injecting multiple targeted lip zones (rather than uniform 'sausage link' filling), massaging to smooth product, contouring the vermilion border for projection, and assessing symmetry. He notes the lips are very vascular so punctate bleeding/bruising is common, most patients repeat treatment about twice a year, the in-clinic procedure takes about 10–15 minutes, most patients use one syringe (this patient used less than half), and costs are approximately "6 to $700" depending on number of syringes and filler choice. He warns against longer-lasting/permanent fillers for lips due to nodules and lumps and mentions implants as an alternative.
Questions this video answers
About five minutes.
About 10 to 15 minutes.
About twice a year.
"6 to $700" (as stated in the transcript).
Most patients use one syringe.
Chapters
So we've done the dental block. I've given it about five minutes or so for it to work. What I'm going to do now is take an alcohol wipe. So we're going to get started with the injection of the Juvederm. I like to usually start with the upper lip. There's seven different zones to the lip. If you just fill it like a sausage link and put the exact amount, amount of filler across the lip, the lip's going to look unnatural and it's going to look like it's up. So what I do is I inject different zones and I come back and I modify it. The lip is very vascular. There's lots of blood vessels. So bleeding and bruising is actually fairly common from the lip. You feel any of this? See, the dental block makes it so much easier, makes it easier on the patient, makes it easier on the surgeon. Because now I don't have to feel rushed. If she was in pain, I would feel more rushed, and I'd want to get it over with sooner for her. When she's numb, I can take my time. We're injecting along the red lip right now. It goes in like little curls. So what I do is I take my fingers and I massage it, and just once or twice or three times with this, and what happens is that it just smooths out. Then I go back and I fill in the zones that I want to fill in to give her the roll or the lip show that I want. You can already see the fullness, very little bleeding, and we've used less than half of the syringe. What I do now is I go to the lower lips. Now come back, and if I have any left, I'm going to contour now. Always leave a little bit left just to make sure everything is nice and symmetric. Although classically the lower lips should be fuller than the upper lips. A lot of younger women these days would like both lips to be the same size, sometimes even have a little fuller upper lip. It's more of a youthful look. Now I evaluate how they look. I go back. There's very little bleeding. These little punctate bleeding sites are completely normal. The lips are extremely vascular. You expect nothing less. Again, she's not feeling any of this. So I can take my time, make sure everything is nice and symmetric the way I want it to be. When I massage, I also feel with my fingers the amount of fullness of substance, whether it's Juvederm Restolin. By doing so, what I can do is determine If I am symmetrical, if I need more on one side, If there's a little bleeding, hold pressure. That minimizes the risk of bruising. And the lower lips look good. We're just going to contour the upper lips. Now I'm going at the vermilion border, which is the zone between the white and the red lips. This gives her the projection that we need. We're done with the injections. Now what I'm going to do is gently massage it. Make sure there's no lumps or bumps or any nodules. You never want to send any patients home with lumps or bumps or nodules. We want to just massage it for them. Here. We're done. Now her lips are numb, so she will not be able to have great control of them. I usually tell them to avoid any kind of drinking or eating for a couple of hours after the injection. But this pretty much concludes our injection of Juveder into the lips. And it's a procedure that most patients repeat twice a year. It takes about 10 to 15 minutes to do the whole procedure. And the cost depends on the filler. Can be somewhere between 6 to $700. It depends on how many syringes patients use. Most patients use one syringe. I do have some patients that require more than one syringe, and obviously the cost goes up from there. But there's really no better alternative as far as a permanent filler for the lips. There are longer lasting fillers, but the long end of the lips are not safe for the lips. They can cause nodules and lumps and bumps that then have to be excised. So the options are either implants or safe fillers like Jupiterman wrestling. Thank you.
