Natural Lip Injections with Juvederm Volbella

All right, so virgin lips, untouched. Perfect time to kind of get the right way, right shape for it. Now, I've talked about this before. If you zoom in, you'll see she has very youthful lips, and they're tight, so there's not lots of wrinkles in the lips. So to try to really stretch it and make it really, really big, it's not advisable. And if you're going to do that, you're going to do it in multiple stages every few months to get a little bit more and more and more. Now, sometimes you'll see patients especially Asian descent or Middle Eastern descent, Mediterranean descent, especially older people, has a lot of room. There's lots of wrinkles and lots of pleats in the lips and those you can go very full very quickly. But typically Caucasian lips, you want to do it slowly and you want to do it in stages. You hear a lot about migration. And the issue of migration is not that the filler is actually migrating, but it's that spilling over. So if you overfill it over, stretch it, it's going to spill over and. And it goes from basically the red lip, where you want the filler to be over, to the white lip, and it'll look full and it looks migrating. So we don't want that to happen. So we're going to start. This is juvenile Vella. We're only doing half a syringe. We're going to be very conservative. And you'll see the fillers. So I'm injecting both anterograde and retrograde. That means the needle goes in, pushing filler in, the needle comes out, threading filler out. How bad was that? Oh, not bad at all. All right, good. As you can see, she is awake. She's not anesthetized. She's not lying. You just have some topical numbing and good gentle technique. It's very tolerable. I'm rolling the lip out, exposing the wet, dry border and injecting it. Now, you have to examine lips. You cannot just fill the lips like a sausage. You can't just fill the whole thing the same way. If you look at her lips, you'll see she is fuller right here. She has some fullness right there. I've not injected that yet, so I don't want to inject that. So I'm looking at that saying, okay, she's not full here, she's full here. So we're going to avoid all of this. And I'm going to go on the other side. So don't enhance Areas that are already full, you're going to throw off the balance. You got to use your judgment. Rolling the lip out wet dry border injection is going anterograde and retrograde. That means going in, filler goes in, coming out, filler goes in. And you will see me inject a whole bunch of times. But look, the plungers barely moved from 0.5. Why? Because this is true micro droplet. You don't want to put a big clump of filler and then have to sit there and massage and massage and massage. That's not the right way of doing it. Plus, when you're doing micro droplet, it's safer if you happen to be in a blood vessel, you're not going to occlude it. You're not going to get vascular occlusion by putting a tiny micro droplet of filler. But if you put a big chunk, yes, you will. Now, I'm examining her bottom lip and top lip. I want to have balance and proportion. So what I'm going to do is I'm going to go to the bottom lip very conservatively. Typically, bottom lips, you want more fullness in the lateral aspect. And the top lip, you want more fullness in the middle. But every lip is different. Some people have a different preference. Some women love a keyhole appearance where it's fuller here and less full in the middle, so it has to fit their face nicely. So now I'm going to do a little bit of vertical threading. And with that technique, you get a smoother flow right there. And again, nothing's in the white lip, so it looks nice and natural without that migrated look. Very tiny little droplets. Now, what I do is I look at them straight on, right? I mean, they're laying down. I look at them straight on. I love this front lip. If you actually bring the camera forward, you'll see you can see the signature of the top. Top looks really good. I want more balance in the bottom. So we're going to lay back and finish up with the bottom. I want more vermilion show. So I'm going on the vermilion border of the bottom because I want the bottom to be powder. Balance out her top lip. What that does is it basically extends the height, Checking from multiple angles from side, from top, having them sit up. The top view is a really good view if your room allows you to. If you go back there with the camera, you'll see me standing up here. If you actually stand. This is called a helicopter view and allows you to really look at some information sleeve. But sometimes some of your rooms, inject rooms may not allow that to happen. All right, smile really big. Good. Try to whistle a little bit more fullness over here and we'll be done. Perfect. And pretty much we use the FAF cc. We're going to set her up. There's no bleeding or bruising. Now, that's not typical for everybody. Certainly there could be bleeding and bruising, but she looks amazing. A little wrap around. Supernatural looking. You ready? Yeah, sure. All right, take a look. Yeah, they look good. That's what you wanted. Yep. Yeah, that fits really well. So this was Juvederm Volbella, which is a very soft filler. I use it for lips. I use it for noses. Sometimes I use it for tear troughs. I use it for very, very fine lines, especially around the smile lines. Wrestling Kiss is my next favorite. If you want quite a bit of volume, that's a great filler. But it comes in a full syringe. Doesn't come in half syringe. So now that she's got more room, if she wants to go fuller, we'll go to Wrestle and Kiss at some point. But this was perfect for her. Have a good one.