Lippen-Filler: Techniken, Produkte & natürliche Ergebnisse

Lip Fillers: Techniques, Products & Natural Results

Lip filler

Lip augmentation is one of the most popular aesthetic treatments. This guide gives you everything you need for successful, natural results.

Anatomy of the lips

Structural structure:

Upper lip: Philtrum, Cupid's bow, tuberculum, white roll

Lower lip: Usually more voluminous, two symmetrical bulges

Ideal proportions: Ratio of upper to lower lip 1:1.6 (golden ratio)

Vascular supply:

Superior/inferior labial artery: 3-4mm behind Vermillion
Risk: Intravascular injection may cause necrosis

The best fillers for lips

1. Juvéderm Volbella – The lip specialist

Vycross technology, low viscosity
Very low tendency to swelling
Shelf life: 9-12 months
Juvéderm Volbella Lidocaine 2 x 1 ml
Ideal for: Natural augmentation, initial treatments

2. Restylane Kysse – For natural movement

OBT technology for lip movement
Natural softness
Shelf life: 9-12 months
Restylane Kysse Lidocaine 1 x 1 ml
Ideal for: Volume with a soft feel

3. Juvéderm Ultra Smile – For contour

Medium viscosity
Juvéderm Ultra Smile 2 x 0.55 ml
Ideal for: White Roll, Cupid Bow

Other products:

Juvederm Ultra 3 – More volume
Restylane Lidocaine – Classic
Restylane Refyne – Natural movement

Product comparison

product	Viscosity	Best application	swelling
Volbella	Low	Natural augmentation	Very low
Kysse	Low-Medium	Volume + movement	Low
Ultra Smile	Means	contouring	Moderate

Injection techniques

Basic principles:

Less is more – dose conservatively
Build up in layers
Continuously check symmetry
Inject slowly (max. 0.05 ml/sec)

1. Linear threading

Application: Volume building

Insert needle horizontally
Inject continuously while withdrawing
3-4 threads per lip

2. Serial Puncture

Application: Contouring, White Roll

Several small depots (0.01-0.02 ml)
Distance 2-3mm
Precise contouring

3. Tenting Technique

Application: Cupid's arch, tubercle

Insert needle vertically
Small depots for projection

4. Blunt cannula

Advantages: Minimal bruising, safer

One puncture point per lip
25G or 27G cannula

Treatment protocol

Preparation:

Photo documentation (frontal, profile, 45°)
Discuss patient wishes
Mark asymmetries
Disinfection
Topical anesthesia 20-30 min.

Injection order:

Define white roll/contour
Emphasize Cupid's bow
Upper lip volume (2-3 threads)
Lower lip volume (2-3 threads)
Symmetry correction
Optional: tubercle

Aftercare:

Gentle massage
Symmetry check
Cooling 10-15 minutes
Photo documentation

Dosage

Natural augmentation:

Upper lip: 0.3-0.5 ml
Lower lip: 0.5-0.7 ml
Total: 0.8-1.2ml

Moderate Augmentation:

Upper lip: 0.5-0.8 ml
Lower lip: 0.7-1.0 ml
Total: 1.2-1.8ml

Significant augmentation:

Upper lip: 0.8-1.2 ml
Lower lip: 1.0-1.5 ml
Total: 1.8-2.7ml

Complication management

1. Swelling (very common)

Normal: 24-72 hours, maximum after 24-48 hours

Management: Cooling, keep your head elevated, arnica

2. Bruises

Prevention: Stop taking blood thinners, blunt cannula

Treatment: Arnica gel, vitamin K cream

3. Asymmetry

Management: Wait 2 weeks, then correct it

4. Tyndall effect

Cause: Injection too superficial

Treatment: Hyaluronidase 5-10 IU locally

5. Nodules

Treatment: Intensive massage, hyaluronidase 10-20 IU

6. Vascular occlusion (EMERGENCY!)

Symptoms: Immediate paleness, severe pain

Immediate measures:

Stop injection immediately
Inject hyaluronidase 150-300 IU immediately
Massage vigorously
Heat, aspirin 300mg
Nitroglycerin paste topical
If worsening: hospital

Prevention: Always aspirate, inject slowly, blunt cannula

Patient education

Avoid before treatment:

Blood thinner 7 days before
Alcohol 24 hours beforehand
Dental treatment 2 weeks before
Herpes prophylaxis if there is anamnesis (acyclovir)

After treatment avoid:

24h: No makeup, no kissing
48h: No sport, no alcohol
1 week: No sauna, no dental treatment
2 weeks: No facials

Expectations:

Immediate effect visible (exaggerated by swelling)
Maximum swelling after 24-48 hours
After 2 weeks: Final result
Shelf life: 9-12 months

Special scenarios

Asymmetry correction:

Document pre-existing asymmetry
Fill smaller page
Proceed conservatively

Elderly patients:

Compensate for volume loss
Restore White Roll
Treat perioral lines
Dose conservatively

Men's lips:

More subtle augmentation
Focus on contour, not volume
Ratio 1:1
Maintain masculine proportions

Revision after overfilling:

Hyaluronidase 50-100 IU per ml filler
Wait 2-4 weeks
Conservative new treatment

Costs

Patient prices (DACH region):

Natural augmentation: €350-550
Moderate augmentation: €450-700
Significant augmentation: €600-900
Contouring only: €300-450

FAQ

Which filler is best for lips?

Juvéderm Volbella or Restylane Kysse – both specially developed for lips with a low tendency to swelling.

How long do lip fillers last?

9-12 months. Lips have high movement, therefore shorter shelf life than other areas.

How many ml do you need?

For natural augmentation: 0.8-1.2 ml total. Start conservatively, better treat afterwards.

Does it hurt?

Well tolerated with lidocaine filler and topical anesthesia. Optional: Dental block for painless treatment.

How long does swelling last?

Maximum after 24-48 hours, 70-80% gone after 1 week, completely after 2 weeks.

Can it be dissolved?

Yes, completely soluble with hyaluronidase. Effect within 24-48 hours.

Conclusion

Successful lip augmentation requires:

In-depth knowledge: Anatomy, vascular courses, proportions
Precise technology: Correct depth, appropriate technique, conservative dosage
Complication management: Prevention, quick recognition, immediate action
Patient communication: Realistic expectations, thorough explanation

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