what to know before you get lip injections

Lip augmentation with dermal filler is consistently one of the acme non-surgical aesthetic procedures performed each year, and not even COVID-xix face coverings could dampen the enthusiasm for plusher pouts. At this signal, y'all likely know someone who has tried lip filler, and social media is ripe with perfectly plump lips. But, if you are considering the injections for yourself, information technology's important to call up that it is a existent procedure with real risks that need to exist taken seriously and considered carefully before going under the needle.

To better understand what it's similar to become lip filler for the first time, we spoke to a first-time patient, fashion stylist Megan of Belles&Rebelles, and her provider, New York Urban center-based board certified dermatologist Dendy Engelman, Medico, most what to await before, during, and afterward getting lip filler.

Megan says she has been "super interested" in getting lip filler for a decade and went so far equally to thoroughly research and book an appointment for treatment a few years agone before cancelling at the terminal minute because her fear of needles held her back. "I am mortified of needles," she admits. "I am 35, and I don't even have my ears pierced!" Another concern? "All of my friends who have lip filler told me it'southward the most painful," she says. "I don't have a high pain tolerance and am afraid of needles, so they told me that lip filler is non the one to go."

Even then, it'south the but aesthetic procedure she'due south ever been interested in. "I am not really into beauty, to be honest," Megan says. "I really don't practise anything other than wash with lather and water and I've had a facial like in one case in my life, but I've always considered lip filler."

Like so many lip filler patients, her interest in pout plumping stems from the way she views herself in photos. "Whenever I smile in pictures, I wish I had more of a top lip," she explains. "My pinnacle lip kind of disappears." Overall, she besides idea she "could probably use a little more than volume," too.

With COVID-19 face coverings offering the opportunity to conceal any postal service-procedure side effects, Megan once again started to think about getting lip filler, and a client she was working with recommended Dr. Engelman. In Jan, she finally overcame her fearfulness of needles and followed through on her decade-long dream of a fuller pout — and she's thrilled with the consequence:

A expect at Megan before (left) and immediately after (right) her lip filler procedure.

If you are reading this commodity, it's probably because you lot are considering lip filler and have a whole host of questions. From finding the right provider and filler type for your needs to understanding how much it hurts and what the side effects may exist, we're breaking down the 10 most important things to know before getting lip filler for the first time.

one. Finding the Right Provider Is Key

Nosotros've said it before and we'll say it once again: accept bully care in finding the right provider. "Regardless of where you are going for fillers, it is very important to make sure y'all are going to a reputable physician," Dr. Engelman cautions. "Make sure they are board certified, licensed, and trained." While lip filler is ofttimes billed equally a quick, minimally-invasive procedure, it requires expertise. "Without a clear understanding of facial beefcake, an untrained professional tin inject into a blood vessel, damage a nervus, and potentially cause irreparable damage," she explains.

It's also important that you feel comfortable with the provider's bedside manner and body of work. "I would definitely say to get to the correct person," Megan says. "I recollect Dr. Dendy saying that she doesn't have a heavy hand. For someone similar me who is new to it, I didn't completely want to change my appearance."

If you lot don't know how to go about your search, consider request for referrals. "I work with an influencer who has been going to Dr. Dendy," Megan shares, adding that she also looked at her Instagram and recognized her from her appearances on the Today Prove. "I trust her and really felt like she knew what she was doing," she says.

two. At that place are Different Types of Lip Filler

Not all lip filler is the same. There are both temporary and permanent options, just temporary hyaluronic acid (HA)-based injectable gel fillers are the most popular (yes, that'southward the same HA found in your favorite hydrating skincare). Dr. Engelman likes the Juvéderm® suite of HA filler, which includes Juvéderm® Volbella Ninety and Juvéderm® Ultra XC. Both are approved by the The states Food and Drug Assistants (FDA) for lip augmentation and the correction of perioral rhytids (a.chiliad.a. perioral lines). Restylane® is another common hyaluronic acid filler that is FDA-canonical for lips.

HA filler naturally degrades and is absorbed past the body over time (hence why information technology is a temporary treatment), simply, in the case of complications or an unsatisfying result, the process can be sped up past hyaluronidase — a family of enzymes that catalyse the degradation of hyaluronic acid.

3. Lip Filler Tin Look Natural

What comes to heed when you think of lip filler? Is it the overfilled pouts that inhabit your social media feeds? Well, lip filler — particularly, hyaluronic acrid-based ones — can provide very natural results that simply raise what you already accept. "I was surprised that it can be done naturally," Megan admits. "I await at myself and information technology doesn't fifty-fifty look like I got it done. They all the same look completely natural."

Needless to say, existence able to communicate your aesthetic goals is primal. And while inspiration images may aid guide the chat, don't expect your provider to be able to simply recreate Angelina Jolie'southward pillowy pucker on your face up. "I dearest when patients share with me what they are looking for or interested in. A visual is some other tool for me to improve understand how I can help my patients," Dr. Engelman shares. "That said, my goal is to make someone the all-time version of themselves. Then, if their 'ideal' isn't fitting for their features, this needs to be discussed prior to injections."

iv. Be Mindful of Vitamins & Supplements

You're used to existence asked about any medications you are taking on intake forms at the doctor'southward office, but, in this era of wellness, you're going to want to disclose your vitamin and supplement routine, too. Your provider will likely recommend laying off most supplements for a few days earlier your procedure, as taking them tin increment the hazard of bleeding and, therefore, bruising. "Avoid blood thinners, NSAIDS, vitamin E, fish oil, and booze in order to reduce the risk of prolonged swelling and/or bruising," Dr. Engelman says. She as well tells patients to "avoid facial or trunk massages for up to 48 hours" before lip filler injections.

5. Information technology's a Quick Procedure

You may have heard lip injections referred to as a 'lunchtime procedure,' and it does live upward to the hype. In the example of first-time patients, you will likely start the appointment with a brusk consultation to discuss your medical history and goals. From there, 'earlier' photos might be taken and numbing cream may be applied (more on that below!). "Injection tin can take as piffling equally ii minutes," Dr. Engelman notes, though she treads carefully with patients who are nervous about the process. "I take breaks with clients that are uncomfortable with needles," she says.

Dr. Engelman injecting Megan's lower lip with Juvéderm®.

Megan estimates that her appointment, which included a consultation, photos, and numbing, took less than an hour. Hereafter bear upon ups could be done in as niggling as a half hour. "The process itself can be very quick," Dr. Engelman says.

half dozen. Lip Filler Doesn't Hurt … As well Much

About fillers on the market today are pre-mixed with lidocaine to improve the comfort of the injection, and many providers as well employ topical numbing cream to further have the edge off. That takes almost 20 minutes to boot in, which, equally nosotros learned above, is the lengthiest office of the treatment. "Patients experience very picayune discomfort in the easily of a skilled injector," Dr. Engelman shares.

Some providers also use a vibrator (yes, you read that correctly), which is believed to play a joke on the sensory fretfulness surrounding the injection site into not knowing exactly where the needle is coming from. The result? Even less possibility for hurting. Megan'south treatment didn't include a pulsating tool, still she still hardly felt a thing. "I was most surprised by how little it hurt," she says. "I felt lilliputian pricks, but I was non in pain at all. "

7. Your Lips Will Probably Bruise

While Megan avoided whatever discomfort during the procedure, she did feel a very mutual side effect of lip injections: bruising. "Bruising and swelling are both mutual post-handling," Dr. Engelman notes. "They unremarkably last a few days." Ice packs are typically employed immediately after treatment to offset the affect, and she says oral and topical arnica may also assistance reduce the chances of bruising.

Megan says she bruised on her top lip, and information technology resolved over the course of about 5 days. "The kickoff couple of days, it was noticeable and then it started to fade," she explains. "If you lot didn't know me, you'd probably retrieve information technology was a beauty mark." And since face masks are notwithstanding the accessory de rigueur, hardly anyone saw a matter. "I only wore a mask and didn't tell anyone but my mom and shut friends," she says. "No one even noticed."

8. A Follow-Upwards Appointment May Be Needed

The process of plumping your pout for the first fourth dimension is often a gradual i. "I never want to over-treat a patient," Dr. Engleman shares. "My personal philosophy — especially with those getting filler for the offset fourth dimension — is to start with a lilliputian filler and have my patients come dorsum in a week or two if they need more to achieve their desired issue."

When we talked to Megan, she was broken-hearted to get back into the function: "She offered me a two week check-in, and I am thinking I want more than filler. I know information technology is a petty ambitious considering I was mortified of getting anything washed, but I want a lilliputian more so that information technology looks a little plumper." She subsequently went back for her follow up and got a fleck more filler.

ix. Lip Filler Results Are Firsthand But Temporary

If are familiar with neurotoxin injections (i.e. Botox®, Dysport®, Jeuveau®, and Xeomin®), you know they require a chip of patience. Results can take anywhere from five to xiv days to fully reveal themselves. That is not the case with hyaluronic acrid-based filler. "The results are firsthand," Dr. Engelman says. With that said, there is a brief recovery period. "The area volition swell and settle within 5 to 7 days," she adds.

If you are wondering how long you'll be enjoying your new lip look, Dr. Engelman says Juvéderm® fillers last about 9 to 12 months depending on the patient. Other brands of HA filler may need to be touched up more often (call up: every six months), so be certain to ask your provider what you tin look.

10. Information technology's an Investment

Concluding but not least, we need to talk turkey on cost. Lip filler is not inexpensive. A lip augmentation procedure can price between $500 and $2,000 dollars, depending on the blazon and amount of filler, the provider, and your location. In case it's not articulate, that is the price of each treatment. If y'all want to maintain your results, you lot'll need to budget in that recurring cost every vi to 12 months. As tempting as it may be to look for a discount, this is not the time to be a bargain hunter. Finding a trained provider with proven expertise is essential to avert unnecessary run a risk.

So, what advice does Megan have for anyone because getting lip filler for the first time? Practice your homework. "I experience like I had researched and been thinking virtually it for so long that there wasn't anything I didn't know," she says. Her pre-injection lip care routine was pretty simple (recall: Chapstick), only she did like to apply the occasional lip plumper to simulate the results of professional treatment. She'due south still using those plumpers to further enhance her frown, and, in the future, she won't hesitate to go under the needle over again. "I am relieved; I am excited; I am happy," she shares. "I am so glad I finally went through with it."

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