Before explaining the lip reduction surgery procedure, we aim to introduce you to the significance of lips in human facial beauty, as well as various lip surgery and augmentation techniques. We will examine the advantages and disadvantages of different cosmetic lip surgery procedures and review the reasons behind people’s preference for fuller lips, which is considered a beauty standard today. By reading this page, you will acquire all the necessary information regarding existing techniques for lip augmentation and surgery. If you feel the need for lip surgery for yourself or your loved ones, you can choose the most suitable surgical procedure and learn about the factors involved in selecting the best lip surgeon in Iran.
In Iran, when the topic of cosmetic surgery arises, rhinoplasty (nose job) immediately comes to mind. Most people believe that by undergoing rhinoplasty and correcting its imperfections, they will achieve the beautiful and ideal face they have always envisioned. But have you ever considered how much the beauty of other facial features, such as the eyes and lips, can impact overall facial attractiveness? Interestingly, a study has shown that the most influential facial feature is the eyes. Eyes are our primary means of connecting with the world around us. They are the window to the soul, conveying our emotions and feelings. After the eyes, the lips are the second most essential and influential feature in facial attractiveness and beauty. The beauty of lips has long been of great importance, especially among women. The production of various lipsticks, lip liners, and other lip cosmetics by different companies, along with their high sales figures worldwide, is evidence of this. Women of all races, cultures, and nationalities constantly strive to enhance the beauty of their lips. Beautiful lips, in addition to increasing facial attractiveness, can boost self-confidence and, in many cases, significantly enhance sexual appeal (from the opposite sex) and improve personal relationships.
After the lips, the nose plays the third most significant role in facial beauty. Therefore, it is sometimes observed that an individual with beautiful eyes and lips can still appear attractive, even with a large nose.
In Iran, when the topic of cosmetic surgery arises, rhinoplasty (nose job) immediately comes to mind. Most people believe that by undergoing rhinoplasty and correcting its imperfections, they will achieve the beautiful and ideal face they have always envisioned. But have you ever considered how much the beauty of other facial features, such as the eyes and lips, can impact overall facial attractiveness? Interestingly, a study has shown that the most influential facial feature is the eyes. Eyes are our primary means of connecting with the world around us. They are the window to the soul, conveying our emotions and feelings. After the eyes, the lips are the second most essential and influential feature in facial attractiveness and beauty. The beauty of lips has long been of great importance, especially among women. The production of various lipsticks, lip liners, and other lip cosmetics by different companies, along with their high sales figures worldwide, is evidence of this. Women of all races, cultures, and nationalities constantly strive to enhance the beauty of their lips. Beautiful lips, in addition to increasing facial attractiveness, can boost self-confidence and, in many cases, significantly enhance sexual appeal (from the opposite sex) and improve personal relationships.
After the lips, the nose plays the third most significant role in facial beauty. Therefore, it is sometimes observed that an individual with beautiful eyes and lips can still appear attractive, even with a large nose.
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First, it’s important to understand what constitutes beautiful lips and the criteria that make lips appear attractive.
The primary criterion for beautiful lips is symmetry. This symmetry should be present both when the lips are at rest (static) and when they are in motion (dynamic), such as when smiling or speaking. Generally, the greater the symmetry, the more beautiful the lips. However, it’s important to note that a slight degree of asymmetry is entirely normal in all individuals and does not require surgery. In cases of severe asymmetry, surgery can reduce these imbalances to an acceptable level. However, no surgical method can completely eliminate asymmetry. Surgery can only create an optical illusion to minimize the appearance of asymmetry.
The second crucial criterion for beautiful lips is the proportional relationship between the upper and lower lip. The upper and lower lips should not have a significant difference in shape or volume. For example, one lip should not be very thin while the other is very thick, or one lip should not be protruding while the other is recessed.
Another important factor is the proportion of the lips themselves in relation to the surrounding tissues. Sometimes, disproportion in the tissues around the lips can make the lips appear unattractive. For example, in individuals with a small chin that is recessed compared to the natural position, or where there is not a proper groove between the lip and chin, or in those with a drooping nose, the lips may not appear beautiful. Therefore, the proportion of other facial features also has a significant impact on the beauty of the lips. The presence of these criteria together helps the lips contribute to the overall beauty of the face and create an attractive appearance.
● Makeup: The simplest and most basic method is applying makeup to the lips.
● Tattoo: Lip tattoos are another method that can create the illusion of fuller lips but do not actually change the lip volume.
● Filler or Gel Injections: These substances increase lip volume, enhancing their beauty. In the past, fillers used had longer-lasting effects but were less safe. These have been replaced by newer fillers, which have shorter durations (6 months to a year) but are much safer, minimizing the risk of infection and adverse reactions. Today, injections of these fillers containing hyaluronic acid are very common, and the risk of infection has significantly decreased. Note: It is recommended that individuals seeking minor changes in their lips first consider gel injections. If these changes are not satisfactory and they desire permanent changes, they should consult an experienced and skilled surgeon for lip surgery.
● Fat Grafting: Fat grafting is also considered a minimally invasive method, but due to the mobility of lip tissue, fat has a shorter duration in this area compared to fillers.
● Lip Implants: One method to increase lip volume is using implants. This method was more common in the past. Implants are commonly used to enhance various body parts and often yield satisfactory results. However, this is not the case with lips, and patient satisfaction is not always guaranteed. Experience has shown that individuals who use implants to increase their lip volume often want to have the implants removed after a period of time due to dissatisfaction with the results.
Despite the permanence of lip implants, various problems can arise after placing an implant in the lip. Some of these issues include:
● Implant Displacement: Lip implants can shift. Due to the tissue of the lips and the delicacy and sensitivity of the skin in this area, even a small amount of implant displacement in the lip is clearly visible.
● Unnatural Appearance: The lips are a mobile organ that constantly contracts and expands during various activities such as smiling and talking. On the other hand, an implant is a foreign object. Despite significant advancements in implant manufacturing, experts have not yet been able to create an implant that can contract and expand like natural lip tissue.
As a result, the presence of an implant in the lip can make it appear artificial. This is unpleasant for individuals, and these factors lead people to prefer gel injections over this method for lip augmentation. Although gel is considered a foreign substance, unlike an implant, it is not a single piece and can change shape. Its soft texture more closely resembles the tissue of the lips, which is why it is more popular today.
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As a result, the presence of an implant in the lip can make it appear artificial. This is unpleasant for individuals, and these factors lead people to prefer gel injections over this method for lip augmentation. Although gel is considered a foreign substance, unlike an implant, it is not a single piece and can change shape. Its soft texture more closely resembles the tissue of the lips, which is why it is more popular today.
In this surgery, by making incisions in the lip, the shape or volume of the lip, or both simultaneously, can be changed.
There are different surgical methods for changing the shape or volume of the lips.
● Intraoral Lip Surgery:
In this method, surgical incisions are made inside the mouth. These incisions are in a W shape and by changing the internal tissues of the lip and tilting these tissues outwards, the shape and form of the lip change. Since it is not possible to predict the changes after surgery with this method, the demand for lip surgery using this method has decreased over time.
● External Lip Surgery:
With this surgery, the shape or volume of the lip, or both simultaneously, can be changed.
One of the tissues that cosmetic surgeons have been using in recent years to enhance lips is the fascia graft. Fascia refers to a thin but strong tissue that covers the muscle, such as the tissue on the ear. Due to the thinness of this fascia, it is rolled up and used to enhance the lips.
Dr.Behlouli and his colleagues, in an article published in 2013, used the fascia of the temporal region to enhance the lips and the results were examined after 6 months. A sample of these results is shown below.
As seen in the images above, the use of fascia creates positive changes in the lips.
Considering that the obtained fascia has a small volume, the created changes are not very significant. In the mentioned article, fascia with dimensions of 30 by 30 millimeters was only used for the central part of the upper lip, and certainly this amount of fascia is not enough to enhance the lateral parts. If we also add the lower lip, we will see that there is a severe shortage of fascia.
Given that most people seeking lip augmentation expect changes of more than 2.5 millimeters, as seen in the images, the amount of lip augmentation after 6 months, while positive, is quite small (average change in lip size 1.32-1.15 millimeters). Therefore, using a more suitable and better tissue for lip augmentation is necessary to meet the expectations of those seeking lip augmentation.
In this method, the incision is made along the lip line, and the entire lip is incised, and the lip mucosa is pulled outward, which increases the lip mucosa. The amount of this stretching and its shape vary depending on the desired lip shape before surgery. An important point in designing the shape of the lip before surgery is that the designed lip must be proportional and harmonious with all the facial features. In this surgery, there is also a possibility of remaining scar. To make the scars less visible, the surgeon uses certain techniques. Therefore, it is recommended to consult with those who have previously undergone this surgery with your chosen surgeon before deciding to have this surgery. After the recovery period and healing of the wounds, other secondary methods such as makeup, tattoo, dermabrasion, laser, or the use of repair creams can be used to improve the scars. If a person is unwilling to use these methods after surgery, it is recommended to refrain from this type of cosmetic lip surgery.
Lip grafting, also known as dermofat grafting, is one of the most popular lip surgery methods for permanent lip augmentation. Sometimes, people are dissatisfied with both the shape and volume of their lips. If for any reason you do’t want to use fillers or fat injections to enhance your lips, a suitable tissue can be taken from your body and used to augment the lips. This is called tissue grafting. A graft is a tissue that is taken from the patient’s own body and placed within the lips. Therefore, in this method, in addition to the incision around the lip, there will also be an incision where the graft is taken from.
The site from which the tissue is taken may vary from person to person. In individuals with a history of previous surgery such as cesarean section or appendectomy, the same previous site can be used to take the tissue. In most cases, the attempt is to take the tissue from areas that are less visible, such as behind the ear or the crease under the buttocks. The choice of the graft site will vary depending on your opinion and the doctor’s discretion.
Therefore, it is natural that, like any other surgery, there will be a scar at the incision site for taking the graft. The amount of healing and improvement of the scar at this site depends largely on the type of skin and the aftercare performed by the individual. As mentioned, all efforts of the surgical team are to place the graft site in a location that is least visible. By performing this surgery, you can expect lips with a suitable and prominent shape.
1.This method offers all the advantages of lip prosthetics (permanent volume increase).
2.Due to its flexibility and complete compatibility with the body, it does not have the drawbacks seen with lip fillers or prosthetics (natural laughter and speech).
3.It has a lasting effect and is the most reliable method for permanent lip augmentation.
4.Since the incisions are internal and not visible, there are no visible surgical scars.
5.It is performed on an outpatient basis under local anesthesia (similar to dental procedures).
6.This method can be performed independently without the need for other lip shaping procedures. (Especially recommended for those who are satisfied with the shape of their lips but only want to increase their volume.)
7.It can be used in individuals who have experienced complications from lip fillers and cannot use any other method.
8.It can be used to volumize the lips simultaneously with the removal of fillers or prosthetics in individuals who were dissatisfied with lip fillers or felt uncomfortable after lip prosthesis placement.
9.Unlike fascia grafts, dermofat grafts have no volume limitations and can augment the lips to any desired degree.
10.For obtaining the necessary dermofat graft, there is the possibility of harvesting from previously operated areas, thus avoiding the creation of new incisions.
11.Dermofat grafting is very suitable for individuals who, after lip augmentation, want to further enhance their lips, and the surgery can be repeated.
12.It does not impose any limitations on subsequent aesthetic surgeries such as facelifts.
● Projection, or the prominence of the lips, is a factor that significantly contributes to the beauty of the lips, especially in a profile view. However, this doesn’t mean creating an excessive protrusion. Just as the right amount of volume and prominence enhances the beauty of the lips, excessive protrusion can create a “duck-lip” appearance, which is unattractive.
● In most cases, lip injections indirectly increase lip projection by increasing the volume. Sometimes, genetic factors or excessive injections of fillers or fat can lead to excessive projection.
● Injecting fillers into the lip line or superficial or anterior parts of the lip directly increases projection. Therefore, if you are considering non-surgical methods for lip enhancement, it is essential to pay attention to this point and evaluate the projection of your lips.
● In individuals with genetically excessive lip projection, it is better to reduce this projection using a direct lip lift surgery.
Note: It is important to know that a central lip lift does not change the lip projection or, if it does, it will increase it.
By performing lip surgery through tissue grafting, both beautiful shape and volume can be created in the lips simultaneously.
Sometimes, a combination of different methods is used to enhance the lips.
It may be necessary to first reduce lip projection using one method and then use another method to volumize the lips. For example, individuals who undergo a direct lip lift may have a more prominent lip with appropriate projection due to the reduction in projection through tissue grafting.
In tissue grafting surgery, it’s not possible to completely correct asymmetries, especially when smiling. However, the good news is that as the lips become fuller, asymmetries become less noticeable. Surgery can help reduce asymmetries to a certain extent. In individuals who have suffered lip injuries, have a cleft lip, or have lost parts of their lip tissue due to a mass, this method can somewhat improve the shape of the lips. It’s important to note that if you have drooping at the corners of your lips, neither a direct lip lift nor a central lip lift will correct this drooping, and a different surgery must be used to correct this problem.
Let’s first examine the role of fascia and then assess the potential complications of harvesting this tissue from different areas. Fascia is essentially the sheath or covering of a muscle, and muscles that are easily accessible are usually used to harvest fascia. The most easily accessible fascia is the temporalis fascia.
For the removal of fascia, an incision is made within the hairline, making the surgical scar invisible. Of course, fascia from other parts of the body can also be used, but due to difficult access to those areas and the remaining surgical scar, fascia from other parts of the body is usually not used. The temporal fascia is a very valuable tissue with a wide range of applications, some of which are mentioned below.
In many reconstructive nose surgeries, and even in ear drum repair surgery, this fascia can be used for reconstruction. However, this fascia plays a more important role in facial aesthetic surgery. The presence of this strong layer in the temporal region provides support for lifting facial tissues.
In common surgeries such as temporal and forehead lifts using an endotine, the surgeon attaches the lifted tissues to this fascia. If, for any reason, this fascia is removed or its strength is compromised, the desired results of the lift surgery will be affected. Therefore, the temporal fascia is very valuable and has no substitute.
Although the use of temporal fascia for lip augmentation is a completely scientific and effective method, when we compare the results obtained from it with the results of “dermo-fat grafting,” we will see that it does not produce very acceptable results in the lips and we will see that there is a better and more effective method for lip augmentation. Therefore, as an experienced facial lift surgeon, I suggest that the temporal fascia should not be used unnecessarily as a graft, and better methods and tissues should be used for lip augmentation.
Anyone who is seeking lip augmentation will certainly experience eyebrow sagging and facial tissue sagging with age, and will likely seek a full face lift in the not-too-distant future. As explained, to lift these areas, we need the temporal fascia to be healthy. Therefore, removing the temporal fascia can reduce your chances of successful lift surgery in the upper parts of the face in the years to come.
1.Before undergoing lip surgery, it’s advisable to try temporary or non-invasive methods to make changes. If you desire permanent results, then consider lip surgery.
2.Individuals who, for any reason, do not wear makeup and are unwilling to use methods like tattooing, should reconsider this surgery. Surgery, in conjunction with these methods, yields the best results.
3.For the best outcome, like any other cosmetic surgery, patience is necessary. Usually, six months after surgery, the actual results of the surgery can be observed.
4.The texture and consistency of the graft closely resemble the natural lip tissue, creating a natural feel in the lips. This pleasant sensation may not be present in individuals who have had lip injections.
Complications of Lip Surgery
While lip augmentation surgery is generally safe, like any other surgery, it can have potential complications. These complications include bruising, swelling, pain, itching, numbness, and the possibility of surgical scars. However, these complications can be prevented or treated with specific approaches.
Given that surgery has been performed, it is essential to be aware of the specific post-operative care instructions to ensure a quick return to normal life and to avoid specific complications related to the surgery. To this end, our post-operative support team will be with you immediately after the surgery by sending you a post-operative care file and contacting you by phone.
● Individuals with thin lips
● Individuals with a cleft lip
● Individuals with a low lip projection
● Individuals with excessive lip projection
● Individuals who have experienced tissue sagging in the lips due to aging
● Individuals who have experienced a decrease in lip volume due to aging
● Individuals who have developed deformities in the lips due to filler removal
● Individuals who have not achieved the desired results after using non-invasive methods
Full lip incision: In this procedure, an incision is made all around the lip.
Central lip lift: In this procedure, the incision is made under the nose.
The goal of lip surgery is to increase the size of both lips. However, the goal of a central lip lift is to decrease the distance between the lip and the nose.
Typically, lips are swollen for up to 3 days after surgery. The swelling in the lips improves within 7 to 10 days after surgery.
Typically, the scars from stitches fade over time. Depending on skin type, the scar may remain as a faint white line.
Different exfoliation methods can be used to improve the appearance of scars.
Medication, laser, dermabrasion, and plasma treatments.
Yes, it is possible to get lip fillers or fat injections after lip surgery.
Lip fillers or fat injections can be used six months after surgery.
No, lip surgery can be performed without general anesthesia.
Lip surgery can be performed under anesthesia.
If you expect lip surgery to completely correct asymmetries, it’s not recommended. However, it can improve asymmetries to some extent.
Usually, a thin, white line remains around the lips.
Yes, you can get lip tattoos after lip surgery.
You can get a lip tattoo or shading 3 to 6 months after lip surgery.
This surgery is permanent.
No, this surgery is only performed on women.
Yes, if there is enough space between the lip and the nose, a central incision is possible.
Yes, this surgery can be repeated.
Yes, one of the best methods for taking a graft is from the abdominal scar.
For people who don’t have abdominal scars, the graft can be taken from behind the ear.
No, in addition to taking more time to take a graft from behind the ear, it also costs more due to increased surgery time.
Yes, these two surgeries can be performed simultaneously and a graft from behind the ear can be used to augment the lips.
There is a risk of infection after any surgery, but if the prescribed antibiotics are taken on time, this risk is reduced to zero.
If the person does not clean the wound properly after surgery and it becomes infected, the chance of scarring is very high.
It’s best to avoid this because during a facelift, the face swells and it becomes difficult to estimate the incision around the lips.
Yes, these two surgeries can be performed simultaneously.
It’s best to avoid stretching movements for up to three months after surgery.
If there are no sores or discharge on the wound, you can start using repair creams two weeks after surgery.
يمكن اعتبار الوجنتين البارزتين من أهم عوامل الجاذبية في الوجه، حيث أن الوجنتين المسطحتين تمنح الوجه مظهراً باهتاً وخالياً من الحياة، بينما يعيد حجم الوجنتين الزائد حيوية وجاذبية للوجه. يستخدم إجراء تكبير الوجنتين لأغراض تجميلية وتجديد شباب الوجه، وعلى الرغم من أن الكثيرين قد شاهدوا نتائج تكبير الوجنتين التجميلية على أنفسهم أو على الآخرين، إلا أنهم أقل وعياً بالنتائج المتعلقة بتجديد شباب الوجه.
