A Woman’s Lips and the Importance of First Impressions

A woman’s lips are the most attractive part of her body. During the first ten seconds after meeting a lady for the first time, the average man spends more than half his time gazing at her mouth.

Sue Leeson, who is marketing director of QVC, tell us, “It seems that no matter what your lips are like naturally, there is a solution for everybody.” So, it’s not surprising to learn that lip enhancement is one of the most frequently requested cosmetic procedures. It’s also technically demanding. To achieve the most aesthetically pleasing lips, the aesthetic dermatologist must weave art with science.

Getting Started

The goal for lip augmentation with dermal fillers like Restylane® Silk and Boletro® is to harmonize the appearance of the lips with other facial features. The process begins by applying the basic artistic principle known as DaVinci’s classic proportions—defined as PHI or the golden ratio.

Treatment targets as many as six anatomic areas: the philtrum columns, Cupid’s Bow, the vermilion-cutaneous junction, lower lip “pillows”, oral commissures, and the nasolabial creases. Each is shown in the photo.

Philtrum Columns 

Sculpted philtrum columns are in style. Yet, with age, these well-defined vertical columns are lost, leading to a flattened, unattractive upper lip. In such patients, it’s important to re-create them.

Cupid’s Bow

The pouty, Cupid’s Bow appearance of the central portion of the upper lip is considered sexy, desirable, and very much in fashion. Skilled placement of filler supports the projection of this area.

Vermillion Border

Precise injection technique is critical if this area is to be treated properly. Careful! A common error that results from a poor understanding of the delicate features of the lip occurs when filler is placed too far along the border, leading to a “sausage” or “duck” lip.

Lower Lip “Pillows”

Adding volume to the areas has a sexy effect.

Oral Commissures

Proper injection technique here creates a natural looking pout.

Nasolabial Creases

Filling the nasolabial creases makes the upper lip turn outward for a natural looking pout.

The Bottom Line

Lips are one of the most sensual part of a woman’s body and play a critical role in human sexual attraction, according to researcher, Dr. Geoff Beattie. Yet, each person has special needs and expectations—Caucasian women differ from African-American women and from men, for that matter. There is no single prescription for a “perfect” lip, nor a “one size fits all” approach for lip augmentation.

In addition to a lip assessment, expect that your consultation with the aesthetic dermatologist will include a discussion of treatment options, downtime after treatment, and medications and other conditions you may have. Photographs will aid before and after treatment assessments.

For a satisfactory aesthetic outcome, seek a board-certified aesthetic dermatologist who is experienced in evaluating and treating this complex soft tissue area. For consultation and more information about our approach to lip augmentation, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. Binstock, Layton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.



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