WHAT ARE THE CHOICES?
We prefer to use a hyaluronic acid based product (there are too many of these currently on the market to mention). These are injected under topical or local block anaesthesia, last several months and are gradually absorbed away. Collagen based products carry a small chance of allergic reaction, which does not occur with hyaluronic acid based products, although redness and itching is estimated to occur in around one in 2000 patients.
Coleman lipostructureis another option. Recently there have been great advances in the technique used to transfer fat from one part of the body to another allowing this to be a predictable and safe method of filling wrinkles and creases. Under local anaesthetic a special needle is used to harvest fat cells from the thigh or abdomen. The fat graft is then carefully refined prior to injection through a similar tiny needle. This technique needs no sutures and leaves barely noticeable scars. Its only disadvantage is the possibility that it might need to be repeated to bulk up the fat graft if the result is inadequate.
WHAT HAPPENS AFTERWARDS?
The lips swell slightly over the first 48 hours or so after treatment. Any wrinkles will appear over filled initially. In the case of temporary injectable dermal filler materials (restylane) the ultimate shape and contour will be apparent after approximately one week and should last three to four months. With coleman lipostucture, the fat graft initially swells slightly and then over the next two to three weeks the recontoured area assumes its final shape.
WHAT CAN GO WRONG?
Usually the result is very predictable and patients are very happy with the new shape. Occasionally there may be irregularity in the contour and this may require a small touch-up to achieve perfect results.