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Aesthetics Practice Today

Permanent Makeup Can Enhance The Appearance of Thinning Lips

Published June 17, 2014 11:29 AM by Mina Grasso

The process of aging and genetics can result in the lips losing volume and structure.  Some patients completely lose the appearance of their lips when they smile.  With most patients, injection of hyaluronic acid fillers like Restylane, Perlane or Juvederm can replace volume that was lost over time and improve the appearance of their smile.  Unfortunately, this is not successful 100% of the time.

I have had a few challenging patients that due to the structure of their upper lip and elongation of the skin from the base of the nose to the upper lip did not result in the desired effect.  These patients had no improvement in lip show when they smiled.

One approach I have taken with these challenging lips is using micro-pigmentation (permanent makeup) to give the illusion of lip tissue above their natural lip line.  Full lip color can be applied and blended into the lips to give a natural fuller lip appearance.

Patients are sometimes reluctant to do permanent makeup, because they may have seen unsightly dramatic eyebrows or dark lip liner without lip color.  Fear of pain may be a factor.  I do a dental block so patients are comfortable during the procedure and I am able to do several passes to work the color into the lips evenly.  The shape of the lips can be drawn prior to procedure so the patient knows what it will look like after the procedure.  A variety of colors are available ranging from nearly nude to a mauve or merlot.  Skin type is taken into consideration and adjusted for depending on the tone of their skin.  The same lip color can be applied to10 people and look slightly different.

Micro-pigmentation (permanent makeup) requires touch ups.  The pigment does fade over time.  Colors can be changed.  The color is much brighter the first five days.  Swelling, scabbing and peeling is expected.  Prophylactic antivirals are recommended starting the day before treatment and for 3 days after the procedure, because HSV – cold sores can occur post procedure.

Those with lips that disappear when they smile usually say they wished they did permanent makeup years ago.  Most patients just apply a clear gloss of chap stick with SPF instead of lipstick.  Patient satisfaction is extremely high.


Can you provide pictures or a link to see before and afters?

Heather, Family - ARNP June 17, 2014 10:07 PM

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About this Blog

    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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