Prof. Alfredo Borriello
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Lip Fillers

What are Lip Fillers?

Lip fillers are an injectable treatment based on hyaluronic acid specifically formulated to add volume, define, and hydrate the lips, providing a natural and harmonious appearance. The hyaluronic acid used for lips has softness and flexibility characteristics designed to adapt to lip movement, ensuring a result that integrates perfectly with facial expression. It is one of the most requested treatments in aesthetic medicine for its versatility and the ability to achieve personalized results.

How do Lip Fillers work?

Hyaluronic acid is injected with millimetric precision at strategic points of the lips using ultra-fine needles or microcannulas. The doctor modulates the quantity and distribution of the product to increase volume proportionally, redefine the vermilion border contour (the boundary between lip and skin), correct any asymmetries between upper and lower lip, and soften perioral wrinkles (the so-called "barcode lines"). The technique is customized based on each patient's anatomy and desires.

Who is it suitable for?

• Naturally thin or poorly defined lips, for those who desire harmonious volume proportionate to the face • Lip asymmetry between upper and lower lip, to re-establish a natural aesthetic balance • Perioral wrinkles (barcode lines), the vertical lines that form around the mouth with aging and muscle movement • Age-related volume and definition loss, as lips tend to lose fullness and contour after 40-50 • Desire for fuller, hydrated, and better-defined lips, with a result that enhances facial harmony

Who should avoid it?

• Pregnancy and breastfeeding, as a precautionary principle • Active cold sores: treatment must be postponed until complete healing. For patients with recurrent herpes, preventive antiviral prophylaxis is recommended • Active skin infections in the perioral area • Known allergies to hyaluronic acid or lidocaine contained in fillers • Unrealistic expectations regarding achievable volume: the doctor always guides toward a proportionate and natural result

How long does the treatment take?

The treatment takes 15-30 minutes, including topical anesthetic application. It is performed in the office without any special preparation. Recovery is immediate: the patient can return to normal activities right after the session. Mild swelling in the first 24-48 hours is normal, representing the natural tissue reaction and not the final volume. Avoiding intense sports activity, sauna, and direct sun exposure for 24-48 hours is recommended.

Is anesthesia required?

A topical anesthetic cream is applied to the lips 15-20 minutes before treatment to reduce sensitivity in the area. Additionally, latest-generation fillers contain integrated lidocaine in the gel, which progressively numbs the tissue during injection, making the treatment increasingly comfortable as it progresses. The combination of topical cream and lidocaine in the product makes the treatment well tolerated even by the most sensitive patients.

When are results visible?

Results are visible immediately after treatment, but the volume perceived in the first 24-48 hours also includes transient swelling. The final result is appreciated after 3-5 days, once the initial swelling has completely resolved. The duration of the effect varies from 6 to 12 months depending on the type of filler used, the volume injected, and individual metabolism. The lips, being an area with intense muscle activity, tend to metabolize filler more quickly than other areas of the face.

Is the result natural?

Yes, with calibrated dosages and expert technique, the result is absolutely natural and harmonious. The modern lip filler philosophy prioritizes naturalness: a gradual approach is always taken, injecting moderate quantities and evaluating the result before adding more product. The goal is not to create artificially large lips but to enhance the natural shape, improve definition, and restore lost volume proportionate to facial features.

Real cases treated by Dr. Borriello

Want to learn more about this procedure?

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Prof. Alfredo Borriello
Plastic, Aesthetic and Reconstructive Surgery
Contacts
+39 081 780 8051
info@alfredoborriello.it
Viale Antonio Gramsci 30, Napoli
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