Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jan;14(1):E61-E63.
Epub 2021 Jan 1.

Lip Augmentation Using Hyaluronic Acid Filler and a 4-mm Needle: A Safer, More Natural, and Predictable Approach

Affiliations
Review

Lip Augmentation Using Hyaluronic Acid Filler and a 4-mm Needle: A Safer, More Natural, and Predictable Approach

Lee Walker et al. J Clin Aesthet Dermatol. 2021 Jan.

Abstract

Clinicians employ several techniques to augment lips with hyaluronic acid (HA) filler. To the best of our knowledge, however, no previous study has documented the use of a 4-mm 30-gauge needle in this context. This paper describes the anatomical rationale behind and practical application of such a needle applied very superficially in the vermillion border during lip augmentation. Using a 4-mm 30-gauge needle facilitates precise HA placement into the safer subcutaneous plane of the lip and lowers the pressure needed to extrude the filler, which might optimize patient comfort. This technique aims to increase the safety and predictability of lip augmentation with HA fillers. Credit is owed to Dr. Jean Louis Sebagh, who provided the inspiration to use the described needle for this evidence-based technique.

Keywords: 4-mm 30-gauge needle; Hyaluronic acid; lip augmentation; safety.

PubMed Disclaimer

Conflict of interest statement

FUNDING:No funding was provided for this article. DISCLOSURES:The authors report no conflicts of interest relevant to the content of this article.

Figures

VIDEO 1.
VIDEO 1.
Click to view Video 1
FIGURE 1.
FIGURE 1.
A) Upper and; B) lower injection technique

References

    1. Tansatit T, Apinuntrum P, Phetudom T. A typical pattern of the labial arteries with implication for lip augmentation with injectable fillers. Aesthetic Plast Surg. 2014;38(6):1083–1089. - PubMed
    1. Lee S-H, Gil Y-C, Choi Y-J et al. Topographic anatomy of the superior labial artery for dermal filler injection. Plast Reconstr Surg. 2015;135(2):445–450. - PubMed
    1. Cotofana S, Pretterklieber B, Lucius R et al. Distribution pattern of the superior and inferior labial arteries: impact for safe upper and lower lip augmentation procedures. Plast Reconstr Surg. 2017;139(5):1075–1082. - PubMed
    1. Pinar YA, Bilge O, Govsa F. Anatomic study of the blood supply of perioral region. Clin Anat. 2005;18(5):330–339. - PubMed
    1. Al-Hoqail RA, Meguid EMA. Anatomic dissection of the arterial supply of the lips: an anatomical and analytical approach. J Craniofac Surg. 2008;19(3):785–794. - PubMed

LinkOut - more resources