Resumo

Objectives: Due to the increase of lips filler’s demand, it is of upmost importance for doctors to know better the anatomy related to these injections and the latest studies on advanced lip remodeling techniques. A well-trained doctor can evaluate the reasons behind the request of lip remodeling and help the patients in the definition of the right approach. A surgical anatomical knowledge of the face can guide the injector to a safer and better outcome procedure. The aim of this study is to demonstrate the effectiveness of a technique with very few complications and high-quality predictable results. Introduction: The treatment of lips is nowadays a very common and often a really underestimated injection in terms of difficulty of execution and quality of results. Lips injections require a very challenging approach even for experienced Aesthetic Physicians. The vast majority of patients looking for lip remodeling are very young and are looking for lips filler in order to follow current fashion or to improve their sexual appealing. Materials / method: The technique called “GB lips” was selected because it seems the most adequate to fulfil patients’ natural effect expectations and guarantee high levels of safety. It requires a deep understanding of the role of vermilion and SMAS to ensure a safer and more predictable injection. The choice of the specific Hyaluronic Acid (HA) is linked to its rheology and to the need to use high quality materials in such a sensitive area of the face. A 22,5 mg/ml HA was used and an amount of 0,8 or 1,5 ml was placed in 1 session to more than 400 patients aged 21-55 years. Results: Results were evaluated comparing pictures before and after treatment and through patient assessment. The respect for the anatomy and motor function of the lips was preserved in 100% of the cases. The only complications were prolonged edema (+ 6 days) in 3% of cases and minor hematomas in 9% of cases. The aesthetic complication causing the more frequent imperfection and error in lips injection is the spread and/or migration of the product. The spread and migration of the product was 0%. The patients reported a nice result with harmonic movement of the lips. No AE in mid term. Conclusion: These results confirm the important role of a solid medical background, a deep knowledge of anatomy and a long-term experience with techniques in the approach to lip remodeling. Moreover, the relationship with the patient, the explanation of the expectations, the definition of objective to reach contribute to the success of this treatment.