Resumo

Objectives: This work presents and explores an advanced lip filling technique with two types distinct from hyaluronic acid, discussing benefits, limitations and clinical considerations. Aspects related to safety, patient satisfaction and consistent aesthetic results are addressed, highlighting the effectiveness of this procedure. Introduction: Among the techniques used for this purpose, lip filling stands out, an approach minimally invasive and highly effective to provide fuller, more defined lips harmonious.
Lip filler emerges as an innovative and versatile solution to these concerns aesthetics, with significant advances in recent decades in terms of materials and techniques. 
Individualized approaches are essential to avoid artificial or disproportionate results. Materials / method: Two types of hyaluronic acid with different rheological properties were used, the first being denser hyaluronic acid (which we named AH1) and the second less dense (which we named AH2). 
The technique involves injecting the highest density hyaluronic acid (AH1) to create the contour, and the lowest density hyaluronic acid (AH2) to generate volume in lips that do not have a structured contour and very thin lips. For lips that need an increase in volume, and that already have a defined contour, we use the low-density product for the contour and the high-density product for the vermilion. Results: When we use this technique with two fillers with different rheologies, we have several benefits, which combine aesthetics and function. We have greater safety through the use of the cannula, and the use of these different fillers can avoid palpable nodules resulting from the accumulation of hyaluronic acid. This way, we also avoid an inflated appearance, which would not be natural. And when we distribute properly filler material, we avoid asymmetries in the lips, leading to a more regular, more harmonious and elegant. Conclusion: This technique has the advantages of better precision in the lip contour, leaving it more defined and preventing nodules from forming in the vermillion region of the mouth, minimizing the risks problems related to the procedure. Through this technique, we combine aesthetics and function optimized. This way, we have a safer, more beautiful and harmonious result when associated with the two rheologies of different hyaluronic acids.