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Lip Augmentation with Hyaluronic Acid – Lip Injections

The shortest distance between two people is a smile. A sensual, full mouth with beautifully curved symmetrical lips is considered a special beauty ideal in all cultures. With lip injections using hyaluronic acid filler, lip volume can be gently built up while still achieving a natural result.

Nothing is as winning, nothing makes us as likeable as a radiant smile. However, around the end of our 20s, lip volume slowly begins to decrease because the body’s own collagen synthesis and hyaluronic acid synthesis slow down. To protect the lips, it is recommended not to smoke and to always use a suitable sun protection product, as the skin of the lip red is particularly delicate and can therefore be easily damaged by UV rays.

If you are not completely satisfied with your lips, for example because you naturally do not have lips as full as you would like, lip modeling with hyaluronic acid can help you.

Important Facts

Lip Injections with Hyaluronic Acid

Lip injections offer the possibility to optimize lip shape and gently build up lip volume.

With products made from hyaluronic acid specially developed for lip correction, the lip contour can be emphasized and a subtle lip augmentation can be achieved without creating the very unnatural and often ridiculed inflatable boat look or duck lips that one sometimes sees in the media.

The goal of lip correction is a harmonious-looking mouth with a balanced ratio between upper and lower lip, a symmetrical lip contour, and a beautifully defined Cupid’s bow (the heart shape in the center of the upper lip).

It is particularly important that lip correction is performed carefully and that the proportions of the entire face are taken into account in order to absolutely avoid unnatural results.

The fine pleated wrinkles in the upper lip area (so-called smoker’s lines, which can also occur in women who have never smoked), or sunken and drooping corners of the mouth can also be improved as part of lip contouring.

How Does the Lip Injection Procedure Work?

First, I conduct a detailed consultation with you in which we discuss your wishes and I explain the possibilities and risks of the treatment. This is followed by photo documentation.

Only high-quality pure hyaluronic acid from reputable EU-certified manufacturers is used.

Before the treatment, a local anesthetic cream is applied and the hyaluronic acid used additionally contains an anesthetic.

Immediately after the treatment, the lips are somewhat swollen. Minor bruising is also possible, but this subsides after a few days.

Most patients find mild local cooling with CoolPack very pleasant. This also leads to faster reduction of swelling.

Frequently Asked Questions (FAQ) about Lip Correction with Hyaluronic Acid

The result lasts approximately 6-12 months. However, individual factors such as lifestyle and genetic predisposition can influence this timeframe.

Since the product used breaks down over time, the treatment can be repeated if desired and can always be adjusted to the patient’s personal taste.

When the hyaluronic acid has broken down again, your lips will look as they did before the injections.

Most hyaluronic acid treatments can be safely and effectively repeated as needed, typically every 6-12 months. However, it is important that you discuss your individual needs with an experienced doctor to ensure that the hyaluronic acid filler used is suitable for you and that you have realistic expectations. If too much is injected or injections are done too frequently, so-called filler migration can occur, where the filler “migrates,” which can lead to unattractive results.

Hyaluronic acid is a naturally occurring polysaccharide that is found everywhere in the body in large quantities, including in our skin. It provides moisture to the skin and plumps it up so that it looks youthful and healthy. As we age, hyaluronic acid content decreases, leading to wrinkles, volume loss, and other signs of skin aging. Hyaluronic acid is frequently used in lip augmentation because it helps increase the volume of the lips by hydrating and plumping them from within.

After lip injections with hyaluronic acid, the patient notices changes in the treated area immediately – the increase in lip volume is evident, although this usually includes some swelling that subsides over the following days. Final results are visible after a maximum of two weeks.

Using a special enzyme (Hylase or hyaluronidase), the injected hyaluronic acid can be dissolved again. I offer this treatment in my practice when patients come who have had lip injections elsewhere and are now dissatisfied with the lip volume or lip shape, or are suffering because the filler has migrated for various reasons. This can create the dreaded duck look that is often ridiculed.

In such cases, it is better to first dissolve the injected filler and then, after a few weeks of rest, carefully rebuild the lips rather than continuing to treat on a “bad foundation.”

The lip injection itself takes approximately 15 minutes. However, you should plan for at least 45 minutes including the application time for the local anesthetic cream, consultation, photo documentation, cooling, and massage afterward.

Before undergoing lip augmentation, it is important to discuss the procedure with a doctor and ensure that hyaluronic acid is suitable for you and that high-quality products are used. It is also important to be aware of possible side effects such as bruising, swelling, or redness.

Be sure to seek out an experienced practitioner. Extremely rarely, serious side effects such as vascular occlusions can occur. Experienced and responsible doctors know on the one hand how to reduce this risk to a minimum and on the other hand how to treat these side effects if they do occur.

The narrower the lips are before lip injections with hyaluronic acid, the more carefully the treatment should be performed. Especially when patients desire significantly fuller lips, it is better to divide the buildup of lip volume over several appointments rather than injecting too much in one treatment. This minimizes unwanted risks.

Hyaluronic acid is generally well tolerated and has only few side effects, but as with all treatments, there are some risks. These include temporary redness, swelling, or bruising at the injection site.

Rarely, there are also allergies to hyaluronic acid or to the local anesthetic contained in the filler.

Very rarely, serious side effects such as vascular occlusions can also occur. For this reason, it is particularly important to seek out only experienced practitioners, as they know how to keep the risk of side effects as low as possible, but also how to quickly recognize and immediately treat unwanted side effects.

Good doctors will inform you comprehensively and thoroughly about the treatment and address all your questions. Never get treated anywhere where your questions about side effects are answered with “it’ll be fine…”

It is a very good idea to combine both treatments, but not in the same session. The Botox Lip Flip relaxes the lips slightly and rolls them outward, making them appear fuller and more voluminous even without hyaluronic acid filler, especially when smiling. Vertical lip lines (smoker’s lines or pleated wrinkles) are reduced. During the subsequent lip injection, about two weeks after the botulinum toxin treatment, less hyaluronic acid is often needed than without a Lip Flip. This makes the results appear even more natural.

If too much is injected or injections are done too frequently, so-called filler migration can occur, where the filler “migrates,” which can lead to unattractive results. The hyaluronic acid filler is then no longer behind the lip red, but also in the white area of the upper lip, where it does not belong. If filler migration has occurred, it often only helps to dissolve the filler and carefully rebuild the lips after a break of several weeks.

It is important to consult experienced doctors from the start so that filler migration does not occur in the first place.

Lip treatments with hyaluronic acid are not approved during pregnancy and breastfeeding and should not be performed.

After lip augmentation, you can use lipstick and other lip care products as early as the day after treatment.

Diese Behandlungsinformation wurde erstellt und medizinisch geprüft von Dr. Vjara Ilieva, Ärztin mit Schwerpunkt auf ästhetischer Medizin, Longevity- und orthomolekularer Medizin und Fachärztin für Radiologie.

Mehr über Dr. Vjara Ilieva.

Letztes medizinisches Update: Jänner 2026

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