J Cosmet Med 2019; 3(2): 114-117  https://doi.org/10.25056/JCM.2019.3.2.114
Improvement of the whole lip contour by additional filler injection to the lateral vermilion zone: a report of three cases
Dae-jeong Park, MD1, Kyoungjin Kang, MD, PhD2
1Toxnfill Clinic, Seoul, Rep. of Korea, 2Seoul Cosmetic Surgery Clinic, Busan, Rep. of Korea
Dae-jeong Park
E-mail: gnblsclinic@hanmail.net
Received: May 29, 2019; Revised: November 20, 2019; Accepted: November 21, 2019; Published online: December 31, 2019.
© Korean Society of Korean Cosmetic Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Hyaluronic acid (HA) fillers have been widely used to change the lip contour. Most techniques were focused on volume augmentation and wrinkle reduction. In young women, fillers are used for lip volume enhancement, while in older women, fillers are used for both lip volume and vermilion border enhancement. Until now, the most reliable method to improve the lateral contour of the upper lip has not been reported. This study aimed to improve the ptotic contour of the lateral lip by filler injection. HA filler was injected into the vermilion medial zone in the lower lip (approximately 0.2 ml on each side) through the vermilion border and central vermilion through the dry and wet junction in the upper lip (0.05-0.1 ml) for volume augmentation. Then, the filler was injected into the lateral vermilion zone between the flat and rolling-in parts in the upper lip through the upper vermilion border to improve ptotic appearance (0.1 ml on each side). Three patients underwent the procedure using the abovementioned method. The whole contour of the upper vermilion border was significantly changed from flat to round and curved. Even though the position of the mouth corner was not changed, it appeared lifted, which was caused by the illusion of eversion and anterior projection of the medial vermilion and changed contour of the lateral vermilion in the upper lip. The three patients were satisfied with their dynamic and vibrant-looking lips. Additional filler injection to the lateral vermilion zone to improve the whole contour of the lips was considered a relatively easy technique for three young patients.
Level of Evidence: IV
Keywords: hyaluronic acid filler; lip contour; mouth corner; ptotic
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