Juvederm® is part of a family of injectable hyaluronic acid dermal fillers used to provide correction of facial wrinkles and folds in the face. Hyaluronic acid is a naturally occurring substance already found in skin and dermis. It is used to correct deepening nasolabial folds that go from your nostril to the side of your mouth. This deepens with age as our skin sags. We also lose lip volume. Many of my patients come to the clinic seeking lip augmentation or fuller lips. In this scenario I almost always use Juvederm® Ultra XC by Allergan. It allows me to produce consistent results.
Now most people have seen actors in Hollywood or other people who become overdone. Too much filler in my opinion is added to the vermillion border of the lips giving them a duck bill look. The lips end up looking swollen and unnatural. In fact, they look unhuman.
With my approach I concentrate on the wet and dry vermillion of the lips. That is the red portion of the lips only. Augmentation of this part of the lips only gives a more natural appearance. The lips just look fuller without that duck bill or swollen look.
In the case below, the before picture shows a lip with a thin vermillion or thin upper lip altogether. With one vial of Juvederm® Ulta XC a natural augmented look was achieved. This is verified by the different photo angles. A small amount was also put in the lower lip.