Aspen, Colo. – For lip injections, said an expert at the summer Cosmetic Bootcamp (CBC), cannulas can provide smoothness, while needles provide precision.
Ava Shamban, M.D., said she typically injects the perioral area with a 27-gauge, 1.5-inch cannula. “With a cannula, you can lay an even sheet of material, resulting in smooth contours.” Any filler that is FDA-approved for perioral use can work, she said. But for patients who need more lift here, she prefers hyaluronic acid (HA)-based products such as Restylane Lyft and Defyne. In the lip itself, she typically uses Restylane Silk, Juvederm or Juvederm Volbella.
To inject the lip in young and old patients, she prefers 0.33 ml insulin syringes. “Ideally, we like a little bit of asymmetry in the face. But lips need to be as close to absolute symmetry from right to left as possible.” The exactitude provided by a small syringe makes replenishing lost volume with precise aliquots easier, said Dr. Shamban. She is a Beverly Hills-based dermatologist.
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