Dr. Robert Vitolo has been improving the lips of his patients for many years since the introduction of injectable filler in the early ’90s. Over the years he has used a variety of fillers as they have become better and better, with great success.
For those patients who have lost the shape and volume of their lips with aging he injects hyaluronic acid fillers into the rims of the lips, beautifully defining the shape of the lips, and slightly enlarging them, creating a more youthful appearance. This technique also prevents the upper lip wrinkles from extending into the upper lip edge, often allowing the bleeding through of lipstick. For those patients who wish fullness of the lips, he also injects the filler into the lip itself, thus giving a fuller appearance to the lips.
Dr. Vitolo’s younger patients usually want full, sexy lips, made popular by the Kardashian sisters. For these patients he first outlines the lips, creating the desired shape, then injects into the red part of the lip to create the fullness they desire.
Dr. Vitolo performs lip augmentation procedures in his offices. First, he numbs the lips before the injection and then uses a hyaluronic acid filler that contains an anesthetic to prevent any discomfort. As an extra measure, he uses a vibrating ball placed on the skin near the lips, which further prevents the pain.
The procedure usually takes 15 to 20 minutes, and his patients can see results immediately. Some swelling develops a few hours after the injection so patients use ice compresses to limit swelling. Usually, the swelling has dissipated by the next morning, and rarely is there any bruising.
For those patients who wish for a longer-lasting lip augmentation, Dr. Vitolo uses a silicone lip implant which is inserted, under local anesthesia, through an incision in each corner of the mouth. The implants are made of soft flexible silicone and most patients are comfortable with having them in their lips.