“Details make perfection, and perfection is not a detail,” said Leonardo da Vinci, who was a master of perfection.
The lips are a focal point of attraction on our face; they symbolize seduction, charm, and femininity. Vermillion, tubercles, Cupid’s bow, philtral filter, philtral ridges, commissures, and the white roll: these are the small yet important beauty details that constitute the anatomy of our lips and must be preserved, even when undergoing medical-aesthetic treatments, to avoid unnatural or grotesque results.
The lips have an intrinsic harmony dictated by the proportion between the lower and upper lips (the latter being slightly smaller). They adhere to a ratio of 1.618, known as the golden ratio, which is found in nature, in various proportions of our body, and even in architecture and art. Therefore, when redefining the lips, it’s important to avoid altering this proportion, as doing so can lead to anatomically incorrect and ridiculous results, such as a top lip protruding like a duck’s beak.
In Plastic Surgery, it is crucial to respect the beauty of every age, preferring a fuller correction for younger individuals and more moderate volumes for older women. The key lies in choosing the right hyaluronic acid, the correct quantity, and the proper technique to avoid exaggerated outcomes. Dynamic fillers are ideal, as they possess high resilience and tissue integration capacity, offering extreme naturalness not only at rest but also during movement. After all, the lips are constantly in motion—they speak, sing, kiss, smile, frown, follow our moods, and reflect our emotions.
For lip reshaping, the Paris Lip technique can be used, which involves injecting along the lip contour in a longitudinal direction to create a slight eversion, restoring the definition lost with the aging process.
To increase volume, vertical techniques with electronic injectors are often used to plump the vermillion, giving the lips a full, sensual look.
Hyaluronic acid can also be injected using a bolus technique to recreate the labial tubercles that are characteristic of youth.
To lift the labial commissures, hyaluronic acid is implanted using a microcannula with a fan technique and a paralabial access point.
An innovative technique, the French Kiss Technique, involves injecting hyaluronic acid perpendicularly, in two points per hemilib, both above and below. The acid is deposited in the submucosal plane by passing through the thickness of the lip, under the guidance of the non-dominant index finger placed inside the mouth at the marked points. Small boluses are injected at each point and then gently massaged until the filler is fully integrated into the labial tissues.
Finally, it’s important to inject a small amount of hyaluronic acid vertically into the philtral ridges to give the area between the lips and nose a fresher look.
Therefore, Russian Lips (which involved the massive implantation of hyaluronic acid in the lips, disregarding anatomically important structures such as the Cupid’s bow) are a thing of the past. We prefer harmony and naturalness, which are the true keys to beauty.
MyCli HA-Plast Filler Booster is a specific lip filler with dermal volumizing effects. Its formula boosts the production of endogenous hyaluronic acid, promoting gradual lip fullness. It also stimulates dermal protein synthesis and balances the production of essential lipids, leaving lips visibly plumped, firm, nourished, and redefined. Micromolecular technology integrated with microencapsulated hyaluronic acid spheres, hydroxyproline, phytoceramide, and Undaria Pinnatifida lip-extract.
Dr. Maria Vittoria Giatti
Specialist in Reconstructive and Aesthetic Plastic Surgery