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Lip enhancement

How to have fuller, luscious lips?

In addition to treating lip problems like chapped lips, inflamed lips and cold sores, dermatologists also can help enhance the look of a person's lips, making them fuller and more symmetrical and reducing wrinkles and lines around the sides of the mouth. "Injecting a filler is frequently done to enhance lips by adding volume," Dr. Bruce P. Robinson said. "These fillers also may be used to fill in fine lines around the mouth."

Approved by the FDA, purified collagen from cattle (bovine collagen) and humans is most often used to treat very fine wrinkles around the mouth, or classic "smoker" lines, and to add volume to thin lips. Collagen products help add structure back to the skin and the results often last three to four months.

Another FDA-approved filler is hyaluronic acid gel. A natural component of skin, hyaluronic acid gel holds the collagen and elastin of the skin together. When injected into the skin, hyaluronic acid gel binds to water and provides volume to plump lips and fills larger folds of skin around the mouth and cheeks. Results can last from three to six months, or even longer.

Other fillers, such as calcium hydroxyapatite and poly-L-lactic acid, often are used for enhancement of the lips' surrounding areas. While these fillers are not placed directly in the lips, they add to the overall effect by filling and supporting the lines and hollows around the lips. They can soften a down-turning mouth and restore fullness to the larger folds of skin around mouth. Botulinum toxin or Botox also may be placed in key areas around the lips to minimize muscle movement that contributes to wrinkles such as frowning and pursing.

Regardless of which filler is used, the effect is temporary and multiple treatments are required for a long-lasting effect. Jessica Simpson used Restylane. "Because there are so many options available, anyone who is interested in lip enhancement should consult a dermatologist to discuss the best options for treatment," Dr. Robinson said. "Your dermatologist also is your best resource for any other concerns you may have about the health of your lips."

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