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Lip filler should begin with an assessment of proportion, structure and movement, not with a predetermined volume.
Dr. Nivine plans each treatment around lip shape, upper-to-lower balance, border definition, projection and movement, with the aim of creating a result that remains consistent with the rest of the face.
There is no single ideal lip ratio for every face. The upper and lower lips need to be considered alongside the teeth, chin, profile and smile. Filler is appropriate only when it improves that overall relationship.
Lip filler most commonly uses a temporary hyaluronic acid gel to add or redistribute support within the lip. Hyaluronic acid is naturally present in human tissue, but injectable products are manufactured to specific properties such as softness, elasticity and structural support.
Different fillers behave differently. A product suited to subtle border definition may not be the same product chosen for central body, projection or perioral support. Product choice therefore comes after the lip has been assessed, not before.
Structure over volume.
Not every concern is solved by adding filler. A gummy smile, strong lip muscle, dental relationship, chin position, migration from previous filler or poor tissue support may change the plan completely.
Lip filler may suit adults who want a modest change in lip shape, border, proportion, projection or volume and whose anatomy can support the requested result. First-time patients, patients with naturally thin lips and patients seeking refinement after previous treatment may all require different plans.
Treatment is generally deferred during pregnancy or breastfeeding and when there is active infection, inflammation or an unresolved dental or oral issue. Previous filler type, timing, migration, nodules or dissolving history should be discussed before any new product is placed.
Treatment begins with a facial assessment rather than a syringe target. The lips are evaluated at rest and in motion, from the front and profile, and in relation to the teeth and chin. The plan defines the specific change being considered and the features that should be preserved.
The lip is cleaned and prepared before small amounts of filler are placed using a technique chosen for the anatomy and goal. For some lips, one carefully controlled session is appropriate. For others, staged treatment is safer and more natural than trying to reach the final volume in one visit.
Small, controlled amounts are placed according to the agreed plan. Placement is adjusted to the lip's anatomy rather than to a fixed syringe target.
Temporary swelling can change apparent shape and proportion, so the early appearance is not considered the final result.
At around two weeks, the settled result can be reviewed and any further treatment, if appropriate, is decided from that assessment.
Temporary swelling, tenderness, redness and bruising are common after lip filler. The lips can look fuller or less symmetrical while swelling is settling. Most meaningful shape assessment is therefore delayed until the early swelling has resolved.
You will receive treatment-specific aftercare, including what to avoid and which symptoms require urgent contact with the clinic.
Lip filler is temporary. Duration varies with the product used, amount placed, tissue movement, metabolism and individual response. Some lips retain shape longer than others, and the visual result can change gradually rather than disappearing at one fixed date.
Repeat filler should be based on what the lip looks like when settled, not on automatically repeating injections because a calendar date has arrived.
Individual results vary. Photographs are of Dr. Nivine’s own patients, shown with written consent and unretouched.
The fee is confirmed after consultation and depends on the treatment plan, the product selected, the amount required and whether treatment is staged or previous filler needs to be assessed or corrected first. A first-time subtle enhancement and a complex correction should not be priced as identical treatments.
Your consultation defines the treatment plan and the relevant clinic pricing before any injection takes place.
Lip filler changes shape, support, projection or volume by placing a gel within the tissue. A Botox lip flip does not add volume. It temporarily reduces activity in selected fibres of the upper lip muscle so a small amount of the lip may evert more visibly.
The treatments solve different problems. A thin lip that needs structural support is not the same as an upper lip that rolls inward strongly on smiling. Dr. Nivine may recommend filler, a lip flip, a combination, or neither after examining the movement and anatomy.
Lip aesthetics are a particular focus of Dr. Nivine's practice. Her approach considers facial proportion, dental show, border definition, Cupid's bow, projection and movement before deciding whether filler is appropriate and where it should be placed.
The same principle is applied to first-time enhancement, naturally thin lips, M-shape concerns, age-related change and previous filler correction: preserve identity and use only the amount of intervention needed to achieve the intended change.
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Individual results vary. Photographs are of Dr. Nivine’s own patients, shown with written consent and unretouched.
Planning includes anatomy at rest and in movement, natural asymmetry, previous injectable treatment, tissue support and the areas that should remain untreated. The intended endpoint is defined before product, amount and placement are selected.
A consultation begins with your existing anatomy. Dr. Nivine will assess lip shape, proportion, movement and any previous treatment before deciding whether filler is appropriate and what degree of change would remain balanced with your face.