Vertical proportion
The relationship between upper and lower vermilion, the visible height of each lip and how that ratio fits the face.
Lip Aesthetics
The lip is not a volume problem.
Professional lip treatment begins with anatomy, proportion, movement and tissue history. The aim is not to impose a signature shape. It is to decide what this lip actually needs, and what it should keep.
AssessmentLip plus lower face
The lip is read in relation to the chin, nose, smile and surrounding tissue.
PriorityShape before size
Border, proportion and projection are considered before additional volume.
PlanningConservative and staged
The smallest useful intervention is preferred when it can achieve the goal.
Possible outcomeTreat, correct, dissolve or wait
A consultation can appropriately end without filler.
Clinical Assessment
Six things assessed before a technique is chosen.
A professional lip plan is a diagnosis of proportion, not a catalogue of shapes. Technique comes after the anatomy has been read.
Border and cupid’s bow
Definition, symmetry and whether the border would benefit from refined support.
Projection in profile
A lip can look small from the front but already project sufficiently from the side. Both views matter.
Movement and smile
Tooth show, muscle activity and how the lip behaves at rest, in speech and during smiling are part of the plan.
Perioral support
Lines, corners, philtral support and chin position can change the appearance of the lip without the lip being the primary problem.
Previous filler
Old product, migration, asymmetry and tissue quality are considered before adding anything new.
Treatment Pathways
Start with the reason, not the technique.
Different requests can require completely different treatment logic. Browse by the problem you are trying to solve.
Enhance or define
Shape and proportion
For patients considering first-time enhancement, subtle definition or a more structured lip shape.
Change movement
Smile and muscle pattern
When the concern is how the upper lip turns, elevates or behaves during smiling rather than lack of volume.
Rejuvenate the area
Perioral aging
For lines, corners, border quality and support around the mouth, where treating the lip alone may not solve the concern.
Correct previous work
Reassess before adding
When previous filler has altered proportion, border or tissue behavior, correction may come before enhancement.
The Consultation Logic
A treatment plan in four decisions.
The consultation should make the logic visible. What is being changed, why it matters, what should remain untouched and what the alternative is.
Define the concern
Separate the patient’s goal from a trend name or a product request.
Read the whole lower face
Assess the lip with the chin, profile, smile, surrounding tissue and previous treatment.
Choose the lowest useful intervention
Filler, neuromodulation, perioral treatment or correction may each be considered according to the desired result.
Review the result as a proportion
The end point is judged against the face, not against a reference photo or a fixed template.
Selected Results
Different lips. Different plans.
Selected lip cases across enhancement, definition and lower-face balance. The objective is refinement that still belongs to the patient.
Individual results vary. Photographs are of Dr. Nivine’s own patients, shown with written consent and unretouched.
Questions
Before you book.
You do not need to arrive knowing which technique you need. The consultation is designed to answer that question.
Do I need to choose a lip technique before consultation?
No. You can explain the change you want to see. The technique should be selected after the lip, smile, profile and previous treatment are assessed.
Can previous filler be corrected?
Often it can be reassessed, but correction is not the same plan for every patient. Some cases may require dissolving, some may need time, and some may not need intervention.
Is lip treatment always filler?
No. Some concerns are related to muscle movement, the perioral area, lower-face balance or previous product rather than lack of volume.
Consultation
A better lip plan starts with the whole lower face.
Bring the concern, not the technique. The consultation is where proportion, priorities and the most suitable next step are planned.
Results
Cases treated by Dr. Nivine.
Individual results vary. Photographs are of Dr. Nivine’s own patients, shown with written consent and unretouched.