by dr. lam » Tue Jun 08, 2010 9:13 pm
ok, here are my thoughts:
as far as a final result, i would have to see your lips to decide. here is the reason: if you have for example an upper lip that shows very little red lip then it is very hard to flip it upward to show more red no matter how much silicone is placed. however, those who have a little bit of red showing typically can get the red to flip upward and show more vertical height after a couple of rounds. obviously, everyone is different. for the bottom lip, typically, this is much easier to augment and could be augmented over and over again and continue to show more lip each time. obviously, there would come a point where the lip would not look better with greater augmentation, especially if the upper lip is failing to be augmented further. then the two lips would not be matched. in general, the bottom lip should be bigger anyway, and as you probably know it is the most important lip to augment to create a soft, pouty look without the risk of a ducky, weird look. unfortunately, most women coming to me are obsessed with the top lip looking better when in fact the bottom is what delivers the pretty look without a real risk of looking fake. hope all that makes sense.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery