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Aesthetic Medicine · lips

Lip fillers — which type of product should you choose?

Lip fillers differ in their gel properties. We explain what to ask during a consultation and why consistency alone does not determine the result.

4 min read

Illustrative photo. It shows an example of how the treatment is performed.

4 min read

Choosing a hyaluronic acid lip filler requires an assessment of anatomy, tissue condition and expectations. A product name cannot replace that conversation. This comparison describes gel properties, rather than ranking products or promising a result.

Which gel properties does the doctor compare?

Hyaluronic acid fillers can differ in consistency, elasticity and cohesivity. These properties overlap: one product may fit several of the groups described. Amount, injection site and technique also influence how it behaves in tissue.

Soft filler with a delicate consistency

Gel consistency

  • It may be considered for subtle contour correction; softness alone does not guarantee a natural appearance or absence of swelling.

Filler with greater elasticity

Deformation during movement

  • Elasticity describes how the gel responds to deformation. The doctor assesses it in relation to lip movement and the planned injection site.

Filler with greater supporting capacity

Support and volume

  • When planning a change in volume, the gel's ability to support tissue matters. Greater supporting capacity does not mean a product is suitable for every pair of lips.

Filler with greater cohesivity

Gel cohesion

  • Cohesivity describes how the gel holds together. It is a different property from elasticity and is assessed alongside other parameters.
Illustrative photo. It shows an example of how the treatment is performed.

What should you discuss during the consultation?

Tell your doctor whether your concern is contour, proportions or volume. Report previous treatments, products used, adverse reactions and medical conditions. Fillers do not address every lip concern, and a consultation may lead to a decision against treatment.

  • Which product properties suit my anatomy, and why?
  • What are the limitations, contraindications and possible complications?
  • What should I do after treatment, and whom should I contact about concerning symptoms?

How should you prepare and assess healing?

During the consultation, the doctor examines the lips at rest, while speaking and while smiling. They assess proportions, natural asymmetry and the condition of the skin and mucosa. Looking in a mirror together helps clarify what concerns you and what change you expect. Photographs from before previous procedures may help the discussion. If filler remains in the tissues, the doctor may suggest further assessment before another injection. Not every asymmetry can or needs to be corrected by adding volume.

Duration depends in part on the gel type and injection site; amount, tissue condition and individual response also matter. How the lips feel in the first few days is not a reliable test of the final result, because swelling and tenderness can alter sensation. Do not assess proportions solely from a photograph taken immediately afterwards. Agree on a follow-up appointment and do not plan another injection simply because the initial swelling has subsided. Also ask how to record the product name, batch and amount for future consultations.

Report active cold sores, infection, inflammation, allergies, bleeding disorders, pregnancy or breastfeeding, and all medicines you take. The doctor assesses contraindications for the specific preparation; do not stop medicines yourself. Redness, swelling, bruising and tenderness may occur afterwards. Severe or increasing pain, blanching or unusual skin colour changes, and visual disturbances require urgent medical attention. Ask for written instructions and a contact number. Discuss planned dental work, permanent makeup and other procedures in the area: intervals are individual, not one timetable for everyone.

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