Training in Lip Fillers at Aesthetic Academy Asia

Fillers are one of the most common procedures people go for be it for any part of the face. But fillers can be equally dangerous, if not performed by a certified medical professional.

At Aesthetic Academy Asia, we have a team of Certified doctors that impart comprehensive clinical knowledge and hands-on-training to doctors, dentists, Aesthetic nurses, Aestheticians and spa owners in the field of Aesthetic medicine. Aesthetic Academy Asia is based in Malaysia and receives Aesthetic students from the Philippines, Myanmar, Cambodia, India, Indonesia and other parts of Asia. Assoc. Prof Dr. Morthy is the lead trainer and course director for the region. He is also the medical director of Global Aesthetic ( which offers advanced Aesthetic medical procedures. Aesthetic Academy Asia with the insignia of “Be Certified, Be Recognized” has always stressed the importance of structured Aesthetic medical education with international recognition for those opting for a career in Aesthetic Medicine.

Under our European certification programme in Aesthetic Medicine and our International Online Aesthetic courses, Aesthetic students are trained extensively on the lip filler procedures to provide safe, effective and perfect results. When administered by a knowledgeable individual with proper training, the risks of lip fillers can be minimized while maximizing the benefits, which is what Aesthetic Academy Asia aims at.

Today, we will talk all about lip fillers- their placements, common brands; how you should perform the procedure including the importance of training in dermal filler procedures.

About Lip Fillers

The lips and the eyes enhance facial beauty, and they have been highlighted since time immemorial. In today’s time, with the advancement in cosmetic training and procedures, reshaping and/or plumping the lips with non-surgical lip fillers, using hyaluronic acid (HA), is a common cosmetic procedure that is performed depending upon the perception of aesthetic beauty, skin goals, facial structure, and features of the patient. The lip fillers are absorbed slowly and can be thickened or thinned to achieve exactly the look one desires.

Selection of Lip Filler Placements

Successful lip augmentation is highly dependent on the choice of filler material. Overall, there are 5 main elements of lip rejuvenation to consider:

Enhancement of the white roll, which can be achieved by injecting along with the vermillion–cutaneous junction to prevent “lipstick bleeding” into the vertical rhytides of the lip.

Volume augmentation of the body of the lip, which is accomplished by injecting into the vermillion and mucosa with the intention of producing larger, more robust lips. The injection may be in selected areas or throughout the lips.

Correction of the vertical rhytides, which is achieved by injecting fillers perpendicularly to the long axis of the lip and parallel to the rhytides. These results can be further enhanced by the injection of a neuromodulator, such as botulinum toxin, to relax the dynamic action of the orbicularis oris muscle.

Elevation of the oral commissures, which is accomplished by placing filler in the most lateral aspect of the lower lip to provide support to the commissures. This effort can be supported by the placement of a neurotoxin in the depressor anguli oris muscles.

Enhancement of the philtrum columns of the upper lip, which is accomplished by superficial vertical injection of filler into each philtrum column. It is important to realize that the philtrum columns are not parallel to each other, but rather form an inverted “V” shape that narrows as it approaches the nostril sills and columella of the nose.

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Which type of filler is preferred for lip?

Well, we prefer to use Hyaluronic Acid (HA), or Agarose (Algeness) since they are both easy to use volumizers. Poly Lactic Acid (PLA), Poly Capro Lactone (PCL), Polymethylmethacrylate (PMMA) are volumizers which also act as collagen stimulators. Though some people like to use biostimulators for lips, we feel that they are not necessary, unlike the midface. Some literatures claim that CaHA feels too “rigid” for lips. HA are safe and easy to use with almost no incidence of lumps or granulomas. Most importantly, HA’s are easily reversible if needed. Agarose also shares similar characteristics like HA but there have been cases of lumps reported if Agarose were to be injected superficially. There are Hyaluronic Acid brands specific for lips such as Lips by Teosyal, Kysse by Restylane, RHA 2 by Teosyal, Bellotero, Juvederm, etc.

Lip Fillers Procedure

Lip injections are mainly done using an ingredient called hyaluronic acid (Teosyal, Juvederm, Restylane, Belotero, Apriline, etc). Because hyaluronic acids are hydrophilic, they attract water from surrounding tissues, further augmenting soft tissue volume beyond what is expected from product implantation alone. For this reason, hyaluronic acid fillers are often excellent choices for enhancing lip volume. Among these fillers is Restylane, a partially cross-linked NASHA that is produced by fermentation from cultured Streptococcus bacteria

This compound is also naturally produced by the body, working to lubricate the muscles and joints so that one can move without discomfort and pain. The injection of this ingredient leads to collagen synthesis in the area that was injected. Collagen is the material responsible for keeping the skin elastic and smooth. Since the lip injection increases collagen production, the dermis layer of the lip is thickened. There is the prevention of wrinkling even once the acid itself is no longer actively working. Once the initial effects of the lip filler wear off, there is no sagging or wrinkling to worry about. The lips may be smoother than they were before the procedure.

Modern-day hyaluronic acid lip fillers are capable of lasting for up to eighteen months at a time. The exact length of time depends on how one’s body synthesizes the acid! Also, if anyone does not like the outcome of the procedure, and does not want to wait for the acid to naturally synthesize in the body, a counter injection can be done. A doctor can inject hyaluronidase, which is a compound that significantly accelerates the process of absorption. Lips will be back to their original state much more quickly!

Pain management for lip augmentation is important. Lips are very sensitive, and the injector must achieve adequate pain management. EMLA works well for lips since the outer part is a mucous membrane. The mucous membrane facilitates the absorption of a topical anaesthetic cream. Furthermore, most fillers come with prefilled 3% lidocaine therefore a topical EMLA will suffice.

However, some fillers like Algeness does not come with prefilled Lidocaine, and they have a stinging sensation when injected. Topical EMLA may not suffice so a quadruple block will be useful here. Do you know how to do an effective quadruple block?

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cosmetology certification programme

Why is Training Important?

Lip filler procedure should be performed under certified aesthetic practitioners who are trained individuals skilled to perform procedures with adequate knowledge about the treatment. This is crucial because when injected, these fillers can cause allergic reactions, infections, and the death of skin cells. Another risk is that improper injection technique can lead not only to swelling and lumpiness, but also more serious side effects such as the death of skin cells, and embolism leading to blindness!

Before you start a lip augmentation procedure, ask yourself these questions...

  1. When do you use a needle and when do you use a cannula for lip augmentation? 

  2. Which type of filler are you going to use? HA or Non-HA such as Algeness? 

  3. What is your pain management option? A quadruple block or just topical anaesthetic cream? 

  4. How are you going to distribute the volume between medial 2/3 and lateral 1/3, and how are you going to distribute the volume between the upper and lower lip? 

  5. Lastly, can you use threads for lip augmentation?

Lips augmentation is one of the most desired, and yet the most complex procedure. In order to deliver a safe and effective result, the injector must know the anatomy of the lip. This includes histology, the anatomical descriptions, lymphatic and blood supply. Next will be the type of fillers available in the market and to choose the one suits the patient in-front of you; followed by the current lip ratio and the volume that you will eventually deliver. Pain management, choice of needle and technique. Lastly, the injector must know the complications, identify them, avoid and manage if it occurs.

At Aesthetic Academy Asia, the aesthetic doctors & aesthetic dentists are intensively trained in theory as well as clinical skills under our advanced aesthetic courses in dermal filler so that they can execute the cosmetic procedure, safely and effectively.

Similarly, Aesthetic nurses, aestheticians and spa owners are also trained to understand the basic principles of dermal filler under our cosmetology certification programme in dermal filler.

The advanced aesthetic courses in dermal filler curriculum includes:

  • What are the suitable fillers for lips and why?

  • The anatomy of the lip

  • How to inject for lip fillers?

  • How to inject with needle and cannula?

  • What are dermal filler complications?

  • How to avoid dermal filler complications?

  • How to treat dermal filler complications?

  • Which are the safest approach for lip fillers

At Aesthetic Academy Asia, our advanced dermal filler training will coach you on nose, lip, chin, midface and infraorbital augmentation.

Aesthetic Education at Aesthetic Academy Asia

At renowned Aesthetic Academy Asia, may it be for students from the Philippines, Myanmar, India, Cambodia, Indonesia or any part of the world, we take Aesthetic education with utmost seriousness and help our students learn and practice effective Aesthetic procedures so they are confident enough to start their career in Aesthetic. Our students are well versed to handle any situation, simply because we focus on teaching the fundamentals and principles of the Aesthetic procedures before venturing into clinical skills. Our students learn advanced and new skills and techniques that are different than the textbooks. We teach them safe, effective and affordable ways to perform Aesthetic procedures. In addition to the Professional Diploma in Aesthetic Medicine for Doctors & Dentists and Professional Certificate in Advanced Aesthetic for Nurses, Aestheticians and Spa Owners, Aesthetic Academy Asia also conducts specialized and advanced training such As Non-Surgical Body Sculpting, Dermal Filler (Restylane, Juvederm, Teosyal, Bellotero), Botulinum Toxin (Botox, Dysport, Xeomin), Skin Boosters (Restylane Skin Booster, Profhilo, Rejuran) Platelet Rich Plasma (PRP), Threadlift (PDO, Aptos, Happy Lift) and more. Now with the current pandemic, the Academy is conducting online Professional Diploma in Aesthetic Medicine and online Professional Certificate in Advanced Aesthetic courses using state of the art virtual meeting technology.

The Academy has produced have some of the finest Aesthetic graduates in the world who have graduated from our professional aesthetic courses with dual international certificates.