Lip Filler Tips For New Aesthetic Practitioners

Lip Filler Tips For New Aesthetic Practitioners

In today’s article, Prof Dr Morthy, the Course Director of International Institute of Wellness & Aesthetic Medicine will discuss different lip filler tips for new aesthetic practitioners.

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.

About lip filler injection 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.

Lip filler tips

Some lip filler tips for performing the procedure safely and effectively are-

Start with small volumes and build up

It is always advised to start with small volumes and build up. This is because smaller volumes are easier to control, as well as heal better and faster. It is important to note that larger volumes can result in more swelling or bruising around the area being treated—and increased risk for long-term deformity or pigmentation changes like hyperpigmentation

So how much filler should you inject? It depends on the client’s desired results and the area being treated. As a rule of thumb: For lip augmentation (making lips look bigger), it is recommended that practitioners start at 0.3ml per side (thus injecting 0.6ml total for each pair of lips). If you are working on just one side of the mouth, this would equal 0.6ml total per lip; if both sides are treated at once using this technique (recommended for beginners), then total volume used should be 1ml. It is important to take into consideration that each patient is different and to treat each patient individually.

Careful with the lower lip

The lower lip is more sensitive, prone to swelling and bruising, and has more blood vessels which may bleed after injections. For this reason, it is important to be more conservative when treating the lower lip.

To ensure that the client's lips are not overfilled , inject just enough filler so that one can see a difference in volume. If an aesthetic practitioner injects too much filler into the lips, then the client may experience discomfort or swelling after treatment. Additionally, if an excessive amount of product is injected into their lips, they may need additional treatments for them to achieve their desired look.

Although the upper and lower lips can be treated with one syringe of dermal filler such as Juvéderm, there are some differences between how each should be treated.

Extra careful with the use of cannulas or needles

Needles in Dermal Filler is definitely great when it comes to precision and is easier to use since practitioners are trained mostly with it. However, the sharp tip of the needle could puncture the facial vessels and cause unwanted complications if you do not have the knowledge on facial anatomy and the right estimation of injection. It is normal to get bruises with needles or cannulas but needles have a higher chance in creating facial traumas or vascular events if you are not properly trained.

With its short tip, practitioners would need to puncture more skin to create the volume that they desire. Popularly, needles are mostly used to place supraperiosteal and lip injections, and are great for low volume & low pressure injections.

Practitioners that are using Cannulas for Dermal Filler are on the rise as patients are satisfied with the minimal amount of bruising and inadvertent injections into vessels that is commonly known for needles. It also has a lower risk of infection from the amount of injections needed. To note, this blunt tool requires an initial puncturing needle to create an access point for the cannula to enter and direct itself to the area where it needs filling.

Sadly, the use of Cannula is limited to a wider part of the facial area. When it comes to small amount of filling or touch ups, the precision of a needle is required for areas such as the cupid’s bow, upper lip and temples. Cannulas may not be an ideal tool for superficial surface to inject acne scars and super fine lines. Ultimately, it all comes down to the knowledge and skill of the injector to be able to administrate the treatment to receive the optimal placement and results that you want.

Treating patients

An Aesthetic practitioner helps patients to be confident in their own skin. They also guide them through various cosmetic procedures. It is also the job of an Aesthetic practitioner to help them understand and advise what’s best for them in order for them to feel happy and comfortable with the final result. They should talk with the patient about their goals, anatomy, and lifestyle to create a personalised plan for them based on their budget, comfort level, treatment history, and their desired results.

About IIWAM training in lip filler injection procedure

It is prudent that all Aesthetic practitioners undergo proper training in Aesthetic Medicine. The practitioner must balance between benefits & risks of the Aesthetic procedure and steps to mitigate complications if it occurs. At IIWAM, we call it understanding the procedure, the product, and the patient, and our trainers pay utmost attention to teaching the following subjects of lip rejuvenation with lip fillers under our best Online Botox and Filler Training courses.

  • Anatomy of the lip

  • Principles of the lip fillers injection

  • Types of lip fillers

  • Lip filler complications

  • How to avoid lip filler injection complications?

  • Apply for the best online aesthetic courses from IIWAM today.

Apply for the best online aesthetic courses from IIWAM today.

About IIWAM Aesthetic Education

International Institute of Wellness & Aesthetic Medicine ( is a private teaching institution that provides International Aesthetic Medical Certification programs for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners. Prof Dr Morthy, the course director for the Institute, is a key opinion leader for Aesthetic Medicine in the region, and a trainer for several teaching institutions.

The International Institute of Wellness & Aesthetic Medicine (IIWAM) has academic affiliations with several countries, including Malaysia, Korea, Thailand, Philippines, Myanmar, Cambodia, India and Indonesia. With our insignia of “Be Certified & Be Recognized”, the Institute develops knowledgeable, skilled, and confident aesthetic practitioners of international repute.
IIWAM is the only Institute to have its Programs certified by City & Guilds of London, CPD Standards Office (UK) and  European International University (Paris). IIWAM is also a registered CPD Training provider for Malaysian Medical Association.

IIWAM also offers Cosmetic Procedures and Stem Cell treatment at IIWAM Wellness Centre ( that are safe, effective, and affordable.