With Restylane® Kysse, JUVÉDERM® Ultra Plus XC, and JUVÉDERM VOLBELLA® XC

Aging and gravity can cause many changes to the face, none of which are welcomed by most people. Beginning at age 25, the face loses volume, including bone, fat, and muscle mass. We may develop unwanted signs of aging, including fine lines and wrinkles, as we age. Some people also notice their lips show signs of aging and lack fullness as their volume deflates. Restylane® Kysse, JUVÉDERM® Ultra Plus XC, and JUVÉDERM VOLBELLA® XC can be used to naturally restore the volume of the lips and diminish the appearance of the lip and perioral (around the mouth) rhytids (lines). Michael A. Persky, M.D., is one of the first doctors in the United States to use Restylane® Kysse and JUVÉDERM VOLBELLA® XC hyaluronic acid gel fillers to re-create beautiful lips. Restylane® Kysse and JUVÉDERM VOLBELLA® XC have been used for the past four years in Europe and Canada.

JUVEDERM VOLBELLA was FDA approved for use in the U.S. in October 2016, Restylane® Kysse was FDA approved in 2020.

Whether you have naturally small lips or have developed thin, deflated lips due to aging, you may take advantage of lip augmentation. Dr. Persky can help a person achieve fuller lips that look naturally beautiful. Without requiring surgery or downtime, Restylane® Kysse, JUVÉDERM® Ultra Plus XC, and JUVÉDERM VOLBELLA® XC are ideal options for patients who want to enhance the appearance of their lips.

before and after

Lip Augmentation Can Correct:

  • Perioral lines (lines that appear around the lips)
  • Undefined lip shape
  • Lack of volume in the lips
  • The appearance of dry and dehydrated lips by improving hydration

Am I a Candidate for Lip Augmentation?

Patients who wish to improve the appearance of their lips may benefit from injectable fillers for lip augmentation. Ideally, patients should be in good health, not be pregnant, not smoke, and have realistic expectations.

While it is extremely rare, patients with multiple allergies or severe allergic reactions to facial fillers and those who are allergic to lidocaine or Gram-positive bacteria should refrain from undergoing treatment with these products.

The Consultation

Dr. Persky will evaluate your goals and facial anatomy to help you decide if JUVÉDERM® Ultra Plus XC or JUVÉDERM VOLBELLA® XC is right for you. During the consultation, you should discuss your medical history and mention any allergies you have. After examining the severity of wrinkles and lines around the mouth and lips, Dr. Persky will help you decide on the right treatment. Dr. Persky uses the classical proportional ratios described by Leonardo da Vinci (The Divine Ratio) to ensure that your lips will be naturally beautiful.

What Is the Consultation for Lip Augmentation Like?

Dr. Persky will evaluate your goals and facial anatomy to help you decide if injectable lip fillers are right for you. After examining the severity of wrinkles, lines, and volume around the mouth and lips, Dr. Persky will help you decide on the right treatment.

Dr. Persky uses the classical proportion ratios described by Leonardo da Vinci (The Divine Ratio) to ensure that your lips will be properly proportioned and naturally beautiful.

How Much Does Lip Augmentation Cost?

The cost of lip augmentation varies depending on the amount of correction and the number of treatment sessions necessary. At the time of your consultation with Dr. Persky, you will receive a financial estimate based on your lip augmentation goals.

How Is Lip Augmentation Performed?

Vobella Patient

Dr. Persky will strategically inject your lip filler comfortably to create your desired outcome. Dr. Persky offers his patients “dental” nerve blocks that anesthetize the lips for 15 to 30 minutes while the treatment takes place. The fillers also contain a small amount of local anesthesia. During the treatment, multiple injections may be administered beneath the skin and mucosa of the lips to produce the desired results. Dr. Persky uses microcannulas, which are less traumatic, more comfortable, and safer for lip injections, resulting in a more pleasant experience with much less swelling and bruising.

Restylane® Kysse is the newest injectable lip filler. It is soft and light, allowing it to be injected superficially without it being noticeable. This product is excellent for lip augmentation and very good for treating small to moderate vertical or smoker’s lip lines.


JUVÉDERM® Ultra Plus XC is an injectable gel specifically designed for targeting the perioral area and lips. JUVÉDERM® Ultra Plus XC is a robust filler and is used in those patients who desire more noticeable volume.


JUVÉDERM VOLBELLA® XC is a lip filler treatment that has been specially formulated with VYCROSS™ to help create a natural look and feel to the skin. This product is very soft and natural. Like Restylane® Kysse, VOLBELLA® is used for very fine lip lines. These two products are ideal for patients who want fuller lips but do not wish to have obviously injected lips.

Is Lip Augmentation Painful?

Dr. Persky makes his patients as comfortable as possible during lip injections. Since lip augmentation fillers contain a local anesthetic, you should not feel much discomfort during the procedure. Some patients may request a “dental anesthetic nerve block” injection to not feel their treatment at all. We also use ice prior to and at the time of treatment.

What Is My Lip Augmentation Recovery Like?

Some patients may experience slight redness, swelling, and bruising in the injection area; lips are usually slightly swollen for 12 to 24 hours after injection. There should be no discomfort after the treatment. Makeup can be used to cover any skin discoloration minutes after treatment. Patients can go about their normal day immediately following their lip augmentation.

What Lip Augmentation Results Should I Expect?

Your lip augmentation results should be apparent immediately following your injection and may continue to improve over the following days as any redness or swelling dissipate.

Although Restylane® Kysse, JUVÉDERM® Ultra Plus XC, and JUVÉDERM VOLBELLA® XC results are expected to last up to one year, we find that many patients’ results last for years longer. Dr. Persky suggests that his patients return to our office about three months after their initial treatment for a minimal “boosting” treatment. We have found that this boosting treatment leads to longer-lasting results. Lip injection is one of our most loved treatments; patients look and feel younger without appearing fake or unnatural. The treatment is quick, easy, safe, and effective.

How Many Treatment Sessions Will I Need?

The number of treatment sessions you will need will depend on your goals for the procedure and how your body reacts to the treatment. After a few treatments, the lips usually hold their volume and require less often maintenance. A consultation with Dr. Persky can help you determine how many treatment sessions will be necessary to achieve your ideal look.

Can Any Other Procedures Be Combined With Lip Augmentation?

Many patients undergoing lip augmentation wish to enhance other areas of their face. Common procedures done in combination with lip augmentation include:

What Are the Risks of Lip Augmentation?

Lip augmentation with Restylane® Kysse, JUVÉDERM® Ultra Plus XC, and JUVÉDERM VOLBELLA® XC is a very safe and effective procedure. However, as with any treatment, there are potential risks involved. These risks include:

  • Bruising
  • Swelling
  • Lip asymmetry
  • Skin rash
  • Vascular occlusion(extremely rare)
  • Tissue necrosis(extremely rare)

The most important aspect of any aesthetic procedure is making sure that you do your due diligence and choose your treating physician very carefully. Your choice should be based on the provider’s skill, experience, knowledge, care, and, most importantly, their natural artistic vision.

Please speak with Dr. Persky if you are concerned about the risks associated with lip augmentation.

Are you interested in Restylane® Kysse, JUVÉDERM® Ultra Plus XC, or JUVÉDERM VOLBELLA® XC for lip augmentation? Find out more and schedule your consultation with Dr. Persky today! Contact us by calling (818) 501-FACE or by filling out our online contact form.