Lip Injections and Fillers Bellevue & Seattle

Award-winner Dr. Philip Young has discovered a unique theory on facial beauty that gives his team an incredible advantage in getting the best results with lip injections and fillers.

Aging of the Lip happens to everyone. Is it common for people to enhance the way their lips look like? Why is it so important? Quite simply, the lips are one of the main areas that people look at when looking at you and your face. The eyes, nose and mouth are central to assessing beauty within the face. They are the three main regions of the face that play a part in how beautiful the face is considered.

The iris, nasal tip, and central part of the lower lip are the objects that take on the most importance when someone assesses beauty in a face. The face is analyzed for beauty and enhancing the lips is a very easy way to beautify the face. It is also the least complicated.

Our understanding of beauty is not well known. Dr. Young’s Circles of Prominence sets forth a theory that makes major improvements in our understanding of facial beauty. It explains the beauty around the lip area and help clinicians perform lip enhancement, lip injections and lip fillers.

Restylane To The Lower Lips by Dr Philip Young in Bellevue Washington

Options for Lip Injections and Fillers

The options for lip augmentation and enhancement include fillers for the lips, fat injections for the lips, the YoungVitalizer for the lips, mucosal advancements for the lips, silicone lip implants, lip lifts (corner of the lip lifts, buffalo horn lip lifts) and tissue grafting for the lips.

We are going to concentrate on fillers for the lips and lip augmentation treatments. What are some of the things we should think about when we augment the lips? First, the lower lip is the center of attention. Take a look at any face and concentrate around the mouth and lip area. You will notice that most of the light hits the lower lip. The brain is more aware of areas that have light on the face. The light in the lower lip is stronger and brighter in the lower lips than the upper lips which make the lower lip the most important part of the mouth area.

The lower lip should be augmented the most. When you see an oddly filled lip, you just know it. Our brains analyze the lips and just know it doesn’t look right. Why is that? Doctors too often augment the lips by putting too much in the upper lip. When the upper lips are closer in size to the lower lip, the balance in the lip area is destroyed. The upper lip should be no more than half of the size of the lower lip and, at most, two-thirds of the size of the lower lip. When we say half, we mean the height of the lips and how much of the lighted and red portions are showing on the face.

The upper lip should be about one iris width in width and a half in height with sides gradually tapering off. The lower lip should be one iris width high and three iris widths wide. The puckering in the lower lip should be three iris widths wide. When we mention puckering, it is the highlight that is seen in the lower lip. The red part could be more than three iris widths wide if the puckering and the light (that bounces off) is around three iris widths are the main goals. These are some of the rules that Dr. Young follows to achieve beautiful lips.

Augmenting the lips can dramatically raise the beauty in the face. It is one of the most minimally invasive things you can do and an easy way to markedly beautify the face. Filling the lips can exponentially improve your appearance.

Before Restylane® Lip Augmentation Injections to plump up the lips. This patient requested a subtle and natural filling of her lips using Juvéderm® Ultra dermal filler

After Restylane® Lip Augmentation Injections to plump up the lips. This patient requested a subtle and natural filling of her lips using Juvéderm® Ultra dermal filler

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

What to Avoid With Lip Augmentation

One of the things to avoid is to keep the filling mostly within the three iris widths area in the lower lip and tapering the filling towards the corners of the mouth. In the upper lip, the width should be one iris width and gradually taper off. What is commonly done in many practices is augmenting the upper and lower lips equally from corner to corner giving the patient a common Trout pout appearance.

You have to differentially augment the central parts of the upper and lower lips to achieve beauty. When the lower lips are larger than one iris width high and three iris width wide, they are interpreted as being too big decreasing the beauty of the lips. For the upper lips, larger than half iris width high and one iris width wide detracts from beauty.

“My goal was to find a method to bring back a person’s natural youthfulness without the operated, unnatural look and that is why I have my patients bring in photos of them when they were age 5 to 30. My YoungVitalizer helps restore natural and youthful contours they haven’t seen in years.”

—Dr. Philip Young, Seattle Facial Plastic Surgeon

Louisiana State University Health Sciences Center Tulane University University of Southern California
Meet Dr Philip Young, Best Plastic Surgeon in Bellevue And Seattle, WA


There are many ways to achieve lip anesthesia when you do lip injections. The most common ways are topical anesthesia or regional blocks. Topical anesthesia is usually applied to the red portion of the lips with a combination of Lidocaine, Bupivacaine and Tetracaine.

You can use all parts or all three options. With this technique, the sensation of the injection is blunted. With newer products with local anesthesia, the discomfort improves progressively. For someone who does not want to feel any discomfort, regional blocks are preferred. With the use of lidocaine with epinephrine, you can block the four nerves that provide sensation to the lips. There are many nuances involved with regional blocks.

A lip augmentation like PermaLip Implants can be done under local anesthesia in less than 45 minutes. These implants are permanent and last the rest of your life. This is a great option if you are tired of temporary fillers that only last a few months.

More Options

The corner of the lip lift can be used to improve the frown appearance and give a person a better appearance. The corner of the lip lift can improve the wrinkles and folds at the corner of the mouth and the downturned lip and mouth appearance. The incision is made at the corners of lips and well hidden in the corners. With a lip reduction & thinning, the incision is made at the border where the dry red portion of the lip transitions to the wet part of the red lip.

We have had many patients inquiring about different things, including cheek implants, lip enhancement and nose procedures. Anyone can benefit from a lip lift. Our team knows the ideal sizes of both your upper and lower lips based on Dr. Young’s research and his vast experience. We analyze your face and figure out how to do a lip lift that is right for you. Based on Dr. Young's theory of beauty, we know the ideal distance between the bottom of your nose and the upper portion of your lip. We can get you the best results available.

“I just wanted to leave a note and say that my procedure with Dr. Young approximately 6 years ago took years off my face. He did an excellent job and I am still enjoying the results. It was very much worth the downtime. I look exactly like myself, just younger. Thanks, again!”

— C.J., 40’s caucasian female from North Lynnwood, WA

“He gave me my confidence back that I thought I would never get back. I can now look in the mirror and actually love what I see and not have to deal with pitted scars in my face. If you or anyone you know who thinks they have to just live with these scars, don't!”

— Ator A., 20’s Eastern Indian from Ontario, Canada

“My procedure went great and I left the office with no concerns and all of my questions answered. I have never felt so good about myself and my appearance. I have you to thank for that Dr. Young. My new nose is perfect, I cannot thank you enough for this new look on life.”

— Nicole R., Fabulous Rhinoplasty

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