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Aesthetics
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Rejuvenating Lip Structure with BELOTERO® Dr Kate Goldie shares her newest lip augmentation technique for ageing patients specifically designed to utilise the BELOTERO® Lips range for natural-looking results Lips are usually the first area practitioners learn to treat, but are often the hardest to master. Many lip augmentation techniques involve deep injections into the body of the lip, however this might not be the best approach for older patients, according to aesthetic practitioner Dr Kate Goldie. She, along with the Merz Innovation Board has pioneered a new method to augmenting ageing lips, which focuses on repositioning, recreating and restoring lip architecture rather than volumising for natural results.
How did your lip augmentation come about? Recent research using MRI scans suggest that the lip doesn’t lose volume with age, but rather changes position from a ‘J’ shape into more of an ‘I’ shape.1 This occurs from the superior labial zone to the mucosa of the lip, where it meets the vermillion border, which is held by the orbicularis oris. This knowledge is key because if you simply inflate the lip and take a volumising approach for older patients, treatment can make the patient look worse. So, instead we want to restore and reposition the lip, and recreate this ‘J’ shape.1 To achieve this, I developed a superficial threading technique that utilises the BELOTERO® Lips Contour and BELOTERO® Lips Shape products for a specific outcome, which is beautiful natural results to ageing lips.
How does the technique work? The technique involves the insertion of micro droplets of product in very specific placements, superficially above the major vessels of the lip, which we know are usually 3mm beneath the surface.2 The technique can be performed with either a needle or cannula, however I prefer to use a needle when treating the lips of older patients. With a needle, the number of injection points will vary per patient, and each pass will be less than 0.025ml. Importantly, the practitioner must hold and mould the area rather than massage for around 30 seconds. In my experience, the benefits of this technique are added safety, because you are not near the vessels, greater precision, less pain, and more natural results.
What products do you use for this technique? The technique has been specifically created to utilise BELOTERO® Lips Contour and BELOTERO® Lips Shape. These products offer a 52
complementary approach to lip enhancement. BELOTERO® Lips Contour is used to restore the vermillion border,3 and the special thing about this product is that it is highly cohesive, is smooth but strong, has low viscosity and low elasticity, and it is very integrative, which all mean that product is less likely migrate out of the lip. Research using ultrasonography images has shown that the cohesive nature of BELOTERO® Lips Contour allows for seamless integration into the tissue after just 30 days.4,5 By injecting tiny amounts of product, it should not migrate and should integrate into the skin reducing the risk of lumps or the Tyndall effect. BELOTERO® Lips Shape is then used for augmentation and enhancement of the upper and lower body of the lip.3 The results are natural movement and integration, long-lasting effect, good compatibility and tolerability, and high patient satisfaction.5
“This technique was developed to utilise the BELOTERO® Lips Contour and Shape products for a specific outcome, which is beautiful natural results to ageing lips” Dr Kate Goldie
Aesthetics | April 2020
