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Navigating the Labial Artery: A Safer Approach to Submucosal Lip Filler Techniques
Bruna S F Bravo1, Leonardo G Bravo1, Beatriz G Cornachini1
1Department of Dermatology, Bravo Private Clinic, Avenida Ataulfo de Paiva 245 Quinto Andar Leblon, Rio de Janeiro 20440-032, Brazil.
Life (Basel, Switzerland)
|April 26, 2025
Summary
A new vertical injection technique for lip augmentation using hyaluronic acid (HA) fillers enhances safety and natural results. Ultrasound guidance minimizes vascular risks, leading to high patient satisfaction and few side effects.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Plastic Surgery
Background:
- Hyaluronic acid (HA) fillers are popular for lip augmentation.
- Vascular complications remain a significant risk in lip augmentation procedures.
- Existing techniques may pose risks due to proximity to labial arteries.
Purpose of the Study:
- To evaluate a novel vertical injection technique for submucosal HA filler placement in lip augmentation.
- To enhance safety and achieve natural-looking aesthetic outcomes.
- To minimize the risk of vascular complications, specifically labial artery injury.
Main Methods:
- Ultrasound-guided vertical injections of HA fillers into submucosal intralabial compartments.
- Predefined entry points were utilized to target specific anatomical areas.
- Ten patients underwent lip augmentation using the novel technique.
Main Results:
- High patient satisfaction reported with significant improvements in lip volume and contour.
- Submucosal placement resulted in subtle, natural outcomes with reduced irregularities.
- No major vascular complications observed; minor side effects like swelling and redness resolved within 48 hours.
Conclusions:
- The novel vertical injection technique offers a potentially safer and effective method for lip augmentation with HA fillers.
- Ultrasound guidance is crucial for precise filler placement and risk mitigation.
- Further research with larger sample sizes and longer follow-up periods is warranted.

