Lip Fillers AT DERMACARE SAN DIEGO

The latest procedures in lip plumping are now available at Dermacare Laser & Skin Care Clinics. Dermacare now offers three unique treatments to treat the most common lip and mouth area concerns — Juvéderm Volbella XC, Restylane Silk, Refyne and Defyne, and natural fat transfer.

Juvéderm Volbella XC is specifically designed to add subtle volume to the lips while smoothing away perioral rhytids, those vertical lines that often appear above the upper lip and are referred to as lipstick or smoker’s lines. This formulation offers a natural result that is not overly drastic so that patients can create a more youthful appearance around the mouth.

More About Juvéderm


Juvéderm Volbella XC was approved by the FDA for cosmetic use in the U.S. in June 2016. However, the product has been used in Europe and Canada for many years, demonstrating both the efficacy and the safety of the formulation. Dr. Birchall offers Volbella to his patients at both his Carlsbad and Rancho Bernardo offices as well as other non-surgical, anti-aging and skin rejuvenation options.

Like Juvéderm, Restylane Silk, Refyne, and Defyne also rely on a propriety, highly-refined active agent based on hyaluronic-acid, a natural compound found in the human body. Using XpresHAn Technology(™), a unique dermal filler which it has developed, each of Restylane’s products gives Dr. Birchall the ability to add volume to your face while retaining the fluidity of your facial expressions. As a result, you can make all your unique and instantly recognizable expressions but with a restored, volumized look and highly-natural results.

For those seeking the most natural procedure possible with the longest-lasting results, a fat transfer procedure can more than satisfy on both fronts. Fat transfers can last for many years and thus, in addition to their safety and results, can give you one of the most cost-effective options in facial rejuvenation. Each option can benefit you in different ways, and a full consultation in Dr. Birchall’s offices can help you select the option or options that will best meet your needs.

The Aging Lips

While the focus of most anti-aging treatments is predominantly on reducing fine lines and wrinkles that commonly appear on the face, Juvéderm Volbella, Restylane Silk and fat transfer work on a different symptom of aging that can be troubling to many people. Over time, you may notice your lips lose volume, creating a thinner appearance that might make you look older or even perpetually angry or worried. This loss of volume is often due to collagen depletion in the underlying skin structure – the same issue that leads to the formation of some wrinkles.

At the same time, fine lines can form around the mouth to exacerbate this aged look. These lines are usually found above the upper lip and can allow lipstick to bleed outside the lips.

They are known as smoker’s lines because they are typically caused by regular puckering of the lips due to puffing on cigarettes. Drinking through a straw or even pursing the lips habitually can also lead to the formation of these lines.

Giving Mother Nature a Boost

You have many choices if you want to restore the lost fullness and definition of your lips and improve fine lines. Among the top-tier options that Dermacare offers include Juvéderm Volbella XC, Restylane Silk, Defyne, and Refyne, as well as fat-transfer procedures if you prefer the most natural approach to resolving these concerns. We have carefully selected each option based on its safety and the results it gets for our patients, and we will help you select the right option for you based on your needs during a thorough and careful consultation.

For some, the lips never achieve the fullness they hope for, even in their youth. In these cases, each option we offer can help you achieve the volume and plumpness you want. Since each formulation relies on a hyaluronic acid or fat, you can expect natural results that will look like your lips — only better. Dr. Birchall will administer just the right amount of filler or fat to create fullness while enhancing definition and correcting any asymmetries in the lips that might be a concern.

For a comprehensive treatment of your lips and the areas around your mouth, Restylane offers a suite of hyaluronic-acid based dermal fillers. Each of Restylane’s products focusses on different concern areas, such as your lips or the fine lines around your mouth, including nasolabial folds between your nose and mouth and marionette lines connecting the corners of your mouth and chin. The different Restylane products allows Dr. Birchall to apply the right amount and consistency of filler to optimize your results.

A fat transfer approach will use fat harvested from your own body in Dr Birchall’s offices to fill areas around your mouth which have lost volume. Many patients like this procedure since it uses fat from their own body instead of man-made fillers, and the procedure provides predictable and long-lasting results. Dermal fillers like Juvéderm and Restylane do rely on a naturally occurring compound in the human body (hyaluronic acid), but each product treats and refines it so it will have the maximum effect during treatment.

What is Juvéderm Volbella XC?

Juvéderm Volbella XC is the newest addition to the Juvéderm line of dermal fillers. Like other formulations that fall under this umbrella, Volbella XC contains hyaluronic acid, which works in the underlying dermal layers to support and smooth the outer dermis. Hyaluronic acid is a substance usually found in the body, which provides hydration by helping skin cells bind to water. Over time, our bodies make less hyaluronic acid, leading to dryness, skin laxity and loss of volume in areas of the face like the lips.

When Volbella SC is administered in the area above the lips, the formulation effectively smooths away the fine, vertical lines that develop over time. As it is injected directly into the lips, Juvéderm Volbella XC offers subtle plumping that restores youthful volume and fullness.

The hyaluronic acid formulation in Volbella is a unique one known as Vycross. Vycross technology features a combination of different molecular weights of hyaluronic acid molecules, which is not seen in other dermal fillers. This combination allows for the smoother application of the product, as well as results that tend to last longer than those provided by most Juvéderm products.

Am I a candidate for Volbella XC injections?

Juvéderm Volbella XC has been approved by the FDA for use in patients age 21 and over. Approved use of the product is limited to the lips and perioral lines above the upper lip. However, patients looking for a dermal filler to enhance other areas of the face can talk to Dr. Birchall about the other filler options available for those purposes.

Multiple formulations can even be used at the same time to help you achieve all your cosmetic goals in a single treatment session. If you have had a reaction to hyaluronic acid fillers in the past, discuss your concerns with Dr. Birchall to determine whether Juvéderm Volbella will be safe for you. You may want to consider a fat transfer procedure instead to avoid these issues.

How is it used?

Dr. Birchall performs Juvéderm Volbella injections in his office and in most cases, they take just a few minutes to complete. Injections are administered via a tiny needle and focus on the superficial dermal layers, minimizing discomfort associated with the procedure. However, because of the potential sensitivity of these treatment areas, patients may request ice or a topical numbing cream before treatment if they are concerned about pain.

After the procedure, you may find the injections sites are red, tender and slightly swollen. You might also experience some mild bruising or bumpiness in the treatment area. When these side effects do occur, rest assured they are mild and resolve on their own within a week or two for most of our patients.

What can I expect from my results?

You will notice a difference in your appearance almost right away after your Volbella XC treatment. However, Dr. Birchall will likely place a bit more of the formulation into your lips, knowing some of the hyaluronic acid will be absorbed right away. This may make your lips look fuller than you would like for the first few days. Rest assured the fullness will settle and your results will improve as side effects subside as well. Your new look may last up to one year before you require another treatment to maintain your results. With regular maintenance procedures, you can enjoy your fuller lips for as long as you like.

When does Restylane make the most sense?

Like Juvéderm Volbella XC, Restylane restores lost volume to the lips, fine lines and wrinkles which are the result of fat loss. What makes Restylane a unique cosmetic treatment is that it offers different strengths and textures which allows Dr. Birchall to treat the different areas of concern appropriately and give you just enough — and not more — rejuvenation than you need.

By offering a wide degree of control over the application, you will enjoy high-quality, long-lasting results that also look extremely natural. Restylane Silk offers the finest formulation of the proprietary hyaluronic-acid derived main ingredient and ideally works with the delicate tissues of the lips, giving Dr. Birchall an extremely fine level of control.

For more significant lines around the mouth, Restylane Refyne can provide you with more volume definition while retaining a natural flexibility that will blend easily with your own expressions. If you have a severe presentation of lines and wrinkles around the mouth, Restylane Defyne can provide you with the greatest amount of volume restoration while also maintaining the natural ease of movement that is a Restylane signature feature.

Whichever version of Restylane is used to rejuvenate your lips and mouth, administration of Restylane is a simple, outpatient procedure which will not cause you significant pain or require lengthy downtime. After cleansing the areas to be treated, Dr. Birchall will inject the carefully selected amount of Restylane product into the concern areas, and you can return to your regular activities afterward with no delay. Results will also appear quickly and last from six to 18 months depending on your area of treatment.

Fat Transfer for Those Who Want A Purely Natural Lip Treatment

Besides being a natural option to treat volume loss in the lips and mouth, a fat transfer directly supplements the concern areas with the precise component that has caused the lost volume — fat. While fat-transfer procedures will all suffer from a moderate degree of attrition — some fat will be reabsorbed by the body subtracting from your final volume — new techniques have mitigated this. By supplementing your body’s fat, Dr. Birchall can help more of the transferred fat cells survive, thus helping you retain more volume. You may see swelling in the treatment area in addition to the fat transfer for a few days, but it will quickly diminish leaving you to enjoy new volume which in many cases you can enjoy for years to come.

You can have the plump, full lips you want

Juvéderm Volbella XC, Restylane Silk, Refyne and Defyne, and fat transfer give you many innovative and safe ways to improve the appearance of your lips and mouth and can give you the refreshed, more youthful look you have been wanting. To learn more or find out which lip-plumping procedure will give you the best results, contact Dermacare today in Rancho Bernardo at 858-943-2443 or in Carlsbad at 760-472-5088. We look forward to restoring your flaunt-worthy smile!