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Luscious Lips

While not everyone wants to have Angelina Jolie lips, patients often ask us what to do about thin lips, lip lines, and deeply etched cracks at the outside corners. There is no one-size-fits all answer, especially to achieve a natural look, and we tailor our treatment to the individual.

Lip lines are caused by the muscle just beneath the skin. Just as elastic causes the fabric of a skirt to wrinkle, the muscle we use to purse our lips, sip through a straw, and blow a kiss creates wrinkles of the skin. Fortunately we have a lot to offer to help!

• Fractional Laser Resurfacing: The heat of the laser causes the skin to tighten so all but very deep wrinkles are smoother. The muscle continues to create wrinkles, however, so we look for ways to protect the repeated action on the skin.
Fillers: Juvederm and Restylane are made from a substance found naturally in our skin. When injected artistically around the mouth, its plumping effect helps smooth out the lines, add fullness to the lips, and define the lip borders. (To avoid that Planet of the Apes look, we recommend not overdoing lip fills!)
• Botox: Because Botox weakens the pull of muscles, a very small amount can weaken the pull of that purse string muscle. Of course, we don’t use very much, because we still want to kiss our Valentine!
Ulthera: The newest addition to lip improvement is this Ultrasound Technology that has now been refined to give the upper lip a little lift. This a great new addition particularly for the aging lip that is starting to drop and lengthen.
• Lip Plumpers: For the final touch, our lip plumpers from SkinMedica and Glo Minerals can cap off the look of great looking lips

Of course, treatments can be overdone. Filling deep lines aggressively with filler until all the wrinkles are gone can make the upper lip large, inanimate, and distracting. Usually less is more. After all, you want to leave people wondering, “Why does she look so great?”

Dr. Heather Furnas

About Dr. Heather Furnas

Inspired by watching her plastic surgeon father operate in African bush hospitals, Dr. Heather Furnas followed in his footsteps, training at Stanford and serving on the Harvard clinical faculty. She and her husband, Dr. Paco Canales, practice together in Santa Rosa, California, where they raised their two children. (To learn more about their practice, visit She believes an informed patient is more likely to be a happy patient and is committed to providing that education. If you have any suggestions for topics you'd like to learn more about, she would love to hear from you!

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6 Responses to Luscious Lips

  1. Lynn R. Woolsey says:

    After trying Ulthera one time, I am a believer. The results were instantly visible! I had trepidations about trying it. It has been well over a year and I can still see the benefits. I think rotating between Ulthera and Thermage would be a great way to avoid needing or wanting a facelift. I thank Danielle and the whole staff at Plastic Surgery & Associates and Allegro Med Spa for being so encouraging, kind, and supportive. I am grateful for having PSA & Allegro to guide me in learning how to take better care of my skin.

  2. Rose LaPierre says:

    At the age of 34 I was skeptical about procedures to my face as I was unsure if I was taking premature action in fighting the signs of aging. On the solid advice of a very close friend I decided to give them a try (considering it was a non permanent procedure, why not?). It was the one of the best decisions of my life. In just 5 minutes I looked years younger! Botox and fillers like Juvederm & Restylane are truly the modern day fountain of youth. I’m hooked.

  3. teresa says:

    I have been using filler for about 2 years now. I am 52 and you start to notice the lines in your lips or around them. I do not have thin lips but i wanted to get rid of those lines and juvederm works. Joy knows what she is doing. My lips are missing those lines and my lips look natural. This was my first visit to Joy and she knows her stuff….

    • Thank you for those kind words! Joy does a great job. Like everyone in Allegro, she focuses on a natural look that doesn’t look done. We’re glad you’ve had such a great experience.

  4. Jacqueline DeLuca says:

    About three years ago I started to notice that my lips were not as full as they use to be. I did some research on the different fillers that are out there, and decided I wanted to try juvederm. I have to say that I absolutely love it . I go in about every 6 months or so to get my little pucker back in my lips . It’s also great on the little lines around my mouth . I recently also started to use a little Botox on my frown lines and boy what a difference it makes. Love, love, Botox

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