Key points
Lip augmentation in Geneva
Lip augmentation with hyaluronic acid injections is increasingly popular among patients wishing to enhance their smile and improve the harmony of their
face. Whether you want slightly fuller lips or more pronounced augmentation, different techniques suit different needs and expectations.
Why choose lip augmentation ?
Motivations are individual, but the most common reasons are :
• Wanting fuller lips : for a glamorous, attractive look.
• Age-related volume loss : lips can become thinner and lose elasticity over time.
• Natural or acquired asymmetry : to rebalance proportions and restore facial harmony.
• Subtle enhancement : to enhance the face while remaining natural.
Who is lip augmentation for ?
This procedure suits :
• Patients wishing to improve lip appearance or symmetry.
• Patients seeking subtle or more pronounced volume augmentation.
• Patients wishing to prevent or correct age-related lip changes.
The benefits of lip augmentation
Choosing lip augmentation can :
• Increase self-confidence through overall enhancement.
• Provide quick, personalised results without surgery.
• Offer a reversible effect, as hyaluronic acid resorbs naturally.
Lip augmentation by an experienced doctor
For safe, aesthetically successful results, treatment must be entrusted to an experienced doctor who has mastered different lip augmentation techniques and supports the patient from initial consultation through aftercare.
Several techniques are available :
• Minimal 4 points technique.
• Subtle lip volume augmentation.
• Classic lip volume augmentation.
• Moderate lip volume augmentation.
• Extreme lip volume augmentation.
• Lip tenting technique according to TOM VAN EJIK.
Minimal 4 Points technique
Lip augmentation is an aesthetic medical procedure that redefines and enhances lips using hyaluronic acid. The 4-point technique is an innovative method providing subtle, natural results.
What is the Minimal 4 points technique ?
The 4-point technique injects small amounts of hyaluronic acid into strategic lip points. It can :
• Rehydrate and plump lips.
• Correct mild asymmetry.
• Add subtle volume while preserving a natural appearance.
• Accentuate natural curves such as the Cupid’s bow.
This method is ideal for patients seeking a subtle, harmonious result.
Which concern does this method treat ?
This technique is indicated for the following concerns :
• Age-related atrophy : lips naturally lose volume and definition over time.
• Thin lips.
• Mild asymmetry : rebalancing lip proportions.
What happens during the session
After an initial consultation, Dr Romano injects hyaluronic acid into targeted areas :
• Injection point location : each lip is divided into two quadrants. Injections are placed at the centre of each quadrant.
• Anatomical landmarks : upper lip injections are placed slightly below the Cupid’s bow peaks (between 0,5 and 0,7 cm according to need).
• Minimal volume : small amounts are injected for a subtle result.
• Equipment : a fine needle provides high precision.
The method is adapted to each patient’s specific needs for complete personalisation.
Who is this method indicated for ?
The 4-point technique is recommended for :
• Patients with mild to moderate age-related lip atrophy.
• Patients with naturally thin lips seeking subtle volume augmentation.
• Patients wishing to correct mild asymmetry or refine previous augmentation.
What causes the concerns being treated ?
Factors responsible for thin or asymmetrical lips are :
• Natural ageing : declining collagen and hyaluronic acid production.
• Genetics : some people naturally have thinner or asymmetrical lips.
• Chronic dehydration : lost hydration can reduce lip volume.
• Environmental factors : sun exposure, smoking or pollution contribute to fine lines and lost fullness.
Why choose the 4-point technique ?
The 4-point hyaluronic acid injection method is ideal for patients seeking subtle, natural lip improvement. High precision and small product quantities ensure harmonious, natural results.
Subtle lip volume augmentation
Subtle lip augmentation discreetly enlarges lips with hyaluronic acid injections. It focuses mainly on replacing volume in the central lip area for a harmonious, natural result.
What is this method ?
Subtle hyaluronic acid augmentation restores or improves lip volume naturally. Its main characteristics are :
• Targeted volume : augmentation mainly focuses on the centre of each lip.
• A subtle result : ideal as a first approach to lip augmentation.
• Gradual improvement : a younger, fresher look without an artificial effect.
Which concern is treated ?
This method is particularly suited to :
• Age-related atrophy : lips may lose volume and definition over time.
• Central volume deficiency : insufficient fullness in the centre of the lips.
• A desire for subtle results : ideal for patients wanting a slight but visible change.
What happens during the session
After the initial consultation, Dr Romano follows a precise, meticulous procedure :
• Marking the treatment area : the central lip areas are identified and marked.
• Fine-needle injection : using the linear retrograde technique.
• Product placement :
For the upper lip : injection into the lower third over around 1,5 cm (adjusted to lip width).
For the lower lip : injection centrally along a predetermined line.
• Controlled volume : quantities are adjusted to the patient’s needs and preferences.
This approach ensures a natural result respecting facial proportions.
Who is this method indicated for ?
This technique suits different patient profiles :
• Patients with age-related atrophy seeking to restore lost volume.
• Patients with insufficient central lip volume seeking rebalancing.
• Patients wanting subtle first-time augmentation without drastic change.
• Patients who have already had augmentation and wish to refine the result.
What causes the concerns being treated ?
Several factors can explain lip volume loss :
• Natural ageing : declining collagen and elastin.
• Genetics : naturally thin or asymmetrical lips.
• Environmental conditions : sun exposure, pollution and dehydration.
• Lifestyle : smoking, stress and poor diet accelerate volume loss.
Why choose this method ?
Subtle hyaluronic acid lip augmentation is ideal for patients wishing to add volume while maintaining a natural appearance. A targeted approach and expert technique provide personalised results enhancing the lips.
Classic lip volume augmentation
Classic lip augmentation uses hyaluronic acid injections to create even, harmonious volume. It produces fuller lips while correcting asymmetry and age-related volume loss.
What is this method ?
Classic hyaluronic acid lip augmentation uses a traditional technique targeting the vermilion – the red part of the lips – to increase volume. Its main characteristics are :
• Uniformity : even lip volume augmentation.
• Personalisation : volume can be adjusted from moderate to pronounced.
• Adapted technique : shapes lips according to aesthetic needs and patient preferences.
Which concern is treated ?
This method is ideal for correcting or improving :
• Overall volume deficiency : for fuller, well-defined lips.
• Visible asymmetry : reshaping to balance lip shape.
• Age-related deficiencies : restoring lost volume and reducing signs of ageing.
What happens during the session
After the initial consultation and disinfection, Dr Romano performs classic augmentation following a specific, rigorous procedure to ensure optimal results :
- Marking treatment areas : precisely defining each lip’s quadrants and considering natural lip curvature for a harmonious result.
- Fanning injection technique : the needle enters at the side of the lip. Product is injected in fine or thicker lines according to desired volume. Each quadrant receives 2 to 3 evenly distributed product lines.
- Personalisation according to curvature : naturally curved lips receive emphasis in the upper third. For flat lips, hyaluronic acid is mainly injected centrally to restore convexity.
Who is this method indicated for ?
Classic lip augmentation meets a wide variety of requests :
• People wanting increased volume, whether subtle or more pronounced.
• Patients with visible asymmetry seeking aesthetic reshaping.
• Patients with age-related volume loss wishing to restore natural fullness and shape.
What causes the concerns being treated ?
Concerns treated by this method may have different causes :
• Natural ageing : loss of collagen and elasticity with age.
• Genetics : naturally thin or asymmetrical lips.
• Lifestyle : prolonged sun exposure, smoking or inadequate hydration.
• Environmental effects : pollution and oxidative stress accelerating tissue ageing.
Why choose classic lip augmentation ?
Classic hyaluronic acid lip augmentation is a safe, effective technique for tailored results. Its adaptable approach meets each patient’s aesthetic needs, whether subtle or more pronounced augmentation.
This established, personalised technique elegantly enhances the lips.
Moderate lip volume augmentation
Moderate lip volume augmentation with hyaluronic acid injections restores or improves lip volume.
What is this method ?
Moderate lip augmentation provides natural, balanced volume, ideal for patients seeking a subtle but visible result. The technique relies on :
• A blunt cannula or needle for injections.
• Precise, even injections for a harmonious result.
• Rigorous treatment planning to ensure perfect symmetry.
The concern being treated
This method is indicated to :
• Correct naturally insufficient lip volume.
• Restore age-related volume loss.
• Improve definition without an artificial effect.
What happens during the session
During the initial consultation, Dr Romano precisely assesses lip anatomy, defining treatment areas and the amount needed for a harmonious, symmetrical result.
Injection technique : an entry point is made with a needle on each side of the mouth. A blunt cannula is then inserted to reach deeper lip layers. Hyaluronic acid is gently injected towards the centre. The product is placed in the vermilion above the orbicularis muscle. Prominent lip tubercles are avoided to ensure a natural result.
Who is this method indicated for ?
This technique is recommended for :
• People with mildly insufficient lip volume.
• Patients seeking subtle, natural improvement.
It particularly suits patients wanting a refined, subtle look without pronounced change.
Causes of the concern being treated
Several factors may justify this method :
• Genetics : lips may be naturally thin or indistinct.
• Ageing : gradual loss of volume and elasticity.
• Personal aesthetic preferences : wanting a harmonious, subtle result.
Benefits of the method
• Reduced trauma through use of a blunt cannula.
• Less risk of bruising and swelling than with a conventional needle.
• Balanced, even results for perfect symmetry.
This technique is an ideal compromise between subtlety and effectiveness for patients wishing to enhance their lips while preserving natural appearance and moderate volume.
Extreme lip volume augmentation
Extreme lip augmentation with hyaluronic acid is intended for patients wanting substantial volume and very full lips. It requires precise assessment and rigorous technical expertise to ensure a harmonious, attractive result.
What is this method ?
Extreme lip augmentation injects a substantial amount of hyaluronic acid to achieve very significant volume. It combines specific injection techniques, such as bolus and fanning, to noticeably shape and plump lips.
The concern being treated
This method meets the needs of patients wishing to :
• Considerably increase lip volume.
• Correct lips considered too thin or lacking projection.
• Achieve a glamorous, very pronounced look.
What happens during the session
Initial consultation
Dr Romano carefully assesses lip anatomy to identify treatment areas, respecting natural structure and avoiding product migration.
Bolus and fanning injections :
Bolus : substantial amounts of hyaluronic acid are injected centrally for pronounced projection. Once the centre is treated, lateral sections are adjusted for an attractive, harmonious result.
Fanning : hyaluronic acid placement harmonises contours and distributes the product evenly to avoid irregularities.
Gradual results
To avoid adverse effects such as distortion or migration, extreme augmentation is often performed in several stages. Adjustments are discussed with the patient for a tailored result.
Who is this method indicated for ?
This technique is particularly indicated for :
• Patients seeking substantial, deliberate aesthetic change.
• People with naturally thin lips wanting fairly visible improvement.
• Patients seeking a very glamorous look.
However, it is not recommended for :
• Patients with unrealistic expectations.
• Patients whose lip anatomy cannot accommodate substantial volume without migration risk.
• Patients with contraindications to hyaluronic acid injections.
Causes of the concern being treated
Several factors may explain a desire for extreme lip augmentation :
• Genetics : naturally thin or asymmetrical lips.
• Ageing : loss of volume and elasticity.
• Fashion and personal aesthetic wishes : seeking a stronger, more glamorous look.
Precautions and advice
• Respecting natural anatomy is essential to avoid effects such as duck lips or migration.
• A gradual approach is recommended for an attractive result without distortion.
• Clear communication with the doctor is crucial to establish realistic expectations.
“Lip Tenting” technique according to Tom Van Ejik
Lip tenting is an advanced augmentation method creating a natural, convex upper lip curve. Multiple targeted hyaluronic acid injections provide subtle, harmonious results while respecting natural lip anatomy.
Lip tenting offers elegant enhancement respecting lip structure. It combines aesthetics and precision for lasting, personalised results.
What is this method ?
Lip tenting injects small amounts of hyaluronic acid just outside the lip contour, in the “lip roll” area (the soft, pale border just above the vermilion). This approach :
• Accentuates upper lip curvature and improves Cupid’s bow shape.
• Adds moderate volume for slightly fuller lips.
• Avoids artificial effects such as duck lips.
The concern being treated
This method is ideal for correcting or improving :
• Naturally insufficient lip volume.
• Visible asymmetry between upper and lower lips.
• Narrow or thin lips that retract laterally in profile.
• Lips lacking border definition or prominence.
What happens during the session
An initial assessment identifies areas needing correction or volume, allowing Dr Romano to plan injection dosage and location carefully.
After disinfection, injections are performed at regular intervals (2-3 mm) along upper and lower lips. Injection points lie at the lip roll, a virtual line just outside the lip border. With each needle withdrawal, a small amount of hyaluronic acid is injected (less than 0,03 ml/injection).
The technique follows two principles :
• Creating vertical columns : hyaluronic acid is injected into the muscular part of the lips to form column-shaped support structures. These accentuate lip prominence while maintaining a natural appearance.
• Preventing overfilling : the lip roll is not filled directly, avoiding unattractive border thickening. Injections are not too superficial, preventing visible or palpable deposits.
Who is this method indicated for ?
Lip tenting is indicated for :
• Patients wanting moderate volume augmentation with natural results.
• Patients with asymmetry or insufficient lip definition.
• Patients with thin, narrow lips or lateral flattening.
• Patients seeking subtle, natural aesthetic improvement.
Causes of the concern being treated
Several factors may explain the need for lip tenting :
• Genetics : naturally thin or indistinct lips.
• Ageing : gradual age-related loss of volume and structure.
• Facial proportions : asymmetry or imbalance between upper and lower lips.
• Aesthetic preferences : wanting a refined, subtle look without radical change.
Benefits of the Lip Tenting technique
• Natural enhancement of lip curvature and shape.
• Reduced risk of visible side effects through small, evenly distributed doses.
• A harmonious appearance without overfilling.
• Improved Cupid’s bow and lip symmetry.
• The doctor’s precision and experience are essential for optimal, natural results.
Price of lip augmentation with hyaluronic acid
In Geneva, hyaluronic acid lip augmentation costs 650 CHF for one syringe. This applies to subtle and more pronounced enhancement as long as only one syringe is used. The quantity is decided with the patient according to aesthetic goals and Dr Romano’s advice. The syringe price remains the same regardless of technical complexity.
In a randomised trial involving 180 adults with thin lips, hyaluronic acid injections were compared with no treatment. At eight weeks, lip volume had increased by at least one grade on the scale used in 93% of treated patients, compared with 29% of untreated patients. At twenty-four weeks, 74% of treated patients still observed an aesthetic improvement. These results concern the product and protocol studied.
In a study involving 60 patients, two hyaluronic acid gels were compared for increasing lip volume and improving shape. At six months, around 60% of patients retained a visible increase in volume. At twelve months, assessors still observed an aesthetic improvement in more than 70% of patients in each group. The result could therefore remain favourable even as the added volume became less noticeable.
A meta-analysis of ten publications assessed the increase in lip volume after hyaluronic acid injections. An increase of at least one grade on the scale used was observed in 91% of patients at two months and 74% at six months. These results show that the gain in volume can persist for several months. Its duration varies according to the gel and injection protocol.
How can lips be enlarged without surgery ?
Non-surgical lip augmentation mainly uses hyaluronic acid injections. It adds volume, reshapes contours and improves hydration naturally and gradually. Results are immediate and last 6 to 12 months.
Do beautiful lips necessarily need to be full ?
No, lip beauty primarily lies in harmony with facial features. Well-defined, proportionate and hydrated lips can be very attractive even when thin. The aim is to respect natural anatomy while enhancing features.
Can thin lips be as attractive as full lips ?
Yes, thin lips can be equally attractive when well defined, symmetrical and hydrated. Preserving natural shape and enhancing contours is essential. Subtle injections can also improve appearance without excessive volume.
How should you choose between subtle augmentation and a fuller effect ?
The choice depends on aesthetic expectations, facial anatomy and the desired result. Subtle augmentation prioritises harmony and naturalness, while more pronounced volume suits patients seeking visible change. An initial consultation determines the best approach.
Is lip augmentation suitable for all lip shapes ?
Yes, hyaluronic acid augmentation can be adapted to every lip shape. Treatment is personalised to natural structure, considering symmetry, existing volume and facial characteristics for a harmonious result.
Can lip volume be increased without changing natural shape ?
Yes, volume can be increased while preserving natural shape. Hyaluronic acid allows targeted, controlled augmentation respecting contours and balance for a subtle result in complete facial harmony.
