All Lips Are Not Created Equal: Lip Augmentation & Reduction

Learn more about fillers at our Toronto plastic surgery practice

Everyone knows about lip augmentation, thanks to Kylie Jenner, Julia Roberts, and Angelina Jolie! Lip augmentation can be done with dermal fillers such as Restylane®, JUVÉDERM®, JUVÉDERM VOLBELLA® and Emervel®, or with fat grafting for more permanent results. Both are popular at my Toronto-area practice.

But have you heard of lip reduction?

Here is a quick lesson on lip anatomy. We have the upper and the lower lip. Each lip has a white and a red component. The skin between the red portion of the upper lip and the nose is called the upper white lip. Same goes for the part between the chin and the lower lip. The red lip has a wet-dry delineation, or line. Between the red and the white lips, we have the white roll, or the line where women apply lip liner.

In Caucasians, the lower lip is usually larger than the upper lip. The upper and lower lips can be relatively equal in some ethnicities, such as with Black, Asian, some Middle-Eastern, and Arabic populations and in mixed cultures as seen in Hawaii, Fiji, Brazil, and so on.

Almost never is the upper lip bigger than the lower lip, unless the person has visited a plastic surgeon who is unaware of the natural appearance of different cultures’ lip shapes.

I apply those basic rules of lip anatomy in my busy filler practice in Toronto and Richmond Hill.

With the same basic rules in mind, I also work with patients who want to downsize their lips, so to speak. Some patients were born with very large lips, and some have an exaggerated amount of both the wet and dry red mucosa.

Some others have had older, permanent fillers injected in their lips, which looked fine when they were 35 years old but not so much once they turned 50. There are also those patients who went to unscrupulous or charlatan injectors who used illegal silicone and other non-medical, non-approved materials that caused secondary problems.

Lip reduction is performed most commonly using local anesthesia. The patient and I decide on a reasonable amount of lip reduction. The final scar can be at the border between the wet and the dry mucosa or further inside, into the wet mucosa, depending on the patient’s anatomy; the scar is really hard to see once it is healed. I use a series of very fine sutures that stay in for one week. Although the patient can resume computer use and phone work within a few days, most take the week off as the many little stitches are visible, and the lips do swell up for several days.

In summary, various shapes of lips exist, and I get many requests for heart-shaped lips, long and wide “Julia Roberts” lips, and so on. More recently, there are new requests to shape the lips when doing a reduction — a technique very popular in Asia, where more of a curved shape is given to the pulpous and sexy part of the upper lips.

Lip procedures do require an artist.

Dr. Marc DuPéré

9 Responses to All Lips Are Not Created Equal: Lip Augmentation & Reduction

  1. A. says:


    What is the price for lip reduction for artecoll? I was injectwd with this and never warned that it’s permanent. It’s causes a lot of stress and anxiety as it looks terrible. Would Ohip cover this? I feel that I’ve had health issues since injected with product.

    • Dr. Marc DuPéré says:

      Hi A., I will email you details right now. Should I assume it is for both upper and lower lip?

      Kind regards,

      Dr. D.

  2. Fatuma says:

    Hello what’s the cost of lip reduction. I hate my lips and I am a person of ethnic background to be exact from Somalia . I want both upper and lower lip reduced. Can you Please give me an estimated price

    • Dr. Marc DuPéré says:

      Thank you for your question. I do lip reduction on most Mondays and yes, it is common in darker skin. I look forward to meeting you. Dr. D.

    • Dr. Marc DuPéré says:

      Thank you for your question. I do lip reduction on most Mondays and yes, it is common in darker skin. I look forward to meeting you. I will email you more information. Dr. D.

  3. Oluwafemi says:

    Hello, I read your write up and think I’ve found the right person to talk to about my lip reduction. My lover lips is a bit heavier than the upper lips and I am not comfortable with it. Also It makes me to keep my mouth opened unconsciously which I hate doing.

    Could it be a trait because, I also noticed the same in my 11 years old son and would like to help him before he begin to lose his self confidence because of this.

    How much can a lip reduction procedure cost, I’m from Africa and just moved to Canada.

    • Dr. Marc DuPéré says:

      Thank you for your comment. I will email you details. I would be happy to see you in consultation. We also offer SKYPE and FaceTime if you live far away.

      Dr. D.

  4. Melissa says:

    Hello, I have received Dermalive lip injections when I was 19, now 30, as a young professional I find myself embarrassed, would it be possible to come in for a consultation?
    Thank you, Melissa

    • Dr. Marc DuPéré says:

      Hi Melissa, I would be happy to see you and try to help. Call us at 416-929-9800. Kind regards, Dr. D.

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