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Starting with your own lip shape
In design, “bespoke” means tailoring something to individual wishes. In lip treatment, the term describes an approach to planning, not a separate medical procedure. The starting points are the existing shape, movement and volume of the lips, and their relationship to the rest of the face.
At Mc Aesthetics, planning focuses on natural-looking lips, their balance with the face and their expressive movement. Exaggerated volume or a lip shape modelled on social media is not a treatment goal.
A subtle change in contour may be a different goal from adding volume. A particular asymmetry or changes over time may also prompt a consultation. No specific lip shape is a requirement for beauty; the decision should reflect your own wishes.
What is planned individually?
The examination looks at the upper and lower lips, the lip border and the Cupid’s bow at rest, while speaking and when smiling. Tooth alignment, scars and previous fillers may affect the options. The desired result is assessed against these circumstances.
A hyaluronic acid filler can add volume. However, it cannot be used without limits while leaving proportions and movement unchanged. The product, amount and technique are selected according to the examination findings. A fixed package or the largest possible volume is no substitute for planning.
Limitations and what to expect over time
Swelling can affect the initial appearance. The result is therefore assessed, and any further steps planned, after an appropriate interval. The effect is temporary and varies from person to person. Repeat treatments do not guarantee permanent volume or a particular appearance.
Even individually planned treatment carries risks. Alongside pain, bruising, swelling and contour irregularities, infection and vascular complications can occur. The achievable changes, alternatives and what to do if symptoms arise are explained beforehand.
From a trend to a personal decision
The original article was written against the backdrop of beauty trends in 2020. It compared personalised lip treatment to a made-to-measure garment: the relationship between individual features, rather than a predetermined size, was meant to guide the decision.
This can still be a useful starting point for a conversation. The word “bespoke” alone, however, says nothing about a practitioner's qualifications, the suitability of a product or the safety of an injection.
The mouth area also includes the corners of the mouth, the distance to the nose and the skin above the upper lip. Someone concerned about a narrow outline does not necessarily need more fullness. Equally, adding volume to the lips will not address every line beside the mouth. A balanced plan may involve meeting only part of a wish or deciding against treatment.
Appearance does not reliably tell you whether someone has had lip treatment. The earlier feature also described staff members as looking very natural. These observations are not medical evidence or a benchmark for your decision. Ideas about femininity, youth or attractiveness do not oblige anyone to have fuller lips.
Personal accounts from the original feature
In the original article, reporter Sylvia Kaduk spoke to Sarah M. from Düsseldorf and Tamara L. from Recklinghausen. The following accounts relate to that earlier feature. They describe personal expectations and experiences; they cannot establish how treatment is carried out today or predict a particular result.
Sarah M. was a 24-year-old student at the time and was concerned about narrow, slightly asymmetric lips. She said: “I was very afraid of having lip injections, which is why I spent a long time researching the different fillers.”
Her consideration of hyaluronic acid fillers and fat transfer illustrates the value of clear information before making a decision. Her preference at the time for Restylane Kysse was a personal product opinion, not evidence that it was the best product.
Tamara L., who was then working in an office, was interested in her lip shape and fine lines above her upper lip. Her comment “Lip injections really are a special art” expresses a personal impression. Her account at the time of an uneventful recovery without visible bruising is also not a promise to other people. Pain, swelling and other side effects remain possible.
Prof. Dr. Altintas is a member of the Supervisory Board (Non-Profit) and is no longer involved in operational activities.
Questions about materials, planning and treatment
How do hyaluronic acid, fat transfer and a “lip booster” differ?
A hyaluronic acid filler is a product manufactured for injection. Fat transfer, by contrast, requires the harvesting, processing and transfer of your own tissue and is a separate procedure. Fat is not passed through a direct connection from the abdomen into the lip.
The ASPS information on fat transfer explains this distinction. Water alone is not an equivalent substitute. “Lip booster” does not identify a single material or procedure either; ask what is actually being offered.
Which product and technique are suitable?
A brand cannot replace an examination. Ask for the product name, its intended use and a record of your treatment. Restylane Kysse being mentioned in the earlier text does not mean that this is the only product used today.
Nor does using a small amount automatically make treatment risk-free. An appropriate technique depends on anatomy and the intended change; no trend name guarantees a particular shape.
What happens at the appointment, and will it hurt?
The appointment includes a discussion, examination, informed consent, preparation, the injections themselves and aftercare instructions. Local anaesthesia can reduce discomfort but cannot reliably eliminate pain.
The type of anaesthesia to consider, and whether a product contains an anaesthetic ingredient, are discussed beforehand. Allow enough time: the earlier reference to a few minutes is not a reliable description of the whole appointment.
At what age can treatment be considered?
This article is intended for adults. Being an adult does not, on its own, establish suitability: health, expectations and an independent decision all form part of the medical assessment.
The earlier article cannot serve as a general recommendation for treatment of minors. If you are unsure about your own reasons, it makes sense to take your time and seek advice without committing to treatment.
Can lip treatment be combined with procedures elsewhere on the body?
The original text also asked about combining lip treatment with breast augmentation. These are different procedures, each with its own planning, consent and aftercare.
Whether combining them would make sense at all must be assessed separately for both concerns. Asking about them together is neither a recommendation nor a commitment to several procedures on the same day.
Preparation and everyday life afterwards
What needs to be discussed beforehand?
Mention previous lip treatments, known allergies, medical conditions, and medicines or supplements you take regularly or occasionally. Questions about aspirin or other substances that may affect bleeding belong in this discussion.
Do not stop prescribed medication on your own. If the lip area is inflamed or injured, it must first be established whether treatment should be postponed.
When can I exercise, spend time in the sun or use a sunbed again?
Discuss physical exertion, heat and intense sun exposure specifically with your practitioner. One fixed waiting period will not suit every examination finding and recovery. Ask for clear instructions you can work around your job and daily life. The AAD's patient information on fillers explains why aftercare depends on the material used and the individual's recovery.
Should I massage or cool my lips?
Do not press or massage the treated area on your own initiative. Whether gentle massage is intended or cooling may be helpful depends on your personal aftercare instructions. Do not try to “remove” a lump by kneading it firmly. Have unusual or worsening symptoms assessed rather than attempting a correction yourself.
What about kissing, lipstick, smoking and alcohol?
Healing and your specific instructions after the procedure determine when to apply pressure to the lips, use cosmetics and return to familiar activities. The clock alone cannot confirm that healing is progressing normally.
Discuss smoking, alcohol and possible irritation openly so that aftercare fits your daily life. The earlier blanket advice allowing activities again after a few hours is not a reliable basis for this.
Results, duration and possible corrections
When will I see the final shape?
A visible increase in volume immediately after injection is not the same as the later result. Swelling, bruising or temporary unevenness may initially affect the shape. Arrange a follow-up and clarify when your lips can meaningfully be assessed in your case. Lipstick or the way a photograph is taken can also change the apparent contours.
How long does the change last, and when is treatment repeated?
Duration depends on factors including the material, the area treated and individual circumstances. A fixed schedule for top-ups cannot replace a new examination. What matters is how much remains, how your lips look and whether you still want a change. You can leave a future repeat treatment undecided, just as you can choose to do nothing further.
Can an unwanted result be reversed?
For hyaluronic acid fillers, medical treatment with hyaluronidase may be an option. This is a separate medical decision, not a guaranteed reset button. Different materials cannot all be removed in the same way, and a correction can also carry risks. Before the first treatment, discuss how dissatisfaction, persistent lumps or complications would be managed.
Which symptoms need urgent help?
Unusually severe pain, distinctly white, grey or bluish skin discolouration, or changes in vision after an injection require immediate medical assessment. Do not wait for a routine reply to your enquiry. The FDA's filler safety information describes these warning signs and possible vascular complications. A practitioner's experience cannot eliminate all risk.
Putting studies in context and preparing for a consultation
The original article referred to Sahan and Tamer's 2018 paper on the four-point technique. This retrospective study of a particular injection technique does not compare all methods or establish that “bespoke” treatment is generally superior. A published account of clinical experience cannot replace an individual examination or a discussion of possible complications.
For your consultation, describe what you like about your lips and what you would like to change: perhaps the outline, a particular asymmetry or the relationship between upper and lower lip.
Photographs may help explain a wish, but they are not a template that can be applied to every face. Also note what you specifically do not want to change and how much time you can allow for recovery and follow-up.
If you are enquiring from Düsseldorf, Recklinghausen or another area, the location and practical arrangements can be clarified through the current contact channels. An online enquiry or opening WhatsApp is not an appointment confirmation. You can still decide against a procedure after a consultation.
Read more and prepare for your consultation
Our detailed article on lip treatment with hyaluronic acid covers preparation, anaesthesia, possible complications, hyaluronidase and fat transfer as a different procedure. Before the consultation, note the change that matters to you and bring information about any previous treatments.
Contact and further information
You can send a personal enquiry by email or Verify WhatsApp access. Our locations overview introduces the current Mc Aesthetics locations. Before an appointment, we will agree the location, the doctor responsible and the aftercare arrangements with you.