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Global Office:620 Park Avenue, NYC
Tel:(212)570 6318
  Fax:(212) 988-4623

Local Offices:360 N Bedford Road, Mt Kisco, NY
Tel: (914) 514-8029

Cadogan Clinic with Operating Facilities

120 Sloane Street

London SW1X 9BW, UK

Tel: 02079932759


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Pre: 26 year old with congenitally thin lips.
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Post: 1cc of restylane injected.
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Pre: 28 year old desiring fuller lips.
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Post: 1.5 cc fat injected into each quadrant.

Lip Problems

Small lips, Asymmetrical lips, Post trauma
Our lips always change during our lifetime. They will become smaller due to sunlight exposure, hormonal changes, and more so if a smoker. A study has shown the progressive loss of lip subcutaneous fat and thinning of the dermis starting every decade from 20 years on. This is more so in women than men due to estrogen changes.
Pre operative evaluation looks at the position of the lips in relation to the chin, nose and eyelids. The relationship of the upper lip to the lower lip is important too. The amount of mucosal show, number of vertical fine lines and quality of skin are noted.
The type of correction will depend upon the amount of deficiency, and whether that deficiency is in the forward-posterior plane, in the superior-inferior plane, in the distance to the nose and in the number of lines.

Lip augmentation, Grafts, Lip advancement, Lip revision
If there is relatively small soft tissue deficiency, then an injectable such as Restylane, Juvaderm or fat works well. This can be layered to correct fine lines, turn up the lip, and give more substance. It will not turn the lip up or advance it.
Lip advancements. For those who have had injections that failed, and want more lip show, then an advancement works. The lip is advanced from either the nose (advancing skin into the nose) or by excising skin immediately above the white rolls of the upper lip, removing skin parallel to the lip border. The configuration of the lip can be changed if desired.
I correct the ageing lip or the small lip with a local anestheia. If your lip is too small or has gotten smaller over time or if you develop vertical lines above the lip then lip augmentation is the solution.
Injections will last 6 months to 1 year. With the new fat injections the fat graft can last up to 8 years.
Most procedures are performed under a regional block, similar to a dentist.

Facelift Surgery (Rhytidectomy)
Forehead (Ostectomy)
Eyelid Lift Surgery / Blepharoplasty
Ears (Otoplasty)
Nose (Rhinoplasty)
Lip Procedures
Neck Sculpting
Chin (Mentoplasty)
Arms (Brachioplasty)
Breast Lift (Mastopexy)
Breast Augmentation
Breast Reduction
Breast (Other)
Abdominoplasty/Tummy Tuck
Reconstructive Body
Reconstructive Face

Male Facelift and Necklift
Male Eyelid Lift Surgery Or Blepharoplasty
Male Nasal Surgery
Male Gynecomastia
Leg Sculpture


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C Lesesne MD, Cap Lesesne MD, Carroll Lesesne MD, International Cosmetic Surgery    
and ICS Skin Therapie are trademark of Cap Lesesne.    

Cap Lesesne MD is a professional Plastic Surgeon licensed in New York State    

15 Chesham Street, London SW1X 8ND    
Phone 01144 (02079) 932759    

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