Achieving Bratz Doll Look with Lip Fillers: A Prospective Observational Study on Blunt Cannula Techniques

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2024 Apr 16

PMID 38623443

Authors

Kamal Alhallak

Dima Omran

Salem Tomi

Affiliations

Soon will be listed here.

Abstract

Background: This study aims to evaluate the efficacy and safety of a blunt cannula technique using hyaluronic acid fillers for achieving the Bratz doll lip aesthetic, characterized by enhanced volume and sharp definition.

Methods: Thirty volunteers, 22-40 years of age, were selected based on specific inclusion criteria at Albany Cosmetic and Laser Center for 6 months. The technique involved precise filler injections using a Steriglide blunt cannula. Pre- and postprocedure measurements of lip dimensions and angular changes were meticulously documented and analyzed using IBM SPSS Statistics software.

Results: The procedure significantly increased the average height of both the upper and lower vermilion zones, with notable changes in angular measurements and the distance between the midline and oral commissure, aligning with the Bratz doll aesthetic. Importantly, none of the participants experienced bruising, a common side effect in traditional needle-based methods. The overall satisfaction rate was high, with an average score of 8.5 out of 10, reflecting the procedure's success in meeting aesthetic goals and ensuring participant comfort.

Conclusions: The blunt cannula technique for lip augmentation presents a safe and effective alternative to traditional needle-based methods. The absence of bruising and high satisfaction rates underscore the technique's precision and alignment with patient safety and comfort. This study contributes to the field of cosmetic lip enhancement, offering a novel approach that balances aesthetic aspirations with health considerations, potentially influencing future practices in cosmetic procedures.

References

Vitosyte M, Malinauskaite D, Chalas R, Brukiene V, Lasota A, Puriene A . Lip morphometry and morphologic pattern variation by ethnicity. Anthropol Anz. 2022; 80(1):13-21. DOI: 10.1127/anthranz/2022/1598. View

Hopkins Z, Moreno C, Secrest A . Influence of Social Media on Cosmetic Procedure Interest. J Clin Aesthet Dermatol. 2020; 13(1):28-31. PMC: 7028372. View

Kroumpouzos G, Harris S, Bhargava S, Wortsman X . Complications of fillers in the lips and perioral area: Prevention, assessment, and management focusing on ultrasound guidance. J Plast Reconstr Aesthet Surg. 2023; 84:656-669. DOI: 10.1016/j.bjps.2023.01.048. View

Al-Hage J, Galadari H . The Needle Versus Cannula Debate in Soft Tissue Augmentation. Dermatol Clin. 2023; 42(1):69-77. DOI: 10.1016/j.det.2023.06.010. View

Stocks D, Sundaram H, Michaels J, Durrani M, Wortzman M, Nelson D . Rheological evaluation of the physical properties of hyaluronic acid dermal fillers. J Drugs Dermatol. 2011; 10(9):974-80. View

Jones D, Palm M, Cox S, McDermott M, Sartor M, Chawla S . Safety and Effectiveness of Hyaluronic Acid Filler, VYC-20L, via Cannula for Cheek Augmentation: A Randomized, Single-Blind, Controlled Study. Dermatol Surg. 2021; 47(12):1590-1594. PMC: 8612896. DOI: 10.1097/DSS.0000000000003246. View

Moorefield A, Rose-Reneau Z, Wright B, Surek C . Venous Tributaries of the Lip: Implications for Lip Filler Injection. Plast Reconstr Surg. 2023; 152(2):257e-263e. DOI: 10.1097/PRS.0000000000010212. View

Diwan Z, Trikha S, Etemad-Shahidi S, Parrish N, Rennie C . Evaluation of Current Literature on Complications Secondary to Lip Augmentation Following Dermal Filler Injection. J Clin Aesthet Dermatol. 2023; 16(7):26-33. PMC: 10409513. View

Alam M, Kakar R, Dover J, Harikumar V, Kang B, Wan H . Rates of Vascular Occlusion Associated With Using Needles vs Cannulas for Filler Injection. JAMA Dermatol. 2020; 157(2):174-180. PMC: 7774041. DOI: 10.1001/jamadermatol.2020.5102. View

10.

Fundaro S, Salti G, Malgapo D, Innocenti S . The Rheology and Physicochemical Characteristics of Hyaluronic Acid Fillers: Their Clinical Implications. Int J Mol Sci. 2022; 23(18). PMC: 9503994. DOI: 10.3390/ijms231810518. View

11.

Ghasemi S, Akbari Z . Lip Augmentation. Dent Clin North Am. 2022; 66(3):431-442. DOI: 10.1016/j.cden.2022.02.005. View

12.

Pierre S, Liew S, Bernardin A . Basics of dermal filler rheology. Dermatol Surg. 2015; 41 Suppl 1:S120-6. DOI: 10.1097/DSS.0000000000000334. View

13.

Adel N . A New Approach for Lip Filler Injection Using an Inverted Mercedes Benz Sign. Plast Reconstr Surg Glob Open. 2021; 9(12):e3999. PMC: 8670592. DOI: 10.1097/GOX.0000000000003999. View

14.

Niamtu 3rd J . Filler injection with micro-cannula instead of needles. Dermatol Surg. 2009; 35(12):2005-8. DOI: 10.1111/j.1524-4725.2009.01323.x. View

15.

Trinh L, McGuigan K, Gupta A . Delayed Granulomas as a Complication Secondary to Lip Augmentation with Dermal Fillers: A Systematic Review. Surg J (N Y). 2022; 8(1):e69-e79. PMC: 8894086. DOI: 10.1055/s-0042-1743524. View

16.

Gomi T, Imamura T . Age-related changes in the vasculature of the dermis of the upper lip vermilion. Aging (Albany NY). 2019; 11(11):3551-3560. PMC: 6594803. DOI: 10.18632/aging.101996. View

17.

Cotofana S, Pretterklieber B, Lucius R, Frank K, Haas M, Schenck T . Distribution Pattern of the Superior and Inferior Labial Arteries: Impact for Safe Upper and Lower Lip Augmentation Procedures. Plast Reconstr Surg. 2017; 139(5):1075-1082. DOI: 10.1097/PRS.0000000000003244. View

18.

Beer K, Biesman B, Cox S, Smith S, Picault L, Trevidic P . Efficacy and Safety of Resilient Hyaluronic Acid Fillers Injected with a Cannula: A Randomized, Evaluator-Blinded, Split-Face Controlled Study. Clin Cosmet Investig Dermatol. 2023; 16:959-972. PMC: 10082220. DOI: 10.2147/CCID.S402315. View