Natural Lip Augmentation

Anthropologic studies suggest that the presence of full lips is suggestive of youth, sexuality, fertility, and overall attractiveness. Given the cross cultural favorability of fuller lips, it is no wonder women and men of all ages desire to have this feature. This can now be achieved through our lip augmentation in San Diego.

Before & After Lip Augmentation

Lip Augmentation 

Lip Rejuvenation

Injectables: The Process

Injectable Treatments

woman with brown hair and green eyes

The Principles to Creating Natural Lip Augmentation

The principles are simple:

  • Do not over-fill.
  • Respect the unique nature and anatomy of each lip.
  • Use aesthetic judgment and artistry to create an attractive lip that enhances their beauty.

Be meticulous and obsessive to achieve symmetry and balance.

Be very discriminating about what you inject into the lips (don’t experiment with new products or technologies).

What Can Be Used to Augment the Lips?

There are many different techniques and products used to augment the lips. My personal choice is guided by efficacy and safety. As a result, I generally use Juvederm Ultra or Fat for lip injections in San Diego.

Juvederm Ultra is a filler consisting of hyaluronic acid (HA). HA is a natural product found throughout our bodies. The consistency of this particular product is soft and smooth and when injected properly it feels and looks very natural.

The typical volumes used are between a ½ to 2 syringes. It lasts about 6 months in most cases. The lips appear swollen at first but within a few days the swelling starts to settle. It can take a full 2 weeks until all the swelling has settled.

As a general rule, the lips may appear a bit unnatural or even asymmetric during the first 2 weeks and it is tempting to touch them up. However, as a rule, I never touch them up until a full 2 weeks has passed. This is because most of the issues resolve once the swelling settles. The procedure is essentially painless. We use a strong topical anesthetic on the lips and the newer products have Lidocaine in them so the injections hurt much less than in the past. Also, this newer technique avoids the need for a dental block, which many patients do not like.

Fat Injection is also commonly performed in our practice. The advantage of the aging lip is that it can achieve a subtle and permanent result. The disadvantage is that the swelling required to achieve an effective result can take between 3-4 weeks to settle. In the end, however, the lips look very natural.


Like everything we do in medicine and surgery, there are potential complications. In the case of lip augmentation in San Diego, most of the products I mention are safely injected without intrinsic problems. However, as a result of poor technique, lack of experience, and an overall lack of knowledge of what a naturally full lip looks like, the poor cosmetic result that may occur as a result can be difficult for some patients. Many of our impressions of what cosmetic lip augmentation looks like are not favorable. However, it is important to note that poor or unnatural results occur because of the individual injecting the lip and not simply because the lips were injected.

This is why it is important to be selective about who injects your lips. As a National Trainer and Lecturer for Allergan (makers of Juvederm, Botox, and Latisse), I have personally trained dozens of nurses and physicians throughout San Diego on proper and aesthetically sound injection methods. Another concerning trend is toward injecting permanent products that are not FDA approved. Unfortunately, patients often get these products placed in foreign countries like Mexico or South America. To correct some of these problems, the patients then require a lip reduction. This requires surgical removal of the permanent and often over-filled product in order to return the lip to a more balanced and natural appearance.

Karam logo


Francine M.

"I had a vertical restore at age 65 with Dr Amir Karam. It has been a little over a year and I am delighted with the results. Some of my friends have not even noticed - I just look rested. Dr Karam will provide you with all the information and supplements that you need to make the procedure and the recovery time as comfortable as possible. I usually bruise very easily but with the supplements that were given to me prior to my procedure and afterwards, my bruises were gone within a week."

"I highly recommend Dr. Karam and would go back to him for anything I might want done in the future. I totally trust his approach and recommendations. You won't be disappointed!"

Kris R.

"I'm one month out from a Vertical Restore with Dr Karam. Dr Karam is an incredibly talented Surgeon. I can barely see my scars already. I also did a laser peel, within 8 days I was wearing makeup and admiring my new jawline and neck. I'm 65 this month and so happy I chose him. He is the best there is. His staff are fun, caring and kind. They made my entire experience so easy. I would not hesitate or even think about going anywhere else. Check out his Instagram account. He does all his content himself. Extremely informative, with many before and after photos. I decided on Dr Karam after researching his Instagram and had made my decision before we had even met."

Janice S.

"Dr Karam is a great surgeon, a true artist and a wonderful human being. He has done 2 procedures on me over the last 3 years. Both with excellent results. His fat transfer and his lip lift technique are extraordinary. I wouldn't think of going to anyone else and I would highly recommend him to anyone who is looking for the best."

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur praesentium rem repellat temporibus veniam vitae voluptatum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit. Ad alias animi commodi distinctio doloremque eum exercitationem facilis in ipsum iusto magnam, mollitia pariatur


Carmel Valley Plastic Surgery - Dr. Karam Contact us media

© Carmel Valley Plastic Surgery. All Rights Reserved. Web Design & Internet Marketing by Studio III

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (858) 252-6826.
Schedule Consultation