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When you set up your own Medical Aesthetics practise, you will quickly find a Ghost that haunts you. You will particularly experience her looming shadow if you decide to offer Lip Filler treatments. But we can pretty much guarantee that her name will crop up over and over regardless. “I don’t want to end up looking like Leslie Ash!”: it is a plea from your clients that will become all-too familiar.

The Leslie Ash “Look” is certainly not high on most people’s aesthetic wish-list. You have most probably seen the recurrent pictures in the media of her now infamous “trout pout”. The unfortunate woman has been hauled over the coals as an example of Cosmetic Surgery Gone Wrong in every woman’s mag. article of that theme ever since her Lip Body treatment in 2002.

Ash originally claimed she had collagen Lip Implants to correct her disappearing top lip (an unfortunate but common side-effect of ageing) and maintain her image in the public eye. Ironically, the treatment had the opposite effect, bringing her notoriety for all the wrong reasons. Back in 2003, the actress typically told the Press that her permanently swollen, upwards-curled top lip was a terrible accident and the result of a reaction to the collagen in the implant. By 2010 she had conceded that it was not an implant at all, but an injection of liquid silicone (the same lethal cocktail responsible for the recent death of Claudia Aderotimi) which had caused the ridiculous effect.

“The Curse of Leslie Ash” is therefore that hundreds of women who would otherwise have considered lip-enhancing treatment have now been put off completely. And of those that do approach you for procedures, a large number will need reassurance that they will not leave your Clinic looking similarly over-the-top or caricatured.

In his talks to delegates attending Medical Aesthetic courses at the Cosmetic Courses National Training Centre, Mr Adrian Richards (Consultant Plastic Surgeon) is always keen to set the facts straight. For starters, there should be broader awareness of precisely which treatment Leslie Ash underwent: it seems very wrong that by initially shielding the truth, she has created mistrust and fear of both Lip Fillers and Lip Implants. Prospective clients do not realise that Dermal Fillers are not the same as the injections which she had, and can give lovely subtle enhancement to both the lip body and border (in the hands of a qualified, trained medical professional). Nor do they always understand that she did not have a Lip Implant at all and that it is therefore well worth investigating the potential of Permalip implants. In fact, Mr Richards highly recommends the Permalip implant as a method of augmenting the lip body: these implants come in a huge variety of sizes and shapes, are sculptable, safe and above all can be removed if necessary.

In contrast, Liquid Silicone injections, like Ash had injected into her lips by a plastic surgeon whilst at a friend’s house, is permanent. And as Mr Richards warns all his trainee Aesthetic Practitioners, ‘Permanent fillers cause Permanent problems’. In Leslie Ash’s case, the silicone set around the muscles in her lips and it is now impossible for surgeons to remove it.

So there you have it: of course, however silly the actress may have been, she is also incredibly unfortunate. She is certainly not alone, but possibly receives more publicity about the matter than most and will almost certainly be one of the names you come to regard as a bug-bear. Instead of getting irritated by this, however, try to see your role as educating your clients, so that others do not make the mistakes of Ash and others. With this knowledge, you can ensure that you offer only the best and most suitable treatments and therefore provide genuine reassurance that your clients will not walk out of your Treatment Room and straight into the Gossip Columns!

Full, curvaceous lips instantly light up one’s smile, making it so much more alluring and charming. Most certainly, a provocative pout exudes an air of confidence and sex appeal, making it the object of envy and desire.

Today, lip enhancement surgery is probably one of the most popular procedures in the field of aesthetic plastic surgery.

Despite the recent rise in demand for it, lip enhancement surgery is not a new invention. It has dated back to ancient times, when women have used plant dyes and coloured clays to enhance the appearance of their lips. In the 1980s, collagen injection was introduced, which soon became popular and widely adopted by practising surgeons all over the world.

Now a new graft technique in lip surgery has been recently discovered that can certainly bring a smile to those who seek a simple and safe procedure that can produce a more prolonged result and look.

A team of plastic surgeons from the Aesthetic Surgery Centre in Naples, Florida recently discovered the new breakthrough that involves the use of muscle tissues along the patient’s neck. To date, the team has successfully carried out the surgery on 25 patients.

According to findings which were published in the Archives of Facial Plastic Surgery, the lip graft can be carried out simultaneously with a facelift surgery. This new technique adds fullness and shape to the appearance of one’s lips and reduces any signs of aging around the area of one’s mouth.

Renowned cosmetic surgeon, Dr Anurag Agarwal and his colleagues have employed this latest technique on many of their patients by using segments of the sternocleidomastoid muscles along the sides of the neck as well as their connective tissues to add fullness to their patients’ lips.

Dr Anurag and team are confident that this new surgical advancement produces a more prolonged result, which can last for at least two years. The procedure is also straightforward with quick uncomplicated recovery. As soon as the swelling subsides in a few weeks, the patient gains the luscious full lips she desires.

The new technique has fared well with all its patients who think that it produces a more natural feel than using artificial filler or implant. Even though they are optimistic about its results, they also acknowledge that the technique is not perfect and cannot altogether eliminate the signs of aging.

According to cosmetic surgeon and past president of the British Association of Aesthetic Plastic Surgeons, Mr Douglas McGeorge, this new technique produces a far more permanent result.

He said that this technique certainly pose the same risks as in all surgery procedures however slight the risk may be. He also warned that if a patient has not performed facelift simultaneous to the lip enhancement, the removal of the neck muscle tissue may leave a minor scar along the hairline.

There are all sorts of theories on why women desire fuller lips, ranging from having the sex appeal of movie actresses to simply looking more desirable. Lip augmentation providing a go to procedure in order to produce the desired look. 

While thin lips betray age, full lips cover it up. Since lip augmentation, creates smooth, full lips and reduces the fine lines around the entire mouth, this type of procedure enhances beauty and appears to reverse aging.

In fact, the irresistible appeal of beauty and anti-aging has created all sorts of solutions, including the following:

*Injections of collagen, primarily collagen derived from cows, bovine collagen. The effects last for up to 4 months before requiring repeated treatment.

*Injections of Hylaform and Restylane, derived from hyaluronic acid that is similar to that naturally found in humans. The effects of Hylaform last for up to four months and the effects of Restylane last for about six months before requiring repeated treatment.

*Injections of Radiance, microscopic spheres of calcium in a water-based gel that stimulates collagen production and regenerates tissue. The effects last for about one or two years.

*Injections of autologous fat, derived from the patient’s own body. However, the fat is reabsorbed, although results last longer than collagen.  While this may seem like an ideal solution, there are side effects: lumps and scars form and different areas of the body have to be harvested with each treatment.

* Other injected substances include alloderm, derived from cadaver tissue, autologen, derived from the patient’s skin, fascia, derived from donated white connective tissue, gore-tex, derived from a synthetic material, and verafil, derived from saline implants.

Besides injections of various materials that the body does not reject, but which require repeated treatments, there are also surgical procedures like the V-Y lip-plasty, where internal incisions are made then sewn back to roll the lips outward to appear fuller. In addition, there is laser lip rejuvenation, where the lips are lifted and smoothed, thus tightening them because of the underlying support from elastin and collagen

However, there is now a new procedure that has been reported in Archives of Facial Plastic Surgery (AFPS), a medical journal. It uses the sternocleidomastoid muscles, the neck muscles, for grafts. These muscles, also known as SCM, turn the head and pull it to the chest. The AFPS study reported that after an average of two years, head movement remained unaffected. The new procedure appears to provide positive long-term results.