Yet again this year, lips topped the list of my most done injections by me, Danielle Smith, Aesthetic Nurse Practitioner and Miami botox and filler specialist at smith & co. And the results did not disappoint. One of my most favorite was when Alex Earl came to my office and asked me to do her lips. (OMG!) From the Ashton technique to Restylane Kysse or Juvederm to help reshape, I made lips that went from meh to meow. Here is a look back to some of the best lips that came out of 2023. With results like these, I’m more than looking forward to the lips I’ll get to inject in 2024. Just remember, a big transformation doesn’t just happen overnight. Lips take time and multiple treatments. So let’s do this together, slowly and with perfection. 

1. Full and Pouty: A blend of the Ashton technique and Kysse. We followed her natural shape but focused on creating more height and surface area without forward projection. We were able to give her a really nice lip lift and then build out the tails on top and bottom, which help turn up the corners. For the bottom we were able to pull her down into a rounded pouty shape for an overall full pouty shape favoring a slightly fuller top lip.

2. Reshaping: Using Kysse and the Ashton technique we injected a full syringe to create this beautiful shape. We followed her natural shape but focused on creating more height and surface area without forward projection. We also gave her a nice, clean, crisp border giving her more contour and shape. We were able to give her a really nice lip lift and then build out the tails on top and bottom which help turn up the corners. For the bottom, we were able to pull her down into a rounded pouty shape for an overall full pouty shape with a 50/50 ratio with a keyhole pout.

3. Reshaping With Volume: Here we injected a full syringe of Juvederm Ultra Plus to restore her natural volume and give her some structural support and enhance her beautiful shape. This photo was taken immediately after and she is 30 to 40 percent more swollen than her final result. Even here she has more room, and this is after a full syringe. Oftentimes, patients looking for volume restoration think they only want a small amount, but the reality is they need more product than they think. When the swelling goes down, her final result will be more of a hydrating effect than additional volume gains. To keep the size seen here, she will need to add at least another half syringe.

4. Natural, Pouty, Defined: We injected Restylane Kysse using the Ashton Technique to create this beautiful shape. We followed her natural shape but focused on creating more height and surface area without forward projection. We were able to give her a really nice lip lift and then build out the tails on top and bottom, which help turn up the corners. For the bottom, we were able to pull her down into a rounded pouty shape  for an overall full pout favoring a fuller bottom lip.

5. Little Shape, Little Volume: We injected Restylane Kysse using the Ashton Technique to create this beautiful shape. We followed her natural shape, but focused on creating more height and surface area without forward projection. We were able to give her a really nice lip lift and then build out the tails on top and bottom, which help turn up the corners. For the bottom, we were able to pull her down into a rounded pouty shape for an overall full pouty shape favoring a slightly fuller top lip.

6. Full Classic Shape:  We injected Restylane Kysse using the Ashton Technique to create this beautiful shape. We followed her natural shape but focused on creating more height and surface area without forward projection. We were able to give her a little lip lift and then build out the tails on top and bottom for a longer, classic shape. For the bottom, we were able to pull her down into a slightly round pouty shape for an overall full classic shape favoring a slightly fuller bottom lip.

7. Crisp Definition with Kysse and Ashton Technique: We injected a full syringe of Restylane Kysse with the goal of increasing surface area and creating a defined crisp border with a lip lift. By doing so we were able to reshape these beauties without adding too much volume or forward projection. Oftentimes when we work on the border there is swelling that likes to sit there, making it look a little puffy when it’s fresh. This swelling can be annoying and typically lasts about three weeks, but don’t worry it will come down. Trust the process.

8. Lip Lift for the Pouty Transformation: We injected Restylane Kysse using the Ashton Technique to create this beautiful shape. We followed her natural shape but focused on creating more height and surface area without forward projection. We did this by working her lip lift and trying to get as much height from the cupid’s bow as possible. We then tapered the top tails tight, making it pouty vs longer. For the bottom, we were able to pull her down into a rounded pouty shape for an overall 40/60 ratio. By creating as much height as possible and keeping the volume medially focused, we were able to take her from a longer shape to a more pouty shape. 

9. Full and Pouty:  We injected Restylane Kysse using the Ashton Technique to create this beautiful shape. We followed her natural shape but focused on creating more height and surface area without forward projection. We were able to give her a really nice lip lift and then build out the tails on top and bottom, which helps turn up the corners. For the bottom, we were able to pull her down into a rounded pouty shape  for an overall full pouty shape favoring a slightly fuller top lip.

10. Full Syringe Juvederm Fully Healed: We injected a full syringe of Juvederm Ultra Plus using the Ashton Technique to create this beautiful shape. First, we focused on the lip lift to create as much height as possible. This patient had exceptionally cooperative tissue. This is not always the case, and I can only lift as much as your tissue will allow me. In cases where it doesn’t respond as much as you would like, we have to work on it over time by building slowly to get the desired height. From here, we built out her tails and then rounded out her bottom to balance the overall shape for a 45/55 ratio.

If you’re interested in a lip transformation, I, Danielle Smith, Aesthetic Nurse Practitioner and Miami botox and filler specialist at smith & co., can help. Schedule a consultation with me to discuss all the different techniques I can do for you. Reach out by calling 305-393-2311 or contacting me here online. I’m also happy to answer any questions you may have via DM on Instagram at smithand_co. And be sure to follow along to see my before and after shots.