48-year old Courtney Cox recently filed for divorce. She has said that she uses anti-wrinkle injections, but some fans think she may be going overboard, as she is looking a little Joker-ish in the mouth area. What causes this and how could her look be improved?
The appearance of joker lips is usually caused by an excessive volume of filler placed into the upper and lower lips. Why did excessive filler in the face may a person look like a joker?
There is a normal harmony in the lips, the upper lip is usually smaller than the lower lip. Why has this happened? The commonest reason is too much volume of filler has been placed on the lips.
An increased volume of filler injected into the lips will smooth out the wrinkles and lines that surround the lips. However the increased volume of filler disrupts the normal shape and curvature of the lips, the top of the upper lid is usually defined by the presence of a sharp cupid’s bow and the precise border with the surrounding skin.
The other reason is the type of filler used, some types of hyaluronic acid attract water into the lips resulting in swelling and enlarged lips. What can be done about it?
An antidote can be used to reverse the enlargement however is dependent on what has been used to enlarge the lips. Most commonly a hyaluronic acid is used as the filler, in which case the antidote can be injected into the lip that will cause the filler to disperse into the water.
Offering celebrity plastic surgery, Dr De Silva is a recognized expert on the latest advances in facial plastic surgery techniques he is known for natural results and is frequently asked to comment on complex cosmetic surgery.
Dr Julian de Silva is a London plastic surgeon specializing in only the face. He received fellowship training in the cosmetic centres of Los Angeles and New York, before bringing his skills and expertise to London.
After winning numerous awards including the gold medal research award and Masters in distinction, he has presented new innovations and trends at international meetings all over the world.
He is an accomplished artist having exhibited works of art and is known for natural-looking results. He currently practices in a boutique office in London and is the director of facial cosmetic surgery at www.londonfacialplasticsurgery.co.uk.