Reply: “No Touch” Technique for Lip Enhancement
In our treatment protocol, the Cupid’s bow and philtrum are treated with a needle because a cannula would be challenging. The Cupid’s bow has to be treated as an independent aesthetic subunit, and because of its short dimension, it is necessary to use the needle. For the remaining components of lip enhancement, we prefer using the cannula. In the no-touch technique presented, the preferred filler was hyaluronic acid. In our practice, this is an injection technique for fillers, not necessarily other injection materials. As with any procedure, our patients do have some level of posttreatment edema, but our clinical experience has demonstrated that the amount and duration of edema is less with the no-touch technique compared with standard infiltration methods.
Our rationale for the three-step analysis stems from what we have learned in lip reconstruction and cheiloplasty operations. We believe dividing the lip into three treatment areas (profile, projection, and volume augmentation) synergizes the anatomy and aesthetic subunits, yielding an optimal aesthetic result.