Clinic: Albany Cosmetic & Laser Centre, Edmonton
Case ID: LF-2025-09-24-01 (de-identified)
Goal: Natural refinement—sharper Cupid’s bow, balanced proportions, hydrated texture.
Patient & Concerns
- Adult female, no prior lip augmentation.
- Wanted a subtle, professional look; correct mild right-left asymmetry and soft vermilion border.
Baseline Assessment
- Lip ratios ~Upper:Lower ≈ 1:1.6; target close to 1:1.4.
- Good dentolabial support; appropriate tooth show; skin healthy.
- Standardized photos taken (frontal/45° oblique).
Treatment Summary
- Product: Revanesse® Kiss (hyaluronic acid)
- Total Volume: 1.2 mL (one syringe) — $550 CAD
- Anesthesia: Topical + vibration analgesia
- Cannula/Needle: 25G cannula (lateral body), 30G needle (border/tubercles)
- Technique: Micro-aliquots with linear threading and micro-bolus; light tenting for border definition; slow, low-pressure injections with continuous movement and frequent blanch checks.
- Allocation (approx.):
- Upper lip 0.55 mL — Cupid’s bow peaks, central tubercle, gentle border refinement
- Lower lip 0.65 mL — central tubercle + mild lateral support
- Safety: Aseptic prep; aspiration where appropriate; normal capillary refill throughout; hyaluronidase/emergency kit on hand. No adverse events.
Outcome (2-Week Review)
- Crisper Cupid’s bow and vermilion border
- Improved symmetry and gentle anterior projection
- Texture appears smoother/more hydrated
- Final ratio: ~1:1.4 while preserving ethnic harmony
- No nodules, Tyndall, or disproportion; patient satisfaction documented.
Aftercare Provided
- Avoid pressure, heat, alcohol, and strenuous exercise for 24 hours
- Sleep head elevated first night; emollient only; no dental work 2 weeks
- Return urgently for pain with blanching, livedo, or visual symptoms (vascular red flags reviewed)
Longevity & Maintenance
- Typical duration 9–12 months (individual metabolism dependent)
- Maintenance plan: 0.5–1.0 mL touch-up at 9–12 months
Consent & Documentation
- Medical history reviewed; risks/benefits/alternatives explained; informed consent signed.
- Lot/exp recorded in EMR; standardized photography stored; follow-up completed at day-14 (no touch-up required).