As Dr. Reid and Dr. Gordon always say, “The magic isn’t in the product, it’s in the injector.” A skilled injector chooses the correct product, knows the anatomy, the proper proportions, and where and how much product to place. A common mistake is to overfill the top lip with lip injections, making it larger than the lower lip. Think of the lips of a baby or young child. Their lips are full in some areas and slightly deficient in others. Their philtral columns are well defined, as is the Cupid’s Bow. Each anatomical area of the lip should be addressed separately with lip injections to sculpt and shape the lips. Other poor results occur when lip injections are placed incorrectly in the lips. Many celebrities had silicone injected into their lips because they wanted permanent lip augmentation. Silicone is NOT approved for lip injections. Lip injections with silicone causes hardening and scarring of the lips. Women are drawn to silicone because it’s permanent, but the results can be disastrous. Radiesse is also not a good choice in the lips because it is a thicker product and needs to be injected deep into tissues. Lip injections with Radiesse poses the potential for lumps, bumps, unevenness and granulomas. Often times, nodules can only be partially removed with surgical excision, which can leave a scar and permanently distort the lip.