Designed to repair the distortion caused by prior silicone or Biopolymer® injections, lip sculpting is regularly performed by Dr. Epstein. Silicone is the typical cause of lip scarring and distortion, characterized by irregular bumps and asymmetries, but a permanent filler called Biopolymer® which is particularly popular in Latin America as well as south Florida but also done worldwide can also be the culprit.
The distortion typically does not develop until years after the silicone was injected, and sometimes can respond to injections of steroids that suppress the scarring. However, when this does not occur, oftentimes patients have no choice but to have the lips repaired by what Dr. Epstein calls the lip sculpting procedure, in which he meticulously excises small portions of the lip to bring them back to a more normal aesthetic shape and size. Anesthesia is usually local with oral sedation, but can be twilight sedation.