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The desire for more sensual, shapely, and BIGGER lips is not new in our culture. It’s been going on for over 50 years. Though the trend hasn’t change, what has changed is the magnitude. I recently read a piece in Slate about some rather unfortunate runway appearances involving overdone lips. The article is subtitled “the rise of the trout-pout” – a graphic if not wholly accurate description of the phenomenon of overdone lips – and traces the current rise of the sensual mouth from Brigitte Bardot in the 1950’s and 1960’s to modern stars like Angelina Jolie.

One thing that I think we can all agree on is that a full, well-contoured, nicely colored pair of lips can be extremely alluring. The unfortunate truth with lip augmentation (and with aesthetic procedures of any kind) is that too much of a good thing really is too much and that the line between alluring and cartoonish is a fine but important one. The author takes two examples of older celebs and film-industry personas (Jackie Stallone and Ivone Weldon); in both cases, the lips are over-plumped and way out of proportion. Rather than being emphasized, they literally dominate the face.

On the other hand, Angelina’s lips are nearly perfect. Natural or not, they have a beautiful shape, just the right amount of fullness, and a nice balance. The ideal lip relationship is 1/3, 2/3: the upper lip is 1/3 of the total height/volume, while the lower is 2/3. In addition, natural-appearing lips have a central fullness (more pronounced in the lower lip) and a gentle taper toward the corners of the mouth. Finally, beautiful lips have a clearly-defined Cupid’s Bow (the center part of the upper lip, where it meets the filtrum (those ridges that descend from the bottom of the nose). In cases where lips are overdone, the balance and features of the lips is obscured by all the excess volume. This doesn’t only change the appearance of the lips at rest, it can make facial expressions seem unnatural.

This is not to say that lip augmentation should be avoided – quite the contrary. The lips are frequently overlooked in treatment of the aging face, and a flat, devolumized, or elongated upper lip can significantly detract from overall facial attractiveness. As a facial plastic and reconstructive surgeon, I treat the lips routinely with both surgical and non-surgical enhancements. Carefully placed fillers or fat grafts can make a huge difference in facial rejuvenation, and a skillfully performed lip lift can be the icing on the cake of a facelift, neck lift, or eyelid lift. The key with lips, as with most things in life, is balance.

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San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

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Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.