Surgeon-Led Specialist Clinic

Led by plastic surgeon Dr. Ayad Harb, we pride ourselves on the standard of care, quality and safety of our treatments.

Central Clinic Locations

SRGN has three state of the art clinic locations in Central London, Bicester & Ascot.

Care Quality Commission

We're regulated by the independent regulator of health and social care in England.

GMC Registered Surgeons

All of our surgeons are registered with the General Medical Council.



Lip Volume and Symmetry

Medically Reviewed April 2023, by Dr. Ayad Harb, one of the world's leading plastic surgeons

About Lip Volume and Symmetry

The allure and appeal of the lips are timeless. Serving not only as an essential functional component of our anatomy, the lips are also a central feature in facial aesthetics. They contribute significantly to our expressions, be it a smile that warms the heart or a pout that reflects contemplation. Historically and across cultures, full and symmetrical lips have often been seen as symbols of youth, vitality, and sensuality. This rich history underscores the significance of the lips in our perception of beauty and attractiveness.

The concept of beauty is deeply woven into the fabric of our society. From the portraits of ancient civilizations to modern media and pop culture, certain features have remained consistent in their representation of beauty, and lips, with their volume and symmetry, are undeniably one of them. But why do we place such importance on them?

For starters, our lips play a pivotal role in facial balance. Just as the eyes are considered the windows to the soul, the lips act as a focal point of attraction. They enhance the overall harmony of the face and can either augment or diminish the appeal of other features. Therefore, it's understandable that any perceived imbalance or loss of volume in the lips might evoke feelings of self-consciousness.

With the passage of time, as we age, our facial structures inevitably change. The lips are no exception. One of the most profound changes many individuals observe is the gradual loss of volume. This change is not just about aesthetics; it's tied to the natural decline in the production of collagen and elastin in our skin. These proteins are responsible for the firmness, elasticity, and volume of youthful skin. As their production diminishes, so does the plumpness and definition of our lips.

Environmental factors too play a part. Prolonged exposure to the sun, lifestyle habits such as smoking, and even the natural process of ageing can expedite the thinning of the lips. This thinning can sometimes be accompanied by the appearance of fine lines, further detracting from their youthful appearance.

Symmetry, while an integral part of facial aesthetics, is not about achieving perfection. In fact, perfect symmetry is a rarity in nature. When we speak of symmetry in the context of aesthetic medicine, we refer to a balance, a harmony that is pleasing to the eye. It's about ensuring that the upper and lower lips are in proportion to each other and align harmoniously with other facial features. This balance is crucial not just for aesthetic reasons but also for functional ones. For instance, asymmetry can sometimes affect speech or the manner in which we consume food.

However, the pursuit of achieving or maintaining the ideal lip volume and symmetry is not purely about vanity. For many individuals, their lips are deeply intertwined with their sense of identity and self-worth. Even subtle changes or perceived imperfections can have profound psychological implications. It might affect one's confidence, interpersonal interactions, or even mental well-being.

In conclusion, the significance of lip volume and symmetry in our perception of beauty and self-worth cannot be understated. It transcends mere aesthetics, delving into the realms of psychology, identity, and self-esteem. At SRGN, we recognize this intricate interplay and are committed to understanding and addressing the unique needs and aspirations of each individual. Through advanced treatments and a holistic approach, we strive to restore not just lip volume and symmetry but also confidence and self-assuredness.


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Types of Lip Volume and Symmetry

Volume Loss

As we journey through life, the signs of ageing become apparent in various facets of our physical appearance. One of the most notable and, often for many, distressing changes is the gradual loss of volume in the lips. This isn't just a superficial concern, for the fullness of our lips contributes substantially to our youthful visage.

The mechanisms underlying this loss of volume are multifaceted. Fundamentally, the production of natural substances in our skin, like collagen and elastin, begins to wane. These proteins, responsible for maintaining the skin's plumpness and elasticity, decline with age, environmental exposure, and certain lifestyle choices. As they do, the lips begin to thin out, often leading to a more aged appearance.

Additionally, external factors compound this process. Exposure to harmful UV rays, smoking, and even our dietary habits can accelerate this loss. Over time, this reduction in volume may not only alter the shape and fullness of the lips but can also lead to the manifestation of fine lines around the mouth, often termed 'smoker's lines' or 'lipstick lines', even if one has never smoked.

Asymmetrical Lips

Nature, in all its beauty, rarely bestows perfect symmetry. It's common for individuals to notice slight differences when comparing one side of their body to the other. When it comes to the face, these asymmetries are more noticeable, given that our facial features are central to our identity and the way we present ourselves to the world.

Lip asymmetry can manifest in various ways. For some, one half of the upper or lower lip might be fuller or more pronounced than the other. For others, the difference might lie in the curvature or the outline of the lips. This asymmetry could be a natural trait, present since birth, or develop over time due to factors like trauma, health conditions, or habits like consistent sleeping on one side.

While many minor asymmetries go unnoticed and might even add character, more pronounced imbalances can become a source of self-consciousness. They might affect one's smile, expression, or even the way they speak. It becomes not just an aesthetic concern but also a matter of functionality and emotional well-being.

Imbalance between Upper and Lower Lips

Balance is central to aesthetics. When the upper and lower lips don't align in size or shape, it can throw off the harmony of the entire face. This type of concern is different from overall lip asymmetry, as it specifically deals with the proportion between the two lips.

For instance, an individual might have a considerably fuller upper lip compared to a thinner lower lip, or vice versa. Such imbalances can arise from genetic factors, where one is naturally predisposed to have disproportionate lips. In other cases, external factors like injuries or conditions like cleft lips might contribute to this disproportion.

The implications of an imbalance between the upper and lower lips aren't confined to aesthetics. It might affect the manner in which the lips close, potentially leading to challenges with eating or speaking. Moreover, the emotional ramifications can be profound. Individuals might become wary of their appearance, leading to decreased self-confidence and potential challenges in social interactions.

Lip Volume and Symmetry Treatments

Dermal Filler

For individuals seeking a more pronounced enhancement or restoration of volume, dermal fillers have become the go-to option. Comprising biocompatible substances, these fillers are carefully injected into the lips. They provide immediate volume, redefining the lip borders and balancing any asymmetry. The beauty of dermal fillers lies in their adaptability. Depending on the substance used and the expertise of the practitioner, results can range from a discreet, natural enhancement to a more evident volumization. The effects are temporary but can last several months, allowing individuals the flexibility to maintain or modify their appearance based on their evolving preferences.


In the continuous quest for innovative treatments, Morpheus8 has emerged as a game-changer. Combining the principles of microneedling with the power of radiofrequency energy, Morpheus8 targets the deeper layers of the skin to stimulate collagen production. The lips, when subjected to this treatment, undergo a transformation over time. The increase in collagen results in enhanced volume and improved texture, making the lips appear fuller and more youthful. Unlike dermal fillers, which provide immediate results, Morpheus8 offers a more gradual and natural-looking enhancement. This makes it an excellent choice for those seeking subtle changes or those wary of more invasive procedures.

Anti-Wrinkle Injections

One of the most recognised treatments in the realm of facial aesthetics is anti-wrinkle injections. Traditionally associated with the smoothing of wrinkles and fine lines, Botox has seen a surge in its applications in recent years. When applied to the area around the lips, Botox can offer subtle alterations, commonly referred to as a 'lip flip'. This procedure involves relaxing specific muscles around the lips, leading to a slight upward rotation of the upper lip, revealing more of the lip's red portion. This treatment, when done with precision, offers a subtle enhancement, making the lips appear slightly fuller without adding volume. Moreover, Botox can correct minor asymmetries, ensuring a more harmonious alignment of the lips.

About Our Clinic

Located in the heart of Ascot, Bicester, and London, the SRGN Clinic exemplifies afusion of cutting-edge science, unparalleled skill, and an unwavering commitment to patient care. The clinic stands as a beacon of excellence in thefield of aesthetic and plastic surgery.

Leading the team at SRGN is Dr. Ayad Harb, a renowned plastic surgeon and aesthetic trainer. His expertise, honed by years of experience and a genuine passion for improving lives, defines the very core of the clinic's ethos. Dr. Harb's innovative techniques, combined with an artistic eye for detail, enable him to deliver consistently exceptional results that are tailored to each patient's individual needs and desires.

At SRGN, we believe in the transformative power of aesthetic and plastic surgery. Our treatments, ranging from non-invasive procedures to complex surgical interventions, are designed to enhance and accentuate your natural beauty. We strive to provide a safe, comfortable, and confidential environment where you can discuss your aesthetic goals openly, and together we create a treatment plan that brings these goals to life.

Every member of the SRGN team shares a deep commitment to patient care. We prioritise your comfort, safety, and satisfaction from the moment you step into our clinic. Each of our facilities mirrors the luxury and tranquility of their surroundings, offering a serene space where you can embark on your journey to self-improvement.

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