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As a general rule we would like the bottom lip to be one and a half times the size of the upper lip (or 40/60, upper to lower lip), though we can create other proportions, if the patient requests (a lip ratio of 1:1 is more popular in Latin America, and can create a beautiful, natural lip profile for many patients)

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Techniques to Reduce Injection Pain and Anxiety Pinching the skin to create a lifted fold before insertion may sound counterintuitive, but it straightens the tissue plane and creates a smoother path for the needle