For some time the trend with lips has been the bigger the better! Well, that is not the case anymore. Sure, we all want volume in our lips. But, we want our lips to look natural and beautiful. Notice the keyword, NATURAL! Big lips that cover too much and conceal the upper teeth are not […]

Beautiful faces come in all shapes and sizes, but there are common traits. And, with continued awareness of and attention paid to facial aesthetics, different facial features come into focus. Right now, the Philtrum is on everybody’s lips. If you follow the buzz, you’ll know that a short distance between the nose and the upper lip, is a hot topic these days. The […]

Botched co-star Paul Nassif wrote to Dr. Spiegel this weekend “every surgeon in my office is now doing rhinoplasties with lip lift because of You”. Good doctors do well for their patients, exceptional doctors do exceptional work for their patients and for the future. As we approach Valentine’s Day it makes me think, appreciate and […]

After 20 years of lecturing and teaching other surgeons about lip lifting, the word has finally gotten out and more and more people are aware that longer lips look older and more masculine. Lip lifting is the answer for most people, but, there isn’t a one size fits all lip lift! Let’s look at the […]

There is an unseemly and unpleasant expression that some people use to describe themselves. It’s initials are “RBF” and it stands for Resting B*tch Face. This is an unkind statement, but the underlying sentiment is understandable. Some people feel happy, pleasant, and upbeat but understand that their faces present an angry, disgruntled expression even when […]

Gravity is a powerful force. What goes up, must come down, right? Well, even things that started up must come down and that includes your face, breasts, arm skin, jowls, and upper lip. Everyone speaks about fullness in the lips, and I have too (in another blog). But, for a very sophisticated analysis of upper […]

If you follow the nearest trends in fillers by lipandlattes, Lipsbysivan, juliehornelips, and Boston area lipbunny, Botox_fairy, nursefiona and GFaceMD, then you know lips are in! But, is the bigger the better? Well, not always! Large luscious lips are sexy as long as you can still see the upper teeth. (There you have it! That’s […]

Here is what people want to know–What does maintenance look like after you’ve had fillers and Botox?  For fillers, it’s about every four to six months needing just a little touch up. Once you’re happy with your results, to maintain them every six months, you need about half of what we started out with, since […]

People ask me, “What’s the difference between fillers and Botulinum like Botox ®, Dysport®, Jeuveau® and Xeomin®?” The answer is simple–Fillers fill in loss of space. As we get older, we get more cavities around our face. We lose fascia, we lose fat, we even lose some bone. Those fillers “fill in” so we look […]

Check out this recent video with Dr. Onir Spiegel giving a patient those beautiful lush plump lips.