Do you aspirate when doing Russian lips?

Author: Ms. Augustine Gottlieb DVM  |  Last update: Wednesday, December 17, 2025

YES aspirate to check your depth but it's still not going to be 100% accurate. As soon as you move that needle and deposit filler you could pull back through an artery and there you are thinking you are safe just because you aspirated before you deposited a linear thread pulling out.

Do you aspirate with lip fillers?

Aspiration is a tool that can be used when injecting dermal filler, but assessment of safety cannot be reduced to the idea that an injector who aspirates equals a safe injector. At Derma Medical we encourage a range of clinical tools to maximise safety whilst delivering the best aesthetic outcomes.

Should you aspirate with skin boosters?

All experienced clinicians in the industry should all aspirate. Not every trainer teachers their students this and we feel it is very important. This is because Dermal filler is the main culprit responsible for the risk of Vascular Occlusions; also known as a VO.

How to inject Russian lips?

The Russian lip filler technique concentrates the filler into the upper body of the lips, fanning vertically inwards from corners of the lip towards the cupid's bow in what's known as 'tenting'. The injector will begin at the inject downwards from the lip border.

Do you need to aspirate when using a cannula?

You can aspirate with a cannula should you wish to do so. However, if you consider the factors above, this is even less likely to yield a positive aspirate than a needle. Non-invasive ultrasound is increasingly being used to avoid vascular injury before needle placement.

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Do you aspirate with Russian lips?

YES aspirate to check your depth but it's still not going to be 100% accurate. As soon as you move that needle and deposit filler you could pull back through an artery and there you are thinking you are safe just because you aspirated before you deposited a linear thread pulling out.

Which injections require aspiration?

Aspiration is most commonly performed during an intramuscular (IM) or subcutaneous (SC) injection, and is meant to ensure that the needle tip is located at the desired site, and has not accidentally punctured a blood vessel.

Can you do Russian lips with cannula?

Apart from the technical differences explained above, the procedure is essentially the same for the patient: Numbing cream. The icing of the lips. Injection of the lip filler with the help of a needle or cannula.

How many ml for Russian lips?

0.5 ml: A very subtle enhancement, ideal for a conservative first-time experience. 1 ml: The gold standard for a balanced look, offering noticeable but natural results. 2 ml: For people who want a more noticeable change.

How painful are Russian lip fillers?

Whilst most clients have shared that the treatment does not hurt any more than the classic lip, the Russian technique does risk significantly more bruising and swelling. Results should settle fully after 2 weeks and both techniques share the same longevity.

Is aspirating necessary?

It states that aspiration is not necessary for IM injections because the recommended anatomic sites for IM injections do not contain major blood vessels and it may increase pain when paired with slow injection. Rapid injection without aspiration is thus recommended to reduce pain in children undergoing IM vaccination.

Can skin booster injections go wrong?

Yes, it is possible to have an allergic reaction to skin boosters. If you have any history of allergic reactions, you should discuss this with your practitioner before your treatment.

How far to pull back when aspirating?

Aspirate the Needle – Next, it's time to aspirate the needle. With the needle inside the patient's body, instead of pushing the plunger down to inject the substance, you should instead pull the syringe back a little for up to 10 seconds and watch for any sign of blood.

Where not to inject lip filler?

Be Aware of Danger Zones: Areas such as the lateral lip area, lip liner, philtrum columns, orbicularis oris muscle, and the septum between the nose and upper lip are high-risk zones. Injecting fillers in these areas can lead to complications like vascular occlusion.

Do you need to aspirate with skin boosters?

What is aspiration? This is only relevant for dermal fillers rather than Botox or sometimes with skin boosters and different depths and refers to fixing our needle in the position we are about to inject, pulling back on the plunger of the syringe and ensuring no blood has pulled back into the syringe.

What happens if you inject lip filler too deep?

Injecting at the “blanket” level requires not just an understanding of lip anatomy, but also skill in the technique. It's a balancing act – too superficial, and the filler may be visible or migrate; too deep, and there's risk of vascular complications.

Where to inject for Russian lips?

What Are Common Areas for Russian Lip Filler Application?
  • Upper and Lower Lip: Enhancing overall lip volume and height.
  • Cupid's Bow: Creating a more pronounced and attractive central lip curve.
  • Vermilion Border: Defining the outer edges for a more contoured look.

Does Russian lip filler look more natural?

Russian lips have become an increasingly popular lift treatment because of its natural-looking result and beauty. Unlike other enhancement lips technique, the lip augmentation is designed to create a more defined and lifted appearance, rather than just adding volume.

Is 2 ml too much lip filler?

In fact, 1ml is often the recommended amount for individuals seeking a natural-looking enhancement. For those with naturally thin lips or those looking for a more subtle change, 0.5ml may be sufficient. On the other hand, those desiring a more dramatic transformation may opt for 2ml or more.

What are the risks of Russian lip fillers?

The Risks
  • Normal swelling may be experienced but typically subsides after a few days.
  • Bruises may appear at the injection site but usually disappear in a few days.
  • Some individuals may have an allergic reaction to the ingredients used in the filler.
  • Incorrect injection techniques may result in a lumpy or uneven look.

What filler is best for Russian lips?

REVOLAX Fine is the most lightweight filler within the REVOLAX range and is seemingly a popular option for practitioners offering Russian lips. Due to Fine's lightweight and high-viscoelasticity properties, the product quickly absorbs into the lips to create a natural overall finish.

How much do Russian lip fillers cost?

The average cost of Russian lip fillers falls somewhere between $700 to $1500 per treatment session. Since Russian lip fillers require a more precise application, some patients are required to spend a little bit more for this treatment than traditional lip fillers.

Do you aspirate when injecting lips?

Doubtful. Most aspirations will have moved needle position enough to be at risk of being in a vessel at the end of aspiration. A belief in aspiration would dictate this to be true and would need to be repeated at every injection point. Using lips as an example, this appears unworkable.

Why is aspiration no longer recommended?

Indeed, several randomised controlled studies have found that aspiration prior to intramuscular injection can lead to increased pain in children.

Which of the following does not require aspiration with giving an injection?

SC injections do not need to be aspirated as the likelihood of injecting into a blood vessel is small.

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