Her bombshell good looks helped make her one of the biggest pin-ups of the 60s and 70s but last week former Bond girl, Britt Ekland, 73, expressed regret about a botched procedure on her upper lips.
‘I did a terrible thing,’ they put a lot of stuff in my lips and it destroyed my face.”
“Now I’ve taken it away – they give you injections to melt it – I still have a bit, but I’ve had to live with newspapers printing horrible pictures of me saying, ‘Oh God, look at Britt Ekland. Why did she do this?'”
The Swedish actress, who had the procedure over twenty years ago, joins a growing list of celebrities, who have overdone the filler and ended up with – what is every cosmetic doctor’s nightmare – the dreaded duck lip or trout pout, a result from overfilling the lips.
Celeb  ‘victims ‘ of the daffy look are too numerous to mention –remember Melanie Griffith, Meg Ryan and Leslie Ash’s botched lip implants   – so it’s no wonder that lip augmentation gets a bad rap.  
Over inflated mouths usually happens for two reasons through inexperienced or unqualified injectors who do not know what they are doing and who are not using the correct dermal filler or, through choice as some women are prepared to try and spend anything in pursuit of the perfect pout.
During the past decade, the size and shape of our lips has become one of the defining markers of beauty. In fact, women from all ethnic and social backgrounds across the world have applied cosmetics to define or alter the appearance of their lips since the Stone Age. Back in the 1940s Marlene Dietrich started the trend for a full top lip which then was artfully created using lip pencil and lipstick. Fast-forward to 2016 and Kyle Jenner’s full upper and lower lip has spawned another craze for a full pouting lip look, a trend we’d like to reverse.
We recently saw a patient who wanted Kyle-style lips and had been over injected by an inexperienced beauty therapist leaving her with lumps all over her lips and inside the mouth. The correction was an expensive and a long and painful process using a special injectable called hyaluronidase which dissolves the filler. She was lucky. Over-inflation of the lips is often temporary if hyaluronic fillers are used, but the swelling can be a permanent problem if synthetic substances or permanent dermal fillers are used. Scar tissue can form around them, making the procedure impossible to reverse.
But the dreaded trout pout is not an inevitable consequence of having your lips done. A lip procedure carried out by a good cosmetic doctor can work wonders on the ageing face.
Here are our insider tips on what you should know before getting lip fillers and how to prevent any pitfalls.
* Lip augmentation will cost from £200 to £500 and last around four to six months so maintaining that full pout can be an expensive process
*As we age, lips tend to flatten out, lose their cupid’s-bow and become longer. The base of the nasal area between the end of the nose and the top of the lip can almost disappear so a lip procedure in an older woman should be about re-establishing shape and correcting problems like lipstick bleeding and lines above the lips. A good cosmetic doctor will work with what you’ve got to make you look better – not worse.
*The key to a great result is knowing where to place the filler and getting the proportions right is crucial. The perfect lips should be well defined with a nice curve and the lower lip about a third thicker than the upper lip. The lower lip should also be slightly longer than the top, and the outer corners should turn slightly upwards or at least be straight. In the aesthetic word we also look at lip height, the distance between the nose and the upper lip and the perfect measurement is between 18 and 20 millimeters while the distance from the lower lip border to the chin should be twice as large, from 36-40 mm. The upper lip should also be smooth and line free.
* A less is more philosophy should be used so that lips don’t look overstretched and overdone.  Most doctors will use 0.5 ml in the lips. Just a little dermal filler in the corners of the mouth for instance can give great results without over plumping Full lips on an older woman can look odd. The end result is dependent on the skill of the injector so do ensure you go to a reputable clinic who are experienced in lip augmentation.
*Always ask your practitioner exactly what is inside the syringe and why it was chosen. There are many different injectable fillers but the safest and most natural ones are non-permanent and made of   hyaluronic acid, (HA) a sugar that’s naturally occurring in the body and can hold 1,000 times its weight in water, such as Restylane Lipp, Juvederm and Teosyal Kiss. Most HA fillers last about four to six months and will dissolve naturally. Never use permanent filler in your lips – you could end up with a permanent problem.
* You can completely erase HA fillers if you don’t like how your lips turn out for whatever reason. Because HA is not permanent, your doctor can inject an eraser enzyme called hyaluronidase. The enzyme will dissolve the filler in five minutes if you’re unhappy with the initial results.
. *Ten days prior to an injectable lip procedure, avoid painkillers such as aspirin, fish oil, and Vitamin E, which tend to thin the blood. Thinner blood will make the area more prone to bruising and bleeding. If you are prone to cold sores, tell your doctor as injections may trigger an outbreak  – he will prescribe medication to take prior to the procedure
* After the procedure lips will be a little swollen at first, but you’ll see the effects of the fillers immediately. Lips should settle within 24 hours though there may be some bruising which can take up to a week to disappear. If done correctly, the lips shouldn’t feel any different than real lips – even when kissing or eating!
*The actual procedure takes around 15 minutes and is not painful, as most doctors will use a dental block or topical anaesthetic to numb the lips.  Afterward, the doctor should gently massage the lips to make sure the filler is evenly dispersed and then use ice to reduce swelling or bruising. ,
*Avoid exercising on the day of the procedure and any activities that increase blood flow to your face, like getting a massage or a facial.
*After the filler has dissolved your lips will return to their original state.  However, HA has been proven to jump-start more HA production at the site of the injection, so your lips may be a little plumper thanks to the previous injections.
There are an amazing variety of topical lip plumpers and glosses on the market all claiming to boost volume and give an instant beestung look. The secret ingredient in nearly all these products is capsicum, the active ingredient in peppers which when applied to the lips causes the blood vessels to dilate, causing temporary redness and swelling. Other ingredients which have the same effect include peppermint, ginger, chili pepper, Cinnamon leaf oil menthol and campor. They need to be applied several times a day as the swelling will only last for around two hours But be careful if using undiluted essential oils on bare skin – always spot test for a reaction before applying to lips.
Try Lip Fusion XXL a lip volumiser containing Caffeine and Niacin which offers fuller smoother lips for up to four hours  £39.50 from Space NK. Murad Rapid Collagen Infusion for Lips is designed specifically to help plump lips and keep them soft £22. Murad.co.uk
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