Sherly Soleiman, MD

After earning her medical degree from Loma Linda University and performing a three-year residency at the University of California Irvine, Dr. Sherly Soleiman opened Cosmetic Injectables Center in 2008. She works as an investigator with companies like Allergan (the makers of Botox, Juvéderm, Voluma, Latisse and Kybella) and Merz (the makers of Radiesse, Belotero and Xeomin), keeping her at the forefront of new developments, techniques and products in the field of nonsurgical cosmetic procedures. The team at Cosmetic Injectables Center specializes in noninvasive and minimally invasive procedures to rejuvenate and enhance aesthetic features for their patients.

What is your most popular LIP filler procedure?

“Mild to moderate lip enhancements are currently the most popular filler treatments requested. Our techniques have become much more advanced and fine-tuned, so outcomes are more natural looking and less likely to move into unintended areas.”

How is it different from before, and what are the best techniques?

“As advanced injectors in the field, we noticed that many fillers known for their longevity and voluminous results tended to attract water and expand in the longer term, causing rounded lip borders instead of a properly positioned, natural-looking, narrow, defined lip border. Cannula, which was advocated for use due to less pain and higher safety profile, appears to place the fillers deeper—resulting in closer vicinity to the vasculature (hence making the safety profile controversial) and more likely to move. Our advanced injectors have now adopted a modified approach, individualizing lip enhancement using different techniques to establish the most natural-looking results in a safer manner.”

Are they removable?

“FDA-approved hyaluronic acid fillers in the U.S. are currently all reversible within minutes or hours by injecting an enzyme called hyaluronidase. This is a safe product that also exists naturally in our bodies and keeps our innate levels of hyaluronic acid within the norm.”

Does it look natural?

“When the correct product is used with the right individualized technique and in the appropriate amount, the resulting lip shape and texture will appear beautifully hydrated and too natural for people to notice. Only the ones with poor results or an extra-large size stand out, which creates a bad reputation for lip enhancement procedures. The answer isn’t to be afraid of the procedure, but find the right injector who is experienced and knowledgeable about the different techniques and products, and who will listen to your desire for your final result.”

What is a lip flip, and how is that different from fillers?

“The lip flip procedure refers to the use of Botox to relax the orbicularis oris. This muscle is normally responsible for pursing the lips and turning the lips inward, which in the long term can contribute to lipstick lines and thinning of the lips. With very few units, lips can be positioned in a more relaxed shape and appear fuller by turning out. This prevents the development of smoker lines as well. The lip flip can be used alone or as an adjunct to lip fillers.”

How does being a female impact your business?

“While these procedures are gaining more popularity among men, the majority of my patients are still female. Being a woman myself helps me relate and understand the impact that even small facial changes have for a woman. That gives me empathy and the patience needed to pay close attention and fine-tune results toward perfection.”

What should I look for in choosing a provider?

“The most important factor is experience. This investment isn’t like buying a purse or art supplies. It’s investing in an artist to individualize the best, most natural-looking enhancement for each face—and to also be medically knowledgeable, as all bodies can react differently. Medical complications can happen. After thousands of good and bad results and both upset and happy patients, an experienced provider can predict and avoid undesired outcomes. Experience allows better hand-eye coordination. 

It takes an extreme amount of hand control and developed intuition, detail and skill to be able to administer a single thread of injection. The provider needs to monitor the patient’s comfort level and the size and shape of enhancement being created; look for skin changes to prevent complications; and monitor the look and feel of the plunger that is being pressed. Sometimes the injection is 1/10 of a drop, and the plunger shouldn’t move at all. The provider should be able to modify the pressure on the plunger and change direction of the needle possibly multiple times in the same single injection, depending on the location and depth of the needle—especially in the dynamic lips. While all this is happening, the injector should concurrently look at the measurement bars on the syringe to help ensure even placement on the other side. 

Having seen the long-term effects of each product is also important. This helps the provider predict how it will behave weeks and months later by choosing the correct product for each strand/area. At our office, every injector is advanced, skilled and experienced. With ongoing classes and meetings, our providers ensure the absolute best, most natural-looking results available.”