Courtesy of Dr. Ladie Christine Araña-Domonidon

Cosmetic surgery — including minimally invasive procedures such as lip fillers — are on the rise, and clients have a lot of choices.

According to a 2019 Market Research Report, the global lip augmentation market was valued at $2.2 billion and is expected to grow at a compound annual growth rate of 9.5 percent from 2020 to 2027.

As lip fillers are becoming more popular, we talked to Dr. Ladie Christine Araña-Domondon of Concordia Star Medical Aesthetics to learn more. Widely known for her approach of “combining artistic talent with medical expertise,” Araña-Domondon has been in practice for more than 25 years. For the past eight years, she has done aesthetics out of her Puyallup-based practice. Araña-Domondon was recently voted by readers as the Best of the South Sound doctor in the 2021 readers’ poll.

There are a few different kinds of lip fillers, but Restylane and Juvéderm are the most popular, according to the doctor.

Restylane is made of hyaluronic acid (HA), a natural substance in the body. HA is a hydrophilic substance, meaning it attracts moisture. As we age, our bodies tend to produce less of this substance, and thus parts of our bodies (like our lips) start to thin out and look less defined.

Restylane is formulated to give lips fullness and definition and provides natural-looking results with just one treatment that can last about a year, she said.

Juvéderm also is an injectable dermal filler for lips that is made of hyaluronic acid. Like Restylane, it’s designed to retain moisture. Juvéderm dermal fillers add fullness and volume to lips. Results from Juvéderm lip fillers last about eight to 12 months.

Araña-Domondon said every lip is different, and the type of filler chosen depends on the patient. There are many choices and new products hitting the market, including RHA or Resilient Hyaluronic Acid, yet another filler to consider.

The most popular lip fillers cost about $750. Araña-Domondon said when pricing lip fillers, make sure to note whether the price is based on half a syringe or a whole syringe. “One syringe is 1 milliliter. Don’t pay for half of a syringe; it’s not worth it,” she said. How much you’ll need will depend on your goals.

Finding the right doctor also is important when considering lip injections.

“Practice makes perfect. Every lip is different, and no one technique works for all lips. Try to find a doctor who’s been doing this for several years, and ask what kinds of techniques they use,” she said.

Lip filler injections are not usually painful. Your physician might use anesthetic measures such as ice packs and numbing creams to reduce any discomfort, Araña-Domondon said.

For Araña-Domondon, helping people achieve their lip goals has been extremely rewarding, saying her clients feel happier and more confident in their appearance.

Connect with Dr. Araña-Domondon at, and check out the business’ Instagram feed for before and after photos.