Fat Graft After Silicon Injection to the Lips?

I am a big fan of fat grafting, and a big critic of fat in the lips.  That's because fat is really good to provide volume, but is more difficult to provide definition.  The result of that combination in the lips is a sausage-like appearance.  A few Hollywood examples point this out.  However the cheek idea is great, and I expect that you would get a natural, balanced, permanent result. Lips are too delicate and mobile to just add volume, either with fat or... more

Silicone injection as a filler should not be used. It is not FDA approved as a filler. It's only use is for detached retina. As a filler silicone will form silicone granulomas and can migrate. Fat trasfer is long lastingand is superior as a filler. Fat injection is technique dependant and some of it may absorb, thus requiring another fat injection. Your Plastic surgeon need to be comfortable adding fat to lips where silicone was injected.

In my hands, fat injections do not last long in the upper lip and that is related to the amount of movement that our lips experience during eating and speech.  I have seen, though, a patient treated elsewhere, who was very unhappy with their very full lips from fat injections, and their surgeon might have injected the actual muscle of the lip. This is known to increase the chance of the fat cells to live in their new environment, but it is not easy to correct.  Silicone has... more