Gortex or Silicone Implant to Augment Philtrum?

 I would avoid any permanent prosthesis in this area.  You may be better off with a filler such as restylane or hyaluronic acid. The permanent implants may limit normal animation.  If you do  not like the result, the filler will go away after several months.

Hi! As you can see, there is no consensus about this. In my experience, when the base of the nose (what you are calling the philtrum) is sunken, it really detracts from the attractiveness of the face. In carefully selected patients, we put in a small silicone implant through the mouth, and it makes a nice difference. We sometimes do this together with a mid facelift.

Greetings Sillano, It is interesting that you are looking at philtral implants. Upper lip aging is a complicated process which involves loss of red show, loss of the natural curves slope of the lip, and loss of the philtral columns. Replacing of the philtral columns can be accomplished with temporary fillers, such as the hyaluronic acid products Juvederm and Restylane, or with permanent implants as you mentioned. You will not find a consensus on which is better. The procedure is not... more

My answer is neither.  If you want to have augmentation of the philtrum, consider a hyaluronic acid based filler like Juvederm or Restylane.  The mobility of this portion of the lip makes permanent implants less practical.

Implants to the philtrum can have a dramatic effect on the upper lip. I have used both types of solid implants over the years and my preference for augmentation of the philtrum is goretex since it is softer and can be threaded into the two philtral crests augmenting that area with a small needle. I have published the technique many years ago and you could probably find it through google search engine. That being said most patients prefer a filler to augment that area especially since... more

The Philtrum (aka infranasal depression), the continuously diverging columns separated by a gentle depression, between the nose and the mid upper lip, is a VERY important structure which imparts sensuality to the face and lip more than a mere lip augmentation. In my opinion, throwing in an implant is a mistake. Not only because of the usual complication seen with implants (infection, scarring, palpability, rotation, warping and eventual exposure) but because an implant cannot perform the... more

SEE VIDEO BELOW: This is not a commonly requested procedure and I am not sure that there are specific implants for this procedures. Lip lifts are commonly performed for this and gortex sutures are placed in "non-surgical lip lifts" but that is the majority of my knowledge in this regard. see video