Gortex or silicone implant to augment philtrum?

I would like my philtrum in between my nose and mouth augmented should I use a gortex implant or a silicone implant? What are the risks? It doesn't seem to be a common procedure.

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8 answers to “Gortex or silicone implant to...”

A: Upper lip augmenation

Steven Wallach, MD

 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.

A: Silicone implant to base of nose can be very attractive.

George J. Beraka, MD

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... more

A: Many Options For Lip Rejuvenation

D.J. Verret, MD

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... more

A: Implants to the Philtrum: Don't do it!

Stephen Prendiville, MD

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.

A: Implants to the philtrum can have a dramatic effect on the upper lip

Scott Trimas, MD

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... more

A: Philtrum (upper lip) Augmentation?

Peter A. Aldea, MD

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... more

A: Gortex or silicone to Philtrum

Theodore Katz, MD

I for one would avoid any form of implant to this very delicate region with a high risk of poor cosmetic outcome.  Fillers are a good alternative with more predictable results in experienced hands.

A: Philtral lip lifts

Otto Joseph Placik, MD

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.

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