Permanent Lip Fillers: Silicone, Fat Grafting, Implantable Lip Augmentation

There are many options for every procedure, including permanent lip augmentation.  However, the real question is whether any of these should be performed.  Just because a treatment is available does not mean that it is a practical solution to the problem.

In general, you should not consider permanent lip augmentation.  Let me repeat...do not even consider permanent lip augmentation for the following reasons:

• Your lips will change as you age and this permanency may not look harmonious in the context of an aging lip.  Think 20 years from now with an aged lip on the outside with an artificial filler that cannot be removed on the inside.
• The lips are dynamic and constantly move.  This may alter the pattern of the lip fillers in the future.
• There is no reversal of permanent injectable fillers.

I conduct a clinic for patients with silicone injections on their face.  Just speak to any one of these patients who have had their lives practically destroyed by complications associated with permanent fillers and you will understand the reasons not to do them.

Finally, just because a company touts a new type of filler, you should do your homework.  Practically speaking, permanent fillers are not advisable.

You are like most people who love the way their lips look but don't want the repetitive pain and expense of temporary fillers.  Lip implants are the way to go. I've done a lot and they do really nice.  Advanta Atrium implants run $1500 per lip while Verafil implants run $2000 per lip.  The difference is that Verafil is a saline fluid filled implant that is softer because of the fluid in it.  Both are permanent and both are easy to put in under local anesthesia  and both are reversible or easily removed .  

The implants look natural and are much better than the Silicone or Artecol/Artefill injectibles which can get lumpy bumpy and cause problems down the line.  Fat injections have been done for many years but tend to last about 6-12 months, make you look like Donald Duck, and tend to look uneven or lumpy when the fat starts to dissolve away.

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