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How long does Alloderm lip augmentation last?

I am tired of getting injections every three months; what is the best long-term solution? What are the pros and cons of using Alloderm?

Doctor Answers 10

Alloderm Makes A Great Lip Augmentation If Done Correctly

I use Alloderm for my long term lip augmentations, and also in the glabellar region of the forehead (the area just above the nose between the eyebrows).  The trick to having Alloderm last 5 years or more is to use the thickest piece, don't fold it, don't put any stitches in it.  The process that eats up dissolvable stitches will unfortunately also eat up the Alloderm.  You make an incision at either end of the lip in an area known as the commisure, and then use a tendon passer to position the Alloderm in whatever area of the lip you desire.

Some of the patients in whom I placed Alloderm over 10 years ago still have Alloderm present in their lips. 

The pros of Alloderm are obvious.  It lasts a very long time if done correctly and it is a quick surgery which can be done under local.  The cons are that it is relatively pricey, and if not done correctly, can dissolve much quicker than you want it to.

Using a an old scar for donor tissue to the lip

I believe that hyaluronic acid facial fillers such as Juvederm or Restylane give the best results, but are not permanent.  Other options to ask about include fat grafting and using your own skin.  If a patient has a previous scar, I will excise the scar and remove the epithelial layer and place that in the lip.  It avoids the cost of alloderm and it is your own tissue rather than cadaver tissue.  

Michael McClure, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 4 reviews

Lip augmentation

Alloderm is no longer the first choice for soft tissue augmentation the lips. Instead, opt for a hyaluronic acid facial filler such as Juvederm or Restylane. 

Best, 

Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 64 reviews

Alloderm longevity in lip augmentation

Alloderm can last from 1 to 5 years in lip augmentation.  A single piece of thick Alloderm is optimal and can be placed in both the  upper and lower lips with a single incision at the corner of the mouth. The muscle surrounding the lips called the orbicularis oris muscle must be sutured to prevent migration of the Alloderm. Great care must be taken not to put stitches in the Alloderm itself. Alloderm tends to cause an inflammatory reaction in the lips which subsequently tend to be more swollen compared to using permanent silicone lip implants (Permalip).  Permalip lips implants when placed properly give a very smooth aesthetic contour to the upper and lower lips and are permanent and there is a very minimal inflammatory reaction and the patient's recovery tends to be quicker than when using Alloderm. They are FDA approved for facial implantation. Personally, I have had better results with Permalip versus Alloderm. 

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
5.0 out of 5 stars 37 reviews

Last a very long time

AlloDerm is essentially cadaver skin minus any living cells.  It is used as a scaffold through which a persons living cells can grow into.  It has many uses, but, in use his in breast reconstruction.  AlloDerm does not help in mastectomy recovery.  It does however help in breast reconstruction. In this application, AlloDerm was used to cover the lower portion of an implant that spans from the lower border of the pectoralis muscle to the breast fold.  Because AlloDerm is a foreign substance in can always get infected and as such your doctor and you need to pay close attention to the signs and symptoms.  AlloDerm has also been used in nipple augmentation as well as augmentation of other body parts.  Its efficacy is really not known in these realms because it is not common.  Some providers may use AlloDerm for these applications but please note that its most widespread use is particularly in breast reconstruction as well as repair for abdominal wall hernias.  Please speak with a board certified plastic surgeon if you have any specific concerns regarding your care.

Alloderm Lip Augmentation

There are a variety of benefits associated with Alloderm lip augmentation. Because Alloderm lip augmentation uses human tissues that don't have to be extracted from the patient's own body, there is only one area that will require healing rather than two. Alloderm lip augmentation results in a soft supple boost to the volume and size of the lips. You can also generally expect fast and complete healing and superior functional and reconstructive outcomes. Alloderm lip augmentation results can last anywhere between two to five years or longer depending on the surgery and the patient.

Alloderm for lip augmentation

  I have used Alloderm implants for lip augmentation to give a longer results than the HA fillers.  But I prefer Silikon 1000 which is truly wonderful, and have also had good luck with the Perma Facial Implant.  Good luck!

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
5.0 out of 5 stars 71 reviews

Alloderm lip augmentation

It does have a longer result than hyaluronic acids but does resorb over time.  Drawbacks are the cost of the product.  Another option is utilizing SMAS tissue from a mini face lift

What is the best long term solution for lip augmentation?

Alloderm is effective in long lasting lip augmentation, however, I don't like to use this product in the lips because it becomes part of the lip tissue and is impossible to remove later if the patient doesn't like it.  For my patients, I much prefer to use a silicone product called Perma Lip Facial Implant.  This has been thoroughly tested and is very effective for long term lip augmentation.  It is permanent, but can be removed if the patient no longer wants the implant later in life.  It comes in various sizes and the proper size can be selected based on the patient's desires.  The implant is very soft and not palpable in the lip.  For luscious, perfectly kissable lips ask your surgeon about Perma Lip. (usually costs $1800-2000 for both upper and lower lips and is performed in the office)

Erez Sternberg, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 25 reviews

How long does alloderm Lip augmentation last?

 I have performed many Lip Augmentations with Alloderm (sheets, not the injectible form) and wrote a scientific paper on Alloderm compared to other types of Lip Augmentation materials.  Alloderm lip implants last about 7 years but are softer and more supple, IMHO than other lip implants made of silasrtic or saline filled bags.  IMO, Alloderm Lip Implants are the gold standard by which all other lip augmentation materials should be judged.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.