What are my choices when it comes to lip imlants that are permanent.
Lip Implant Options
Doctor Answers (6)
Permanent Lip Implants
- Surgisil Perma implants- made of a very soft solid silicone, they are soft, pliable, natural looking and pass the "kiss" test. They just don't ever give you a duck-like look as long as the size is chosen carefully. They are permanent and well tolerated. If someone ever becomes unhappy with the results they are easy to remove. The procedure can be done in the office with just local anesthesia.
- SMAS implant- this can be done only at the time of a facelift when SMAS is harvested as part of a SMAS imbrication. The results are again soft, natural, pliable, permanent and also pass the "kiss" test.
Other options are either unnatural and stiff (gortex) or not permanent (alloderm). Verafil saline implants are no longer available and other saline implants look stiff.
Lip implants are composed of numerous materials.
The latest trend tends to incorporate PTFE or commonly referred to as Gortex.
A relatively new device composed of multiple technologies is called the FulFil lip implant by Juva Medical and is a saline filled silicone "balloon" (shaped like a mini cigar) that is covered by sleeve of Gortex like material.
Other implants for the lips include various shapes and constructs of gortex like material that are single stranded, hollow tubes (similar to mini foam pool noodles) or multistrand devices that look like a bunch of strands bundled together at either end but free over the central part to allow movement and suppleness).
In general, these are not widely popular and due to the frequent movement and trauma to the lips, it is very common for these to be removed due to exposure, palpability, visibility, or mechanical failure.
Some practioners utilize Silikon 1000 in an off label fashion to permanently augment the lips. Make sure your physican uses the micro-droplet technique which may take up to 10 visits to get the same result you would get in 1 session of Restylane.
Artefill was one permanent filler but the status of this is unknown as the parent company Artes Medical recently declared bankruptcy.
Other permanent fillers from Europe are being evaluated by the FDA and may be available in the following year for permanent fillers.
However, please remember the old saying: "a permanent filler can cause a permanent problem.
I hope this helps!
Permanent Lip Implant Options
For longer lasting enhancement, there are two options: fat transfer or an AlloDerm graft. The fat transfer process uses fat taken from another region of the patient's bodyuses the patient's own fat from another area of the body and it is re-injected evenly into the lips for a natural, complication free enhancement. There are no allergic reactions involved. An AlloDerm graft is like a lattice structure that lets vines grow in your garden. It is a piece of skin that has been stripped of its living cells; all that is left is a soft, collagen structure. The collagen structure is inserted into the lip where it allows the patient's own cells to attach and grow, which provides the enhancement. The graft is placed easily through small, inconspicuous incisions in the corners of the mouth. The result is a very natural look and feel for long term enhancement. Because both AlloDerm and fat transfer use human tissue for enhancement, there is no chance of inflammation or an allergic reaction.
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In my practice, we have the best results with Perma Lip. The implants feel natural, and do pass the "kiss" test. The procedure can be perfomed in the office using a dental block. This surgery makes happy patients.
There are many different ways to augment the lips. Some use fillers like restylane or juvederm. Some use autologous fat. Some use AlloDerm. Some use fascia. Some have used gortex ( not usually anymore) Each has its own unique problems.
There are many different kinds of implants
There are many different kinds of lip implants ranging from silicone to saline (with silicone or gortex shell) to alloderm-type products (dermis). Please be cautious before having a lip implant placed. If you have never had temporary dermal fillers before, I would recommend that first to make sure you like the look before committing yourself to the implant. Good luck.
Web reference: http://www.RealPlasticSurgery.com
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.
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