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I Was Given the Wrong Size Permalip Implant, Now What? (photo)

I wanted fuller lips with a larger cupids bow, so I decided on permalip implants. I asked for the largest size, but was given the medium size. The surgeon said according to his notes, I had asked for the size I have but he didnt show me the notes when I asked. He said he would swap them though, but not give me my money back. But he said I would have to wait a couple months first, because they could look different if I wait and they need to "settle". Is this true and is he being reasonable?

Doctor Answers (5)

Unhappy lips.

+2

Unfortunately the 3 sizes made by Permalip can be ordered with different lengths for different lip lengths, but the small size is to small to make much, if any, difference in the volume of the lip(s). Most women go with the large size and many wish that the company would make larger sizes. I would not recommend putting two implants in a lip as they can roll over each other during lip movement, i.e. kissing. I think that  Permalip implants are a great idea and I do not plan on using fillers or fat for lip augmentation ever again. Waiting a month or two for post operative swelling to go down is reasonable. Remember also that 'Cupid's Bow' is the graceful line of your upper lip and that putting a 'filler' in you lip is not going to change the basic shape of this line. Breast implants are only fillers and do not change the basic shape of your breast, that is done by a mastopexy. There are other surgical methods to create a 'Cupid's Bow". 


Atlanta Plastic Surgeon
5.0 out of 5 stars 25 reviews

Wrong size in implants with permalip and how long should I wait

+2

Sometimes being conservative is a prudent approach. If have the medium size and want bigger, it is not very difficult to change them. The risks are low as well. But I would wait at least 2 months. You could change them earlier after most of the swelling, redness and tenderness has subsided

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

Lip implant size?

+1
Once the swelling resolves over a few months post procedure, you can have the implants changed to a larger size, if you wish. You can also use injectable fillers further augment the lips in addition to the implants, but this would not be a permanent solution, but may help confirm your desire to be bigger, or not.

Todd C. Case, MD
Tucson Plastic Surgeon
5.0 out of 5 stars 29 reviews

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Lip implants can be custum fit for almost anyone.

+1

If you feel you still want fuller lips, then you can add another implant to your lips without removing the original implant.  They are stackable except the saline filled ones such as fullfill/verafill. I would wait 2 months minimum before adding or replacing the implants so the swelling in the lips settles enough to be able to fine tune the results the best.  Unfortunately, there are no quarentees in medicine. If you want a larger lip, then there is a charge for the 2nd implant whether switched out or just added and there never is a refund. We as surgeons make the determination as to what is considered the largest size for each patient individually that we are willing to put in that patient without making them look silly .  It will vary from patient to patient since everyone's lips are so different.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Wrong size permalip implant

+1

  Personally, I wouldn't recommend it.  Yes, you could have this implant removed and a slightly larger one placed.  But it is not THAT much larger that you would notice a significant difference AND the results of surgery are sometimes not entirely predictable.  If you want further augmentation, I would recommend injectables including considering the benefits of Silikon 1000, a truly fabulous permanent filler, particularly in the lips.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.5 out of 5 stars 41 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.