What are my options for permanent lip augmentation?

Artecoll or Silicone are not your best option for lips since they are very difficult if not impossible to remove if there is a problem.

Saline implants (made by Evera) are a great option for lips and have a number of advantages over the older Gore-Tex or Advanta implants.

For more information visit http://www.salinelipimplants.com

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.

Just to make this discussion more complete, Verafil is an option.

Verafil is a small saline-filled implant that is placed in the lips with a minor surgical procedure done in the office in about 15 minutes. Supposedly, the body does not produce scar tissue around it, so it stays soft. I don't have any experience with this procedure. My gut feeling is that it has potential for creating scar tissue and might become very difficult to remove down the road, which ultimately might be a major problem.

If you can wait a while, Evolence Breeze will be FDA approved in 6-12 months, and should give you about 12 months of correction. I'd say that's pretty good.