Lip Augmentation Q&A
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What Permanent Lip Augmentation Options Are Available?

asked 4 years ago by anon
Latest answer by Ross A. Clevens, MD
Question viewed 1,319 times
Tags: options, permanent

23 answers to What Permanent Lip Augmentation Options Are Available?

+2

Permanent lip augmentation is a common option with a facelift

The best way to naturally augment lips permanently is to graft tissue into the lips.  When a facelift is performed, a fibrofatty patch of tissue is a byproduct of the operation.  This is easily inserted into the lips through small poke holes in the inside of the corner of the mouth.  The lips are permanently augmented and look and feel very natural.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Permanent Options for Lip Augmentation

You can choose either a lip implant OR a surgical lip augmentation. If you choose a "permanent" implant, there are numerous substances that I commonly use as a graft or implant material in the lips. Each option has its own advantages and disadvantages. AlloDerm is a popular human-donor grafting material that is FDA approved and proven safe in lip augmentation and facial reconstruction. Under a local anesthesia, the material is inserted through tiny incisions made in the... more
Ross A. Clevens, MD

Melbourne Facial Plastic Surgeon
+1

Permanent Lip Augmentation

I have performed hundreds of lip augmentations in the last 20 years of my practice; from permanent fat transfer, to implants, and the artificial fillers such as Juvederm.  I have always gone back to fat due to its natural appearance and feel.  Due to improvements in fat processing, the "take" of fat injections is in the 85% range, up from 50%.   My patients who have had the implants only loved them for a few years when they returned to my practice wishing to... more
Paul S. Howard, MD

Birmingham Plastic Surgeon
+1

Your own living tissue is the only GOOD permanent lip enlargement technique.

Numerous injectable fillers have been used for lip enlargement, usually with temporary results. Foam tubes, Goretex threads, other injectables, and even (not FDA-approved) liquid silicone injections have been tried and mostly rejected as "permanent" lip augmentation methods. The latter can harden, be lumpy, and even become infected and require removal (if possible). For over 20 years I have been using dermal grafts (which may include tiny bits of attached fat but are mainly a... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

What Options do I have for Permanent Lip Augmentation?

I have never been a big fan of permanent lip augmentation since I feel the risks far outweigh the benefits.  The current options are Silicone, Artefill, some implants, and occasionally fat transfer.  The problem is that not only is the lip a highly visible area, it is highly mobile.   The side effects of permanent augementation include an allergic reaction to the product, lumpiness that cannot be resolved, noticeable areas of product, and worse an infection or the... more
Grace Liu, MD

Newport Beach Dermatologic Surgeon

www.newportcoastdermatology.com

+1

Silikon-1000 may be used by experienced physicians for permanent, natural-looking lip augmentation.

Silikon-1000 is a permanent, off-label filler, so your results, good or bad, are permanent. My experience with Silikon-1000 for lip augmentation has been excellent. Several treatments (1-3) are typically necessary to obtain a desired result, and in my practice, problems are infrequent. You must find a reputable dermatologist or facial plastic surgeon experienced with the serial puncture, micro-droplet technique. You should also have a discussion with your doctor about the FDA's... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Lip augmentation, avoid permanent options

You may be better off with conventional lip augmentation with hyaluronic acid fillers such as Juvederm or Restylane which are completely reversible with hyaluronidase. Even though there are several options for permanent lip augmentation, you may end up with a permanent problem if there is any allergy, infection, or if there is any change of your priority and life perspective about the proportion of your lip volume compared to your complexion.
William Ting, MD

Bay Area Dermatologic Surgeon
+1

Beware of permanent lip augmentation procedures!

There are great options for lip augmentation (namely, Juverderm, Restylane, fat transfer) that don't involve placing permanent materials that carry additional risks.  The supposed advantage of a permanent technique is a blessing and a curse.  A permanent procedure can't be undone without consequence when you have tired of the procedure, or your lips have aged over time and now the implant is visible.  I blogged about this last year - see my link below. more
Douglas J. Mackenzie, MD

Santa Barbara Plastic Surgeon
+1

Permanent lip augmentation is not the best option

Sometimes permanent is not best, especially when it comes to lips. Implants can be too firm and can move, surgical lip advancement leaves scars. Juvederm or Restylane last 6 months to a year and look and feel more natural.
Susan Van Dyke, MD

Paradise Valley Dermatologist

www.vandykelaser.com

+1

Permanent lip augmentation

I don't recommend permanent lip augmentation now that we have such wonderful fillers for the lips.  Most lip implants are stiff and can make movement and/or feel weird and unnatural.  Even soft implants like dermis can scar and become calcified and literally as hard as a rock.  These implants can be difficult to remove and can leave scarring.  The lip is one of the most supple and limber and expressive muscles of the human body.  I would not let anyone... more
Lisa L. Sowder, MD

Seattle Plastic Surgeon
+1

Permanent Lip Augmentation

It is my opinion that use of Juvederm over the course of several years leaves a nicer result and is a better option than any permanent lip implant available.  However, I have used Advanta (very soft form of Gortex) in a number of patients over the years with good results and a high satisfaction rate. The downside to this implant is that the edges can be palpable and the length of the implant tends to contract about 10% in the first 24 months after the procedure.
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Lip augmentation with your own tissue....permanent

10 years ago I invented a proceedure for permanent lip augmentation using your own natural tissue. The proceedure involves placing a dermalfat graft from the suprapubic area into the lips. Unlike plain fat grafting which is not permanent this proceedure will give you permanently larger and fuller lips for a lifetime. You can see numerous examples of this at aventura plastic surgery . com
Richard Galitz, MD

Miami Facial Plastic Surgeon
+1

Permanent Lip Augmentation

I have recently started using the PermaLip silicone implant for lip augmentation and have found it to be very nice and a simple procedure.  I put a set of these silicone implants in a patient last week and saw her at 4 days out.  She had mild swelling and bruising but was thrilled even that early on.  The implant is very soft and looks natural.  They can easily be removed as well if needed.  Other options include liquid silicone injections, Gore tex implants and... more
Carey Nease, MD

Chattanooga Facial Plastic Surgeon
+1

Effective permanent option

I have had good results with enduragen implants in the lips. Not everyone wants a permanent effect but the patients that have had this procedure have been quite happy.
Chris Thiagarajah, MD

Washington DC Oculoplastic Surgeon
+1

Permanent Lip Augmentation Options

Permanent lip augmentation options can be classified as poor and super poor. In this regard you really should listen to older Plastic surgeons who have seen many "amazing permanent solutions" come and go leaving a lot of shattered lives and disappointed surgeons vowing never to be seduced again. Permanent lip enhancement is the JUMANJI of plastic surgery. One comes along seemingly every 3-5 years. Always with a BIG marketing bang. The usual cast of select media hungry NY and... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

PermaSil lip implants can decrease the maintenance of full lips

Full, well proportioned lips are highly desirable but often elusive.  Like the other consultants, I have offered injectables (Collagen, Cymmetra, Fascian, Juvederm & Restylane), implants (Alloderm, Goretex) and structural fat grafting.  All options had shortcomings and costs.  The PermaSil lip implants are an option for individuals who have tired of the techniques listed.  The procedure is relatively simple and the results quite appealing.   Since this is a... more
Lavinia Chong, MD

Orange County Plastic Surgeon
+1

Permanent lip augmentation options

There are several options for permanent lip augmentation. Keep in mind that this area of the body has very thin tissue and anything that is added to it may become obvious or if not inappropriately may create an in balance. Fat can be injected into the lip and can act as a permanent filler. However, remember that whenever we move fast from one part of the body to another approximately 20% of it will melt away. Unfortunately we cannot predict which 20% will resolve. This can lead to uneven... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Permanent options for lip enhancement

Until recently, I would have agreed that there are no permanent lip enhancement options that are safe. Materials such as alloderm and goretex have had problems that included not being permanent and causing scar tissu on the inside of the lip that can be problematic. Over the past year, i have been using a soft solid silicone implant called PermaLip and the results have been excellent in my hands. They produce natural looking (and feeling) lips. The best part is that because they do not... more
Matthew Schulman, MD

New York Plastic Surgeon
+1

Permanent options for lip augmentation

There are two general directions to go. If your upper lip is long, you will benefit from a lip lift. Check out the video below for details on how to determine if you are a candidate. If your upper lip is adequate length, you have a few choices: Fat- I love fat grafts, but in my experience, not as reliable in the lip. Permanent fillers (silicon, etc.)- not great because they can clump over time, or the body can form capsules around them, misshaping the lip. Permanent implants- I like soft... more
Ricardo Rodriguez, MD

Baltimore Plastic Surgeon
+1

Permanent lip augmentation options work and are safe

The permanent lip augmentation procedures that are available include Soft silicone lip implants- these give a very soft and natural result. Sometimes you can feel a small ridge where the implant rests but its not visible and only palpable with your fingers, you will not be able to feel the implant with your tongue or opposing lip. These are also easily reversible unlike the previous gortex implants. I believe these will be become the most popular option as more and more doctors become... more
Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon
+1

Permanent options exist for lip augmentation

Some permanent options for lip augmentation exist including Lip Lifts, Mucosal advancements, Lip Grafts, Fat injections, and Permanent Lip Fillers. Lip lifts include Buffalo Horn Lip Lift which are under the nose that lift the upper lip and shorten the distance from the bottom of the nose to the upper lip. Corner of the lip lifts elevate the corners of the lips to reverse downturn lips. Mucosal advancments including V-Y advancements that can be horizontal, vertical, and double ones that do... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Lip augmentation

Hello, I think there are permanent options. First step, let's define terms. Permanent does not mean that you will look like you did following the treatment forever. It may take 3-6 months for you to "see" your result. Then you have the natural process of aging - yes, your lips will age just like you. Depending on "what" you had performed to make your lips bigger goes a long way to answering your question. You may just have the red portion of your lip become fuller,... more
Michael Kulick, MD

San Francisco Plastic Surgeon
+1

There are no permanent lip augmentation techniques that are safe in my mind

I have extensive experience over the past 25 years with lip enhancement including injectable fillers and surgical procedures. I do not feel that any of the permanent fillers like Silicone are safe nor do I recommend use of implants like the saline filled implant or gore-tex implants or alloderm. Instead we prefer use of one of the hyaluronic acid injectables in the lip as well as above the lip.
S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

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