What's the Best Lip Enhancement and Plumping?

What options do I have for lip augmentation?

Doctor Answers 39

Best options for lip augmentation

For patients interested in fuller, more pronounced lips, I would recommend hyaluronic acid (HA) fillers such as Juvederm or Restylane.  I usually perform this in the office under local anesthesia.  The length of time these fillers last is variable, roughly 6-8 months.  These fillers really have minimal side effects and your surgeon can fine tune the result to the look you want.  The result is usually immediate, but as the hyaluronic acid pulls in water, you can detect a slightly fuller look over the next 3-4 days.  If you don't like the result, you have a day or so to massage the HA and dissipate the result.  If massaging does not't get rid of the HA, there is an enzyme called hyaluronidase that can be injected by your surgeon to break down and dissolve the HA.  Patients who desire a more permanent lip augmentation can have autologous fat grafting.  Despite the fact that only about 40-50% percent of the fat is retained after 6 months, the 50% that stays is permanent.  You may need several injections to get the permanent lip augmentation look you want.  I have also used Alloderm in the lips with good long-term results.  If you are interested in lip augmentation, I would always recommend a patient use a temporary filler like Restylane before using something more permanent to ensure the patient likes the appearance of fuller lips.

Best wishes.


Glendale Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Prevelle Silk: The First Hyaluronic Acid Filler with Anesthetic in the US

I have been fortunate to use Prevelle Silk hyaluronic acid filler with lidocaine on a few of my patients. It is the first FDA approved hyaluronic acid filler available in the United States. The word "silk" aptly describes the product as it flows and fills very smoothly.

It is too early for me to judge how long it will last, but if it lasts as long or longer than Restylane and Juvederm, this "new kid on the block" will rapidly become the most popular hyaluronic acid filler.

Patients have been very pleased with the comfort of injection, and I appreciate not having to use dental blocks to fill the lips.

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Lip augmentation options

There are many permanent options for lip augmentation people who undergo these procedures are thrilled with their results. The liplift surgery is permanent as is the Permalip silicone implant. As far as less permanet results, the fillers and fat injections look great but require continuous treatments.

Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
4.0 out of 5 stars 5 reviews

Juvederm or Restylane

Juvederm or Restylane

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.5 out of 5 stars 7 reviews

I prefer the hyaluronic acid fillers like Restylane or...

I prefer the hyaluronic acid fillers like Restylane or Juvederm Ultra for lip enhancement. I think they provide a soft, aesthetically pleasing lip augmentation.

Although this is an off-label use of these products, it is becoming more and more common. The benefit is that the HA fillers fade away with time, and do not cause as much tissue distortion of the lips as some of the permanent lip implants like Gore-Tex or silicone do.

Jennifer L. Walden, MD
Austin Plastic Surgeon
4.5 out of 5 stars 21 reviews

The "best filler" is individualized for each patient

Patients who desire fuller lips have several options for lip augmentation. The "best filler" is individualized for each patient.
1. If you want a filler that gives immediate fullness, takes a few minutes to inject, and will last approximately 9-12 months, the hyaluronic acid fillers, like Juverdrm XC is the best filler.
2. If you want a filler that gives immediate fullness, takes approximately 30 minutes to
perform, and lasts approximately 2-5 years, your own fat is the best filler. In a quick office procedure, your fat is harvested from a "problem area" and injected into the lips.
3. If you want permanent fullness, in a short in office procedure, the PermaFacial lip implant is the best filler. This is a silicone implant that is available in several widths and lengths, that is inserted along the pink portion of the lips to give a naturally full look to the lips.

Hyaluronic acid based fillers for lip enhancement

Lip enhancement with a hyaluronic acid based filler can help you achieve an improvement of your lips. Results are temporary, which is good because you can alter the results achieved on subsequent treatments to accommodate changing preferences. In addition, results can be reversed if you don't like them with a simple injection of hyaluronidase.  Generally, I use Juvederm products such as Volbella (specially designed for lip enhancement).

Best Lip Enhancement and Plumping

There is no "best" injectable for lip plumping.  The best filler depends on the basic structure and natural size of your lip and what you are trying to accomplish.  Thin lips would benefit from Belotero.  If you have a naturally fuller lip then Juvederm may be the best filler for you.  The best results depend on choosing a dermatologist with experience with fillers in this area.

Lip Augmentation with Juvederm

We use Juvederm most often in our practice.  It's very easy to administer, filling the lips gently and smoothly.  We have found it to be variable in terms of how long it lasts, but generally we see it lasting six months or even longer.  One other benefit is that it can be reversed with hyaluronidase, if for some reason you aren't happy with the result.

There are other options for lip augmentation.  One option is fat transfer, though fat is much more unpredictable in terms of it "taking."  Also, both a benefit and drawback of fat transfer is that the results are permanent.  For a first experience, we believe a hyaluronic acid based filler like Juvederm is a good choice.

Elliot Jacobs, M.D.

New York Plastic Surgeon

Lip enhancement and plumping

In the face it is a good idea to start with something non permanent. The soft and hard tissue of the face will change with time. We usually start out with a hyaluronic acid based filler, (i.e.; juvederm, restylane).  Best to see a few experienced injectors and see what they offer.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 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.