What options do I have for lip augmentation?
What's the Best Lip Enhancement and Plumping?
Doctor Answers 40
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.
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.
Best Lip Enhancement and Plumping
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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.
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.
Best Lip Augmentation Options
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 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