Are Fat Injections in Lips Really Permanent?

I agree with the other comments concerning the unpredictable nature of fat.  There are great studies that show about 30 percent of the fat stays in the midface over many years, but there are no great studies for the lips.  I have seen long lasting results, but if not, you can always add more fat. 

Fat transfer is a great treatment that can be used in a
variety of ways. Fat has become a vital
part of facial rejuvenation. I use fat
in almost every facelift or eyelid surgery that I do because of the natural and
youthful appearance that it can add to the results of your surgery.



Lip augmentation has become very popular over the past few
years. When lip augmentations are done
correctly they can add a very youthful, attractive appearance to the face. One of the common complaints of lip
injections is that they tend to go away faster then patients would like.



Fat is a great alternative to fillers as it is going to last
much longer. The benefit of the fat is
that it is going to last for years to come rather than the six to nine months
that the majority of fillers last.



I would not say that they will replace fillers as fillers
and fat all have their place. Fillers are a great start for patients so that
they can get feel for the rejuvenation that they can expect from adding
volume. Also fillers are a great quick
fix as they can be done in the office in as little as ten minutes.



Fat grafting give patients more options if they want a more
long-term solution or I have many patients that like fat because it is natural
and from their own body.



I hope this helps, please consult your Board Certified
Plastic Surgeon.

Fat grafting is a great procedure but it is unpredictable.  When the fat does stay, it can leave very long lasting effects.  Areas around the mouth are less reliable than areas with less movement like the cheeks.  Results are dependent on the quality of your fat, your skin quality and the technique.  Price vary from location to location, so Manhattan prices will not be the same as those in Tampa.  Good luck with your procedure.  

Currently the only "permanent fillers" available for injection are off label indications of Artefill and Silikon. However, permanent fillers can lead to permanent problems. Injection techniques vary. Fat CAN be permanent as has been shown by individuals who experience enlargement of their lips with weight gain 5 or more years after fat transfer. However, this is not consistent and survival varies among individuals.

There is an unpredictability of result from fat injection, especially of the highly mobile and active lip muscles. Some of my patients get no long term improvement with fat injections of the lip, and I have read reports on RealSelf.com of others that are not happy with the large lips they have, or bumps. It is always better to be conservative and place just enough fat to look good, and add more later if needed than to try to reduce a large lip.