Bad protruding Permalip. 2 trimmed edges stick through my lip. Itchy on left pointy end. Annoying when I smile. (Photos)

Question

Infection risk? I got both 5mm permalips 8 days ago. The bottom one's cut ends are big to touch.When I smile I feel the bottom one stretching and when returning to its normal position I feel uncomfortable on the pointy end. A week post-op my doc cut the stitches and said that at that point it was fine. No suggestion of lip exercises post-op .When I asked him about a possibility for the implant's removal he acted as if he does not consider it necessary. Do I run the risk of potential infection & what its symptoms?

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your questions regarding upper and lower lip augmentation with Permalip implants.  Permalip lip implants are a permanent alternative to temporary lip fillers.  In your case, your lower permalip implant is too short.  I would suggest that the lower Permalip lip implant be removed and a longer permalip lip implant be inserted. I hope that I have answered your question regarding Permalip lip implants.  If you have any more questions regarding permalip lip implants, please contact my office. When seeking permanent lip augmentation, consider the Permalip implants.  Please seek an experienced, board certified plastic surgeon with significant experience in inserting permalip lip implants.  Sincerely, Dr. Katzen. (Certified by the American Board of Plastic Surgeons and member of the American Society of Plastic Surgeons.)

Mehdi Sina, MD · Answer

Hi,I rarely use this forum to comment negatively about another physicians work, but based on the pictures, I think you should strongly considering having the implants removed and replaced (or not replaced). You should not be able to see the outline of the implants (in the early post-op period it should be even harder to see the implant because of swelling - so as swelling resolves, look may become worse). Also, the bottom implant is way too short. If your surgeon is hesitant or unresponsive, see someone else.Best,

Bad protruding Permalip. 2 trimmed edges stick through my lip. Itchy on left pointy end. Annoying when I smile. (Photos)

Answers (2)