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Question about dermal lip grafting vs temporalis fascia grafting for lip augmentation

bob223Nov 18, 2024
Hi! I am deciding between having dermal fat grafting (where an actual strip of skin is removed and pulled through the lips) or a temporalis fascia lip graft done, and I have a question. Would a fascia graft be more resistant to absorption than a dermal fat graft? I know with fat injections, you have to worry about them dissapearing with weight loss, being absorbed by the body, etc. So is that the same case with a dermal fat graft, since there is a small amount of fat attached? Thank you!

Answers (1)

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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 383 Reviews
Answered on Nov 24, 2024
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Gary M. Horndeski, MD

I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $3,000. Best Wishes, Gary...

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Lexie Wang, MD

It's likely a combination of both - some of the tilting is due to the teeth and then some is just due to how your muscles work. People often have asymmetric oral commissures (corners of mouth) in terms of pointing up/neutral/down. There's not much to do to fix it.

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I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may help correct the asymmetry as one side will be resected more than the other. The...

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Gary M. Horndeski, MD

I recommend a chin implant. This will lengthen the width of your jaw and give you more support inferiorly. You may also benefit from a lip reduction. This would be done with an internal incision to pull the lip more posterior. Best Wishes, Gary Horndeski, M.D.

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Jeffrey H. Spiegel, MD

I'm so sorry to see this. You appear to have had a vermilion border lip lift, and that is not usually the best choice. I should be able to improve things through revising the way this was done to recreate the vermilion border. You will also need a bit of a lip reduction. There are risks in...

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