How Can I Get Permanent Plumped Lips?

Hi,
There are several permanent options for lip augmentation, including:
1. Permalip solid silicone implants. These come in 3 sizes, 3mm, 4 mm and 5 mm depending on desired "plumpage." 
2. GoreTex. This is a synthetic material that can be implanted, it is generally less predictable and tends to have more complications associated with it.
3. Dermal fat graft. This is an autogenous implant - meaning derived from the patients own tissue. It requires an incision and removal of a strip of skin and fat from a hidden donor site. Once the graft is prepared (removing the epidermis) it is implanted in the same way as the Permalip implant. This type of implant is soft and integrates into the normal lip tissue. Scar tissue is less predictable here and removing the implant if the results are unsatisfactory becomes more challenging. 
4. Injection of medical grade silicone. This procedure involves injection of medical grade silicone in a microdroplet technique into the lips. This should only be done by someone who does MANY silicone injections daily as this is very technically challenging. 
It is imperative to seek consultation from an expert prior to performing permanent lip augmentation.
Mehdi Sina, MD

Permalip lip implants are become very popular in recent years.  They are flexible, soft, and natural looking compared to lip implants from 10 years ago.  They come in varying sizes and lengths to customize the look of each patient.  They take 30 minutes to place under local anesthesa or sedation.  Another advantage to these implants is that they are easy to remove in the event the patient no longer wants them.  Also, fillers can be placed on top of the implants if more augmentation is desired during certain times of the year. 

Lip Implants do not wear off like temporary injectables. Temporary injectables are associated with repeat treatments every few months as the body breaks down the filler. Therefore, repetitive, painful, and costly injection procedures are required indefinitely to be maintained. Permanent, or long-term fillers, also exist. While this type of filler does not need to be repeated regularly, they can be very difficult to remove. If an undesirable appearance results, or if a patient wishes to revert to their original appearance, this may be difficult to accomplish. Perma Facial Implant™ has the advantage of being both permanent, yet easily reversible, giving it the best of both worlds

If you are wanting to avoid regular maintenance that comes with having filler injected into the lips you may consider something more permanent such as a lip implant.   Another option would be harvesting fat from an area of your body and transferring the fat to your lips. Your surgeon can evaluate your area of concern and give his/her most appropriate recommendation for sizing based on your facial anatomy, your goals and expected outcome. 

Hello, implant based lip augmentation is probably your best bet or fat transfer. Fat transfer will lose some volume initially over time but what remains generally lasts a long time, if not permanent at times. Lip implants that are silicone provide volume permanently. For example permalip. Thanks.

Great question and you will be happy with the answer. The PermaLip Implants really are permanent lip implants. Over the past 5-6 years since performing the permalip implant, none have developed any contracture or firmness around the implant. The implants do not have a liquid silicone filling but firm gel-like similar to the newer silicone breast implants. Placed properly they look very natural. I usually always place the large implants with great satisfaction by the patients. Additional fillers can be placed on top of the permalip if more contouring or enlargement is needed. Good luck.

Thank you for your question. Lip Implants may be a
reasonable option for those individuals who are seeking permanent lip
enhancement or for those who have not been satisfied with the longevity of
effect afforded by hyaluronic acid fillers.



Various options for permanent lip augmentation are
available. Each option carries its own set of relative advantages and
drawbacks. Consider consultation with a board-certified facial surgeon to
discuss your concerns and goals and which options may be best for you.

Fat grafting to your lips is the best solution if you are looking for a permanent result with the same look as Radiesse.  I do not recommend lip implants because thet feel unnatural and patients are happier with fat grafting.

There are many different materials used for permanent lip augmentation. My preference is your own fat because it feels and looks natural when properly performed.
Fat transfer initially looks over-corrected for a few weeks. Approximately 50-60% of the fat transferred "takes". What is present after 6 months is permanent, alive fat. Additional touch ups can be performed if necessary.
With any lip augmentation expect your lips to be bruised for 5-7 days, and swollen for a few weeks.
Other permanent lip augmentation materials include Gor-tex (Soft-form), fascia (your own tissue taken from a muscle in your temple area), Silicone (be careful), Biomed (in Canada), and most recently Vera-fil (a saline filled implant).
I would advise that you try temporary fillers first to make sure of the size and shape of the lips that you prefer prior to having a permanent implant placed.

For patients who do not like to keep doing fillers there are other options. Fat grafting is done like any other fat grafting procedure in the face. Fat is harvested from abdomen or thighs and then placed in the lips. The advantages of fat grafting are long lasting result, using patient’s own fat, soft material, and long lasting. The downsides are occasional lumpiness which can be treated in most cases. The recovery is longer than fillers as there is more swelling and bruising with fat grafting.
Another option is dermal fat graft. Fat and dermis is harvest from the skin either for this purpose alone or in many cases we take skin excised from the forehead or facelift surgery and use it in the lips. The skin is removed and the dermis (layer under the skin) and fat are shaped and placed carefully in the lip through small hidden incisions at the corners of the mouth.
If patient’s own tissue is not taken, a synthetic implant can be used. There are a variety of implants and shapes. The most popular are the silicon implants. They come in various sizes and they are chosen based on patient’s goals and surgeon judgement. The implants are placed through small incisions on the sides of the lip and ‘slid’ in place. Disadvantages of lip implants are edema and bruising so recovery is a little longer than fillers. Also it is synthetic so it has a higher risk of infection or reactions but these risks are still very low.