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.