Best Permanent Lip Augmentation

Is Lip augmentation via Fat grafting permanent? I'm thinking of having Lip augmentation done with Fat grafting. How much does it run? Is it permanent?

Doctor Answers 22

Lip augmentation

You can use Restylane for lip augmentation , however the results are not permanent.

Fat transfer to the lips, done correctly is permanent and when done right is Not Lumpy.

Silicone injection is NOT legal and not condoned as a filler, It can cause SILICONE GRANULOMAS. The silicone was used extensively in the past, we should learn from the past experisnces with the terrible granulomas we saw later.


Baltimore Plastic Surgeon
5.0 out of 5 stars 6 reviews

Permanent Lip Augmentation

Hi there-

I would wholeheartedly agree with Dr. Moelleken- permanent lip augmentation by injection of silicone is too prone to long term complications and irreversible deformity for me to recommend it to my patients- no matter what the technique is. It may give you a pleasing initial outcome, but with time the silicone will absolutely coalesce and run (with gravity), causing deformity which can be impossible to improve once it has occurred.

Using your own tissues, and especially with fascial fat grafting, the pleasing initial result can be trusted to be maintained over the long term, without fear of migration or long term deformity.

Permanent Lip Augmentation

Many of the posts have discussed the negative effects of silicone lip implants and I believe that most of them are referring to injectable silicone. This is not to be confused with the Permalip silicone implant. I have been using the Surgisil lip implant for about 4 years now and have seen great results. The Surgisil implant is soft and compressible, does not break down or become incorporated into the normal tissue, and I have not seen it negatively effect the normal lip tissue. It is not a way to achieve extremely large lips, but is a great way to achieve a natural result in which the normal volume of the lip has been permanently restored. 

William T. Stoeckel, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 75 reviews

Permanent may mean a permanent bad result

There are way too many bad things that can happen with 'permanent' lip augmentation procedures that I would strongly advise you to avoid them.  Remember that 'permanent' means 'permanent.' If you don't like it, you're stuck with it. In my opinion, the hyaluronic acid injectables like Juvederm and Restylane are the best products for lip augmentation and they can last up to a year. If you don't like your result, it will eventually go away or hyaluronidase can be injected to dissolve the product.  I see so many bad results from fat injections into the lips that I would advise against this procedure.

James McMahan, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 29 reviews

Permanent Lip Augmentation Not Recommended

There is no great permanent treatment for lip augmentation. Silicone has lead to disastrous results in the past and Gortex has a firm, unnatural feeling and changes the shape of the lip. Fat augmentation can be lumpy and is not a precise treatment. It also may not take because of the constant movement of the mouth and lips. Restylane and other hyaluronic acid fillers offer smooth, precise and predictable treatment. This is the best way to go as they offer a natural look and feel.

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

No permanent option is a good option for lip.

don't get permanent filler or implant on your lips. you will regret sooner or later.

Adil Ceydeli, MD
Panama City Plastic Surgeon
5.0 out of 5 stars 68 reviews

Fat Grafting for Lip Augmentation

Fat Grafting is an excellent technique to achieve permanent lip augmentation.  Fat Grafting, when done by a skilled surgeon who regularly performs the procedure, can provide the most natural looking and feeling lips compared to other means.  If injected properly, the lips will achieve a smooth contour WITHOUT lumps or bumps.  The addition of Platelet Rich Plasma to the fat injected will help to improve the fat volume retention over time.  Good Luck, Dr. Corrado

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Permanent lip augmentation methods

We have a large series of lip augmentation patients who have had fascial-fat grafts from their own bodies (autologous nontraumatized fascial fat grafts). This method has proven very reliable at achieving soft, full results. We have found it to be much more reliable than fat injections, probably because the grafts do not need to be aspirated and then injected the way fat injections do. The grafts cannot be rejected because they come from the patient's own tissues.

I would strongly caution heavily against the use of silicone in any form for the lips, or any semi-permanent filler for that matter. Silicone and Artecoll and ArteFill can cause a huge chronic sweliing reaction over the years that becomes disfiguring and often uncorrectable in some patients.

Even patients injected with microdroplets of silicone can develop a blunting of the vermillion border and white roll of the lip that looks as though swollen lips had been sanded down. Silicone can run downhill and cause a very characteristic "trout lip" deformity over the years; several celebrities who have this have been public about their use of silicone.

Remember, anything but your own tissue has no defense against infection, or colonization, that is bacteria setting up shop in or on top of the filler.

Lip augmentation with fat grafting or autologous fascial fat grafts runs from $1500 to $5000 depending on the technique, anesthetic method, etc.

On a temporary basis, hyaluronic acid fillers such as Juvederm work beautifully and have low risks.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 127 reviews

Fat grafting may last 6 months or longer but has problems

Fat grafting to the lips is not done much anymore by most physicians doing lip augmentations because the fat makes your lips look Donald Duck looking for 2 weeks and can resolve in 6 months and become uneven and bumpy for the $1500-2500 cost.

Lip implants have come a long way now and do great for permanent augmentation at 1500-2000 per lip and temporary fillers such as Restylane or Juvederm do nice for 3-9 months at 550 per syringe and usually require 1-2 syringes.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 35 reviews

LIp Enhancement with Dermal Fillers

Whether you’ve noticed your lips thinning over time, or simply want fuller lips, JUVÉDERM® Ultra XC or RESTYLANE SILK can give you natural-looking results that lasts more than 9 months. In fact, 78% of people treated experienced improvement in satisfaction with the look and feel of their lips 1 year later!

The cost of a single 1ml syringe will vary within $50-$100 between competitive practices. We suggest finding a reputable practice with expert injectors for the blend of science and artistry!

#lipenhancement #JuvedermUltra #RestylaneSilk

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 104 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.