Is lip augmentation via fat grafting permanent?

Permanent lip augmentation is best accomplished with Permalip Implants.  These are implants that are placed into the substance of the lip one time and the result remains permanently.  It takes 30 minutes to perform. The best part of the procedure is that it's reversible, unlike fat grafting or fascia grafting.  So, if you don't like it, it takes 5 minutes to remove and you're back where you started.  It provides a peace of mind that other options don't because it is reversible. 

Thank you for your question about lip filer. Depending on what kind of results you are looking to achieve, filler may be a good option for you.  It is difficult to accurately recommend treatment for you without an in person consultation.  Several filler products that are used in the lips are Vollure, Volbella, Juvederm Ultra, and Juvederm Ultra Plus.  I offer these so that you can research them ahead of time.I would not recommend using fat grafting, fat transfer is very unpredictable.  If you are looking for a more permanent option I would recommend a silicone lip implant.
To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.   I hope this helps.

I would advise patients contemplating lip augmentation to start with Restylane or Juvederm. More importantly, the method of treatment is essential. I prefer the French Method for lip augmentation that increases vertical lip length. Best, Dr. Karamanoukian

Fat transfer is a great treatment that can be used in a variety of ways.  Fat has become a vital part of facial rejuvenation.  I use fat in almost every facelift or eyelid surgery that I do because of the natural and youthful appearance that it can add to the results of your surgery. 
Lip augmentation has become very popular over the past few years.  When lip augmentations are done correctly they can add a very youthful, attractive appearance to the face.  One of the common complaints of lip injections is that they tend to go away faster then patients would like. 

Fat is a great alternative to fillers as it is going to last much longer.  The benefit of the fat is that it is going to last for years to come rather than the six to nine months that the majority of fillers last. 

I would not say that they will replace fillers as fillers and fat all have their place. Fillers are a great start for patients so that they can get feel for the rejuvenation that they can expect from adding volume.  Also fillers are a great quick fix as they can be done in the office in as little as ten minutes. 

Fat grafting give patients more options if they want a more long-term solution or I have many patients that like fat because it is natural and from their own body. 

I hope this helps, please consult your Board Certified Plastic Surgeon. 

Thank you for your question.  Lip Enlargement, is a procedure which involves adding volume to the lip either by permanent lip implants such as PermaLip™, or via an injectable lip filler/fat transfer. This gives lips a fuller appearance and reduces the fine lines and wrinkles. It will help effectively fight the signs of ageing, improve your smile, and leave your lips looking wonderfully natural. Lip Fillers (Juvederm or Restylane) or Fat Transfer are a good temporary solution, however not giving permanent results.  PermaLip™ are revolutionary lip implants that are designed to look and feel natural, yet enhance your lip volume to your desired size.  It does not deflate, degrade or rupture over time. Although it’s permanent, it is designed for the ease of placement if a patient wishes to achieve a larger or smaller enhancement or even return to the lips original appearance. It does not limit lip movement and provides a natural look.Please find a reputable and qualified surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best

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In the face it is a good idea to start with something non permanent. The soft and hard tissue of the face will change with time. We usually start out with a hyaluronic acid based filler, (i.e.; juvederm, restylane).  Best to see a few experienced injectors and see what they offer.  The lips can look natural and still have the volume that you want.  The hyaluronic acid usually is soft, smooth, and kissable.

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. 

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.

Fat injections are used when the patient wants to use their own tissues. We get fat from the hip area (using liposuction), process it, and then inject it into the lip, which gives a very soft look. Some think the fat doesn't 'last' but this is not entirely accurate. When done properly, some of the fat is reabsorbed, but a significant percentage is retained permanently. Because of this, we tend to 'over inject' knowing that in three to four weeks the final result will be closer to what the patient wants.

However, the lip is an area where I don't see fat grafting as the first choice because the lip moves a lot and it interferes with the take of the graft--the graft will not survive as well in the lips as it does in other areas of the body. For this reason, I actually prefer synthetic fillers in the lip, or a lip lift'. Lip augmentation can be performed in a very short amount of time, while under local anesthesia or sedation.

The lips are an important feature of your facial appearance. Anybody who wants fuller lips is a candidate for this procedure. If a patient has a long upper lip, she might want to consider a lip lift (in conjunction with the lip augmentation) for an overall rejuvenation of the lip. See my video for more detailed information about lip augmentation vs lip lift and the web reference for more detailed information about the permanence of fat injections.