Is it possible to enlarge or augment the lips permanently though fat transfer? Some people have mentioned that once the fat cells die, the will lips look horrible. Is this the reason why a lot of people don't undergo fat transfer on the lips? Does this procedure also leave bad scarring and lumps?
Fat Transfer for Permanent Lip Enlargement?
Doctor Answers 16
Fat Transfer is a live graft
Fat Transfer is a live graft. It requires;
1- lots of live cells
2-small pearls of fat for maximal in growth of blood supply. If fat does not get blood supply in a timely manner it will die. The larger a pearl is, the less blood will supply the inner part of the pearl. Large liposuction cannulas make very big pearls that almost always die.
3- relatively immobile area to reestablish blood supply.
The Viafill system gets lots of live cells, in small, non-lumpy pearls where it has to be, but the lip moves a lot, making it less than ideal spot for fat transfer. Fat transfer is better for cheeks, under eyes, temples, necks, hands, breasts and buttocks.
Lip Augmentation with Fat Transfer?
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.
Fat transfer for lip enlargement
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Fat transfer does not guarantee a long-lasting effect
Fat injections are very effective for many patients in the cheeks and other areas of the face, but it does not tend to have much longevity in the lips, in my experience. There are different techniques of injecting fat into the lips and very tiny amounts injected into the lip muscle might produce a longer effect but there usually is a lot of swelling for several weeks after such a procedure. The lasting of effect is not guaranteed and is very inconsistent.
Fat Transfer is a good procedure
Yes, it is possible to achieve permanent lip fullness by fat transfer. I have not seen bad scarring or effects of dead cells in my patients or among patients done elsewhere.
There are other reasons more people do not undergo fat transfer. In the last few years, injectable fillers such as hyaluronic acid products (HA, Juvaderm and Restylane) have been popular, affordable, and do not require a surgical procedure or donor site. With these products there is less swelling and less need to over-correct. You should be aware that the only FDA approved use for them is the nasolabial groove, but experienced physicians commonly use HA fillers in other areas.
I do advise patients that a single fat transfer treatment session may not give as much fullness as they wish. A second treatment, months later may be useful. We cannot guarantee permanence, but some patients achieve it.
I think fat transfer is an excellent choice in experienced hands, after careful discussion with the patient, particularly when you are having other procedures under anesthesia (facial or body procedures).
Fat transfer for lip augmentation
Fat transfer is a commonly performed procedure for the lips. In highly trained hands, the procedure is reliable but the permanance of the graft material may be low, leading the fat to dissipate, sometimes unevenly. If the fat does not leave symmetrically, the inconsistent takes in the fat can lead to an uneven appearance postoperatively.
Some doctors would prefer non-traumatized fascial fat grafts (LiveFill) for lip augmentation.
These differ from fat injections in that the grafts, taken from the patient's own tissues, are completely untraumatized, unlike fat injections which are aspirated through a negative pressure syringe and then injected through a needle.
The net result in our studies has been greater permanence in LiveFill lip augmentation patients than with fat injection.
Because the graft material has a high survival rate, we do not exaggerate the amount we inject. This translates to less swelling experienced by the patient.
Fat transfer to lips
Fat should stay permanently after the initial resorption. Best of luck. Dr. Michael Omidi
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.
Fat Lips from Fat Hips
It is possible to enlarge and augment lips permanently through fat transfer. Not all fat lives, probably less than 50% in the lips.. In my experience the fat that does not survive has not resulted in any disfigurement, just a patient that wishes her lips were bigger. I have not seen bad scarring or lumps. It is not uncommon therefore in my practice to have to re-inject lips with fat until patients are satisfied. I think that is why it might not be as popular because it is less predictable, despite being successful and long lasting.
There is a significant learning curve and my biggest suggestion I can give you is to use a board certified Plastic Surgeon skilled in the art of fat transfer. Just because a doctor wears a white coat doesn't make them an expert.
Fat transfer to the lips is possible...
Fat transfer to the lips is possible but usually not long lasting. When done correctly you can achieve great results, temporarily making the lips look larger and also natural at the same time. If you are not comfortable with fat injections to the lips there are other options such as Juvederm or silicone that can be performed, resulting in a nice enhancement. Be sure to discuss all the options with your surgeon.