The lips, eyes and nose are the central focus of the face. But the lips convey sensuality, youth and emotion. Any interference with the lip anatomy SHOULD be done by being aware of its long term effect including scarring, reversibility and risks.
As regards IMPLANTS; there is not a single implant on the market which offers reliable, risk free lip augmentation. Every one of these implants eventually has to be removed or makes its way to the surface and becomes exposed.
Experienced Plastic surgeons have seen this many times. Placing strings or tubes of silicone, Goretex (PTFE) and a host of other products in a thin, moving part of the body (LIPS) ALWAYS results in an increase in volume (caused by both the implant and the swelling caused by the procedure) AND a palpable ridge in the lip. In other words, under the best circumstances, you will end up with lips which LOOK larger but every time you kiss and when you speak or purse your lips the implant(s) will be felt and may be seen.
Eventually, scarring, infection, thinning tissue force a removal which leaves a scar tissue behind. You do NOT get your old pre-implant lip back.
FILLERS - with several great, long-lasting fillers reversible fillers on the market and more coming every day, this is the best way to augment lips. Very few of us who used lip implants 10 years ago are still doing it today. The long term results do not justify it.
Peter A Aldea, MD