Hello, I do not have great experience in adding dermal fillers or fat to lips containing Permalip implants, but I do feel it is acceptable to add additional substances to lips containing Permalip implants. Dermal fillers are likely easier to add but fat is acceptable as well. I would certainly use sterile technique when doing this. I would be very cautious and use sterile technique because you have implants in your lips and infection from manipulation to the lip and implant could cause infection. I like the Permalip implants in general. I think they offer a nice, permanent solution to deflated or smaller lips. They are safe to implant and they can be removed rather easily if the patient is not satisfied. I also believe that one disadvantage is that many patients feel that the Permalip implants are not large enough to give them the look they desire. There are inherent limitations to the procedure. We cannot just use any size implant we want in order to result in a voluptuous lip. If the implant is too large for the given lip, it wont look good or it will extrude. It's just like breast implants. Therefore, the Permalip implant can act as a foundation and a dermal filler or even fat can then be used to build the lip or plump the lip to the desired or aesthetically pleasing form and shape."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
