What can I do about deficient lip after silicone lip removal on both lips? (Photos)

Hello, thank you for your questions regarding what to do with your lips after free silicone injection removal.  I am very experienced in both fillers and the permanent lip implant called Permalip.  This is a difficult problem to fix and should only be handled by a plastic surgeon experienced in both lip surgery and silicone removal. I am a big advocate of the Permalip.  However, since you have spot defects throughout your upper and lower lips, I would suggest fillers.  I realize that filler do not last for long, but it is better than a lip implant.  In your case, due to the presence of prior free silicone lip injection, the insertion of a Permalip permanent lip implant has a high risk of secondary lip implant infection. Also, the  Permalip permanent lip implant augments the upper and lower equally throughout the entire lip.  That means the lips will be augmented, but there will still be spot defects. In fact, the Permalip permanent lip implant may magnify these spot defects.  Please stick with fillers.  I hope that I have answered your questions about what to do with your lips after free silicone injection removal.  If you have any more questions regarding lip surgery after free silicone injection removal, lip fillers, lip augmentation with implants, please contact my office. When seeking plastic surgery, please seek an experienced, board certified plastic surgeon with significant experience.  Demand to see before and afters pictures of patients just like yourself on forums like RealSelf and their website.  Check out patient reviews of your chosen plastic surgeon on forums like RealSelf.  Thank you.  Sincerely, J. Timothy Katzen, MD, FACS, FICS, FASMBS. (Certified by the American Board of Plastic Surgery, member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and International Society of Aesthetic Plastic Surgery, and fellow of the American College of Surgery, International College of Surgery, and American Society for Metabolic and Bariatric Surgery).

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Allow several months to heal before considering any type of reconstruction.  Without an exam, my best guess is your result will be better with lip implants instead of fillers.  Consult with a highly experienced board certified plastic surgeon as an in person evaluation will be needed.