Permalip Or My Own Fat For The Most Permanent Luscious Lips?

Hello ! I desire to have luscious lips, but I research a permanent solution, because I desire to have a permanent lipstick and my lips must remain intact! Are Permalip implants really permanent or should be changed every few years ? My own fat is really permanent ? How many surgery for this ? Thank you !

Doctor Answers 15

Permalip and fat can both be used for lip augmentation

Permalip and fat can both be used for lip augmentation, but each has its drawbacks.

The potential drawbacks of Permalip are that it is a foreign body implanted into your body and it has the potential (although a very, very, very low potential) of affecting how your lips move and feel.  However, it can be removed if you don't like it!

Fat is nearly the ideal injectable material, because comes from your own body! The drawbacks of fat injection are that it requires harvesting fat from your abdomen or thighs, the results may be a little less predictable, not all of the fat will survive and remain in the lips, and the fat cannot be removed easily if you are not pleased with the results.  

I hope this helps you decide which type of augentation to pursue.

Salt Lake City Facial Plastic Surgeon
5.0 out of 5 stars 41 reviews

Permanent Lip Augmentation

Bonjour!  While fillers are a great way to augment your lips, if you seek a more permanent solution, I prefer permalip.  I also work closely with a team who can also create permanent and semi-permanent lip color/lipstick following the lip augmentation.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Lip implants

Soft preformed silicone implants work quite predictably and can be easily removed if there is a problem . Fat is unpredictable in so far as retaining it's shape and volume.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Permalip VS Fat Transfer

Thank you for your question.  Permalip and Fat Transfer are both options for volumising lips.  It will depend on whether patients want a temporary or permanent solution.  Fat Transfer (like lip filler) is only temporary, sometimes patients find it hard for their fat to harvest.  Fat Transfer does create a nice natural look.If patients want to opt for a permanent solution (which is also more cost effective in the long run).  Permanent lip implants such as PermaLip™ 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. Permalip™ are revolutionary lip implants that are designed to look and feel natural, yet enhance your lip volume to the 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.There are pros for both lip fillers and lip implants
  • Improve your self confidence with a perfect pout
  • Forever fuller lips with our permanent solutions
  • No need to hide, you can be back to work in days.
  • Walk-in, walk-out procedure
  • Variety of options to choose from to give you the lips you want
  • Look and feel natural
Please find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  Best Wishes 

PermaLip Implant vs. Fat Transfer to Lips

Thank you for your question. Either treatment may be considered for permanent lip enhancement. However, each treatment has its own set of advantages and risks.

Lip Implants may be a reasonable option for those individuals who are seeking permanent lip enhancement or for those who have not been satisfied with the longevity of effect afforded by hyaluronic acid fillers. The PermaLip (Perma Facial) Implant is FDA approved for permanent lip augmentation. They are not intended to be changed every few years. The advantages include: the implant may be placed using local anesthesia, during one session, relatively easy reversibility, and impart predictable volume which is consistent over time. The disadvantages include the use of a foreign body implant which poses the risk of displacement or infection.

Fat transfer to the lips may be a reasonable option as well. The advantages include use of your own tissue, lower infection risk compared with implants and a soft and natural feel. The disadvantages include the unpredictability of fat survival, the need to harvest fat from a donor site and the potential of lumpiness.

You should discuss your goals and concerns with your surgeon, who may be able to provide advice and guidance in your particular case.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 129 reviews

Permalip versus fat

Each option can provide very nice results. Permalip is a silicone implant that comes in various sizes and gives relatively predictable, dependable results. It is easy to place the implant and can be done under local anesthetic. Should you not like the implant it can be removed easily. The downfall to silicone is that the implant cannot be molded or customized.

Fat is another great semi-permanent option. It is safe and from your own body and has better longevity than synthetic fillers such as Juvederm. The drawback to fat is that it can be more unpredictable and you will lose at least 50% of the initial volume injected and my need a second stage procedure.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Perma lip augmentation or fat injections into the lips are both more longer lasting options for lip augmentation

Permalip augmentation is a definite option for more longer lasting lip augmentation enhancement. Benefits are that the silicone implant will not go away or get absorbed. The procedure is quick and the healing is faster than fat injections. The drawbacks are the foreign material and the idea of that. The silicone implants is something that you will feel and will not be as natural as fat feeling. Pursing your lips is more difficult with perma lip augmentation.
Fat injections of the lips is the most natural way to augment your lips. The downtime is longer than permalips enhancement however. You also need to harvest fat from your body which is another consideration for you. Also the fat survival can not be completely predictable.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

For Beautiful lips AVOID implants and permanent fillers!!!

I would STRONGLY dissuade you from putting anything in your lips other then Hyaluronic based products such as Juvederm or fat!  ANY permanent injectable implant will not look natural time and will have a HIGH likelihood of displacement, extrusion, inflammation, granuloma formation, tissue distruction, premature aging not to mention unnatural appearance and distortion with movement.  Fat is by far the best filler but must be harvested handled and injected properly (very few people who offer fat transplantation actually inject viable fat, thus the common thought that it is not permanent).  Fat, once ingrafted is indeed a permanent change in as much as any other part of your body is permanent.  I also woud dissuade you from dermal fat grafting techniques in the lip as they can harden with scar and really distort the animation(movement) of your lips.

Stick with Hyaluronic acid for a lip augmentation that must be maintained or fat grafting by a practitioner that gets long term results for a permanent change but protect yourself from all other interventions!

I hope this helps,

Rian A. Maercks M.D.

Rian A. Maercks, MD
Miami Physician
4.9 out of 5 stars 73 reviews

Lip Augmentation

I would try an injectable filler before surgery such as Restylane to enhance your lips. The injectables work great and last 6 months to 1 year. If you want something more permanent I would suggest the Perma lip because it is easily removed.

Michael A. Fiorillo, MD
New York Plastic Surgeon
4.8 out of 5 stars 94 reviews

Permalip Or My Own Fat For The Most Permanent Luscious Lips?

Permalip Or My Own Fat For The Most Permanent Luscious Lips?  I have peformed Lip augmentations for over 20 years and witten a scientific paper on the subject.  The gold standard for permanent lip augmentation, IMHO, is Alloderm sheets not the saline filled or silastic lip implants as these need to be placed deep within the lips.  Alloderm is soft and more supple because it's softer material that can be placed immediately below the outer lip mucosa.  The results last about 7 years.  Fat should not be used bevause it's not reliable and can travel to unwanted areas like below the nose along the skin of the upper lips and can not be removed should this happen.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.