Removing solid silicone lip implant to get silicone injections? How soon after removal can I get the injections? (photos)

Question

I got a 5mm lip implant in my upper lip. I almost didn't get it because I thought it would look too big or fake. Instead, it didn't really make a difference. Maybe bc it's placed at the wetdry border. Idk. I want a very prominent, pouty upper lip. If I remove the implant, how soon can I start getting the silicone microdroplet injections? Because wouldn't a tunnel have been created? I want the product to evenly distrubute. Will it look weird because I've had the implant? Seems like my only option

Scott Trimas, MD · Answer

I would recommend that you wait several months for the lip to settle down before having additional lip augmentation. I have published several articles in the past regarding lip implants. My advice would be to make sure you see an expert in your area and also you might give consideration to leaving your current implant in position as long as it is not causing any issues and then additional additional filler to your lips. Also, it may be beneficial to use a temporary filler first like restylane or juvederm to make sure you like that look of additional pout before adding the permanent filler. Good luck in your area.

Eric M. Joseph, MD · Answer

You appear to have a nice upper lip appearance with your implant. We have added Silikon-1000 for additional volume on top of permalip done elsewhere without incident. You may wish to remove your upper lip implant if it looks visible with smiling or if it feels uncomfortable. If you have the implant removed, microdroplet silicone lip injections could be considered after your swelling dissipates, roughly 1-3 months post-removal.Hope this helps you.Dr. Joseph

Jennifer Parker Porter, MD, FACS · Answer

After you have your implant removed, I would wait 3 to 6 months prior to having any further augmentation.  I have seen several patients through the years that have had silicone injected into their lips and the appearance is less than desirable (irregular, lumpy appearance).  Hyaluronic acid fillers are your best bet for augmentation purposes.  When performed on a regular basis there can be a lasting effect lengthening the time between injections.

Philip S. Schoenfeld, MD, FACS · Answer

I would suggest leaving the lip implant in place.  Though it may seem like it has not really done anything to enhance your lip, it likely has helped augment the lip.  Since the implant is causing you no issues I would suggest simply building on the lip augmentation that the silicone implant has already started.  I would also recommend using a temporary filler in the lips like Juvederm, prior to having anything permanent injected in the lips.  Some of the most difficult corrections of the lip that I have had to perform are from the use of purified silicone injections to the lips.  You will need injections to the body of the lip and not the wet/dry border in order to create the  pouty effect you desire.

Jason Emer, MD · Answer

I would wait at least 3 months before getting any filler placed.  Also make sure to go to someone experienced before getting silicone placed.  My suggestion would be to avoid any permanent fillers if possible and try something like perlane or voluma for a more "pouty" lip.  I wish you the best of luck, Dr. Emer.

Martin Jugenburg, MD · Answer

You need to allow your lips to heal before you anything can be injected.  Make sure you go to an experienced injector as you they need to be able to inject you in a way that the filler goes into healthy lip tissue only and they are not trying to inject the scar left behind.

Shervin Naderi, MD, FACS · Answer

HiI do think you can pull of fuller lips.  Not sure what size implant you had placed but none are going to be as full as the pouty lips in the picture.  I don't like permanent fillers like Silicone in the lips.  They get lumpy, bumpy and scarred and disfigured.  Not worth the risk.  Id use multiple cc's of Juvederm or Restylane and keep up with the injections more frequently.  Its safer.  Eventually they build up and last longer.

Darryl J. Blinski, MD · Answer

At least 3 months healing. Than I would dissuade you from liquid silicone to a filler for better safety...

Joan San Miguel Moragas, MD, DDS · Answer

It´s a pity that you had those solid silicone implants in your lips. But it would be worse if you want to re-fill it again with silicone oil. A huge amount of studies proof that silicone injections give a high rate of granulomas, foreign body reactions and unaesthetic outcomes. First of all, after the removal of the implant, I would wait 5-6 months, and after that period, consider the possibility of either injecting autologous fat graft or a surgical method, like a V-Y lip advancement (which is also permanent and gives lots of volume to the lips) or a lip lift method (although I think that looking at your pictures it woudn´t be indicated).

Steven Wallach, MD · Answer

I would wiat 3-4 months to allow things to heal and settle down before injecting the lip with any filler products.

Removing solid silicone lip implant to get silicone injections? How soon after removal can I get the injections? (photos)

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