Predictability/longevity of dermal fat graft vs Fat Transfer for permanent Lip Augmentation? (photos)

...Is the same thing as transfer.  Fat to lips is unpredictable.  I over-correct knowing that the fat cell survival is lower here than in other areas where there is native fat.  I put in up to 8 cc to 12 cc in the lips.  Hyaluronic acid products like Restylane is more predictable.You will want to find someone who does a lot of fat transfers to optimize your take and minimize potential problems.  More Q and A about fat transfer below.

Lip augmentation for facial feminization. I personally have used fat for more than 35 years and my patients like it with or without a lip lift. If not enough fat is available then I use fascia.  Implants can get infected and do not have the natural feel of fat. 

There really is no difference between harvesting and transfer/grafting at least for the lip.  My suggestion however, is to have an HA filler for your lip augmentation, it looks much more natural and can give a more natural contour.  With the advances of dermal/soft tissue reversible fillers, there are better options for this location with less risk of long term complications.  Sometimes fat doesn't always take and then you can be left with lumps and asymmetries.  I still do this treatment, but I find the reversible fillers to give a more natural apperance.  Best, Dr. Emer.

The use of fat or dermal fat grafts all can augment the lip but the amount of tissue that remains is always the unpredictable part of the procedure.  Some fat will always not become vascularized and subsequently fade away.  I have since switched to a very soft silastic lip implant from Silmed that comes in three different lengths and thickness and this give me very predictable results that are long lasting and so far without any infections or extrusion problems.   The best part of it is if you chose to remove or change it its is simple to remove and change.  There is no need for touch-ups or secondary surgeries. 

As many as there are plastic surgeons there are going to be different recommendations for lip enhancement. I do all the procedures and basically each has its pros and cons.  I would find surgeons In your area knowledgeable with each technique and compare whT they have to sayDr Corbin