Is Slight Top Lip Augmentation Achievable?

I am contemplating on the idea of possibly having a lip augmentation done on my upper lip. I don't want it to look unnatural and was wondering if this is possible? From a Doctor's perspective what would be the best procedure, and what might it cost?

Doctor Answers 15

Lip augmentation with Juvederm

Let's start off by saying that you have very nice lips to begin with.  Lips can be augmented with any of the hyaluronic acid products, fat, alloderm, or more permanent implants.  There are a variey of different techniques.  From your picture you appear very youthful.  My first question is what is your specific goal with a lip augmentation?  My guess is that you want a little more fullness of your upper lip but without an obvious amount. 

There are many variants to "normal" lip anatomy, but generally, the relationship between the upper and lower lip is that the lower lip is larger.  In your case, you could have your upper lip augmented slightly and then maybe a small amount would be used to keep your lower lip slightly larger.  This would give you a fuller appearance for your lips but keep it in such a way that it would not be a dead give away.


I would recommend Juvederm or Restylane to start with.  The side effects are bruising and swelling for a few days.  People sometimes complain of lumpiness following any type of filler injection.  To combat this, I have my patients massage the area several times daily for the first 3-4 days following treatment.  I also recommend that you go to somebody who has experience augmenting lips and that during the consultation they really analyze yours and then explain the process thoroughly.


Lip enhancement with a hyaluronic acid based filler can help you achieve a subtle improvement of your upper lip. Results are temporary, which is good because you can alter the results achieved on subsequent treatments to accommodate changing preferences. In addition, results can be reversed if you don't like them with a simple injection of hyaluronidase. 

The exact dosing for you can be determined in consultation with your cosmetic physician with an in-person evaluation, as this will allow for a better assessment of your concern. Generally, clinics provide a per syringe price, and this can be anywhere from $550 to $850 in Toronto, Ontario. For minor wrinkles, less than a full syringe may be needed while for a dramatic enhancement, one syringe or more may be required.

Upper Lip Augmentation

I generally perform lip augmentation (depending on the patient’s desires) using autologous fat grafting.  Fat grafting lasts infinitely longer than the regular fillers and I’ve never had a patient express dissatisfaction with this procedure.  Fat grafting is not for everyone though, and some patients prefer the other fillers every few months. 

Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 13 reviews

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Moderate Upper Lip Augmentation

Thank you for the photo.  You look like a good candidate for lip augmentation with an injectable.  Juvederm or Restylane are good options.  Please make sure that your injector is well trained and experienced.  Don't make your final decision based on price.  Always a good idea to see a couple of injectors before making a decision. 

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
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Lip Augmentation with good proportions

Upper lip augmentation is simple to do and a small amount of filler like Juvederm or Restylane is a great place to start.  It is important not to fill the upper lip too large as compared to the lower lip to keep things looking natural. Hope this helps. 

Elizabeth Piantanida, MD
Colorado Springs Dermatologic Surgeon
4.8 out of 5 stars 4 reviews

Upper lip augmentation

It is possible to have just a slight augmentation of the upper lip with an injectable filler.  For this purpose, I would recommend Juvederm or Restylane.  In general, the lower lip should be larger than the upper lip, so if you are going to only fill in the upper lip, you want it to be on the conservative side so it does not look unnatural.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Lip Augmentation before and after

Dear littleyellowtrees,

  • A temporary filler like Juvederm would be best for the first time
  • You would want it injected proportionally to keep the nice balance that you have
  • This could be done with an exam, it doesn't hurt much and will look great
  • It costs about $500-$600 depending on where you live

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 68 reviews

Is Slight Top Lip Augmentation Achievable?

 Yes, the upper lip can be augmented a little or more depending on the aesthetic requirements.  Aesthetically speaking, from the photo, your lower lip is quite nice and needs nothing.  The upper lip is about 30% of the lower lip size, with the aesthetic ideal being 75%.  Fillers or Alloderm Lip implants could provide the necessary augmentation to approach this ideal aesthetic proportion.  Hope this helps.

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

Lip Augmentation - Natural Results

I would recommend lip augmentation with injectable fillers.  In our practice, we mostly use liquid injectable silicone which is precise and permanent, giving very natural appearing results.  If you are not ready for something permanent, there are temporary fillers (ie. hyaluronic acid fillers like juvederm, restylane) which can achieve nice results as well. I recommend you consult with a board-certified dermatologist or facial plastic surgeon experienced in lip augmentation. Implants are totally unnecessary and excessive for what you are looking for. 

Natural Upper Lip Augmentation

Temporary fillers for the upper lip such as restylane/juvederm look great and run $550 and last about 3-4 months. Fat injections last 6-12 months and often need to be done every 3-6 months for roughly $1500. Permanent implants are permanent and are easy to put in and easy to remove for $1500-2000. Sincerely,

David Hansen,MD 

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.8 out of 5 stars 37 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.