I Was Given the Wrong Size Permalip Implant, Now What? (photo)

Hi,
Permalip implants come in 3 sizes, 3 mm, 4 mm and 5 mm. The 4 mm implant is the most frequently used implant and gives a very nice and natural result to patients with thin lips. Patients that have decent lip volume but want big, full lips are better candidates for the bigger 5 mm implants. It is reasonable to wait a few weeks before exchanging the implants because you want all the swelling to be completely gone prior to exchanging them. The down side is that as you heal, there will be some scarring that will make precise placement of the bigger implant a little more challenging (and slightly increase risk of infection). It is important to maintain a positive outlook and trust with your surgeon and give him/her an opportunity to give you exactly what you are looking for. 
Best of luck,
Mehdi Sina, MD

Hi Cape Cod, Thank you for your question about what to do with your Permalip lip implants.  Basically, I would wait for two months after the Permalip lip implants were inserted. Then, I would reassess your upper and lower lips. If your lips are still not to your satisfaction, I would request your plastic surgeon insert the largest (5 mm) Permalip lip implants.  Every plastic surgeon is different. Some plastic surgeons will require full payment. Some plastic surgeons will require partial payment. Some plastic surgeons will we have the surgical fee. Prior to the original Permalip lip implant insertion during the consent for surgery, these situations and scenarios are usually discussed with your plastic surgeon.  Good luck! I hope that i have answered your question about what to do with yourPermalip lip implants.  If you have any further questions regarding Permalip lip implants, please contact my office. Sincerely, Dr. Katzen.

Sorry to hear ypur situation.  Honestly, I only use the medium size implant on all patients. The larger implant has more complications. Discuss your concerns with your Plastic surgeon

If you feel you still want fuller lips, then you can add another implant to your lips without removing the original implant.  They are stackable except the saline filled ones such as fullfill/verafill. I would wait 2 months minimum before adding or replacing the implants so the swelling in the lips settles enough to be able to fine tune the results the best.  Unfortunately, there are no quarentees in medicine. If you want a larger lip, then there is a charge for the 2nd implant whether switched out or just added and there never is a refund. We as surgeons make the determination as to what is considered the largest size for each patient individually that we are willing to put in that patient without making them look silly .  It will vary from patient to patient since everyone's lips are so different.  Sincerely,

David Hansen,MD

  Personally, I wouldn't recommend it.  Yes, you could have this implant removed and a slightly larger one placed.  But it is not THAT much larger that you would notice a significant difference AND the results of surgery are sometimes not entirely predictable.  If you want further augmentation, I would recommend injectables including considering the benefits of Silikon 1000, a truly fabulous permanent filler, particularly in the lips.