Dear Lisaham, Fat transplantation to the lips can be a very successful procedure especially if the fat is deployed for other areas of facial deflation. A fat transplantation requires a donor site and improve contour of that donor site whether it’s in the submentum, arms, abdomen, hips, outer/inner thigh can also be achieved with completion liposuction after harvesting the necessary fat for transplantation. Fat grafting to the lips requires more work and preparation on the part of the surgeon than off the shelf soft tissue fillers such as Juvederm Voluma and therefore you can expect to pay more. Generally, fat transplantation to the facial areas will cost somewhere between $3,000.00 and $7,000.00 in the City of Toronto depending on the certified plastic surgeon that you see. If you have other areas of facial deflation, such as bridge of the nose, under the eye, high cheek bones, mandibular bordering or temporal hollowing, most physicians and surgeons will not charge more to fat graft those areas in addition to the lips and this can provide further economic, as well as aesthetic benefit. It is important to remember; however, that with fat grafting there’s some degree of unpredictability as not all the fat grafts live. Highly animated areas such as the lips have a lower fat graft take with shorter longevity than less animated areas. The benefit of contouring of the donor site needs to be balanced with the swelling, pain and bruising that may occur. In general, I warn most patients with fat grafting of the lips 10 days of swelling should be expected whereas off the shelf fillers often the lips look quite good the next day. As you can see the decision to undergo fat transfer to the lip can be very rewarding, but also requires consideration of the many variables involved. I hope this information has been of some assistance and I wish you the best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto