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Permalip London (Top Lip) - London, UK

ORIGINAL POST

Well I got this procedure done yesterday afternoon...

Meldog1992
$1,000
Well I got this procedure done yesterday afternoon as have always hated my top lip from as young as I can remember. It's naturally so thin and droops down (I.e 'flat' from the side no pout at all)

I've been getting fillers from the age of 17 (I told the doctor I was 18) but found they didn't last and didn't give my lips the result I wanted...my top lip still drooped down yet was just a little thicker. It helped though as my smile looked less gummy!

I actually found a really good filler the past couple of years from the 'teoysal' range it has lasted a year each time. Even then though despite the fact it has lasted so long I felt constantly worried that they are going down and just didn't like they weren't permanent. I wanted thicker lips forever I didn't like the though that they had to keep being 'topped up' what if one year I didn't have the money? Or I was travelling and couldn't find someone who did fillers? It probably sounds like I was worrying over stupid things that may never happen but they were thoughts that crossed through my mind and bothered me.

So for me it was either this procedure or a lip lift. I knew a lip lift would shorten the long distance between my nose and lip and would give me more lip and tooth show from the front. However I guessed that even after this my lip wasn't thick enough to give me sufficient lip show from the front and was also worried that without filler or an implant my smile will be even more gummy or i would end up having too much skin took away and looking too 'toothy' (I'm no surgeon though I just tried to have a guess haha)

So I've gone for permalip now in the hope that it will help me achieve a more pouty look and shorten the distance between my nose and lip. I am well aware though (after having fillers for nearly 5 years) that it will probably not be enough and I'll probably need a lip lift in the future too :/ I saw a surgeon last year in Manchester about permalip and he said it gave better results (aesthetically) than filler so we'll see once the swelling has gone down. I actually completely forgot to ask the surgeon in London whether this was true yesterday in my consultation before surgery so unfortunately didn't get any confirmation!

My surgeon (Dr Roy Ng) offers a 'see and treat' thing where you can get both your consultation and procedure done on the same day (so saves travelling down twice!) The consultation was pretty quick I didn't really have any questions I had done so much research online so knew what to expect really! He immediately recommend the largest implants as said my top lip itself was quite voluminous (really?!) so the implant would get 'lost' in the tissue if any smaller. He asked whether I was wanting it in both the bottom and top but I told him I didn't really feel I needed it in the bottom as it was quite thick already (he agreed.) He told me that I had a-symmetry in both lips but it will still be there after the implants. My bottom lip is a lot more asymmetrical than the the top so I was a little worried about emphasising it even more with an implant.

The procedure was fine he put a gel on my lips prior to take the edge off the injections and injected straight into my lips to numb as he said it was meant to be a lot less painful than a dental block. He did about 5 injections in my top lip...only one hurt and that was the one in the centre of my top lip (it made my eyes water!)

He then took a few minutes to allow the anaesthetic to kick in and after that he cut open my lips in the corners (which was mad as could hear my lips being cut yet not feel anything!) and slid the implant in. It just felt like pressure on my lips...it didn't hurt in the slightest.

So about 2 hours after the procedure it was agony (maybe I have a really low pain threshold) I had really bad dental pain it felt like my teeth were being both pushed in and pulled at the same time. I had what felt like bad sinus pain all over my cheeks, up my nose and around my eyes. My throat felt tight for some reason (maybe it was unrelated) and I had a bad headache. I took some cocodemol and it helped take the edge off a bit but was still very painful - I was in tears at one point!

Around 6/ 7 hours after the procure (even after the painkillers had worn off) the pain had reduced a lot...the dental pain had more or less gone. I was even able to have eat some rice before bed (I thought I wouldn't be able to eat at all)
I fell asleep pretty easily and only woke up once (and that was because my boyfriend was snoring) and didn't need to take any more painkillers.

Day 1

This morning I was very swollen but haven't needed to take any pain killers yet. It probably wouldn't go a miss as I'm a little sore in the corners but it isn't too bad so don't want to become immune to them! I've just eaten some bread and butter by tearing it into little chunks and passing it through my lips. I found it a lot harder to eat after I got my tongue pierced and was probably in more pain then to be honest! My only worry is that once this swelling has gone down they're not going to look big enough. Even through the swelling I can see it is still pointing down a lot. Still not going to make any rash predictions yet just not saving my hopes up!

Meldog1992's provider

Roy Ng, FRCS(Plast)

Roy Ng, FRCS(Plast)

Specialist Registered Plastic Surgeon

Meldog1992 rating for Dr. Ng:

Overall rating

Replies (1)

January 11, 2018
hey how much did this cost?
UPDATED FROM Meldog1992
3 days post

Day 3 (72 hours after surgery)

Meldog1992
So I woke up this morning and there was still some swelling there. Wasn't too bad though (I looked socially acceptable) so went into town. Been able to eat pretty much everything (was able to yesterday aswell) and literally no pain at all. I can laugh now without saying 'ow' and having to hold my cheeks.

I'm really worrying though, I came back from town and my lips had de-swelled and looked pretty much as they did before only slightly more bigger (and I'm supposedly meant to be swollen still!) now I'm thinking how are they going to look at the end of this week or fortnight when the swelling has completely subsided?! I'm thinking this change may be too subtle. Maybe the implant isn't big enough to make any difference in my lips or maybe it's to do with where he has positioned it. I'm going to try not to worry too much now as I'm hoping the swelling won't go down much more. If it will I am going to be very unhappy, I actually doubt any of my friends will be able to tell when I see them tomorrow if it goes down even more by tomorrow! It's looking like a lip lift may still be on the cards!

Replies (3)

User Avatar
February 12, 2014
Thank you so much for sharing your experience so far! Do you have a "before" photo so we can see your transformation? Did you have filler in your lips when you got this done (sorry for all the questions)? I sincerely hope that even when the swelling goes down you like your results. Please keep us posted!
February 12, 2014
Hey no worries! Yes il upload one now! It's awful though I hated my lips before but will put it on there for educational purposes! Yes I even had a slight bit of filler left in there so as you can imagine they were very, very thin originally! I can't find any of a close up of my mouth originally with no filler at all (going back 5 years ago) xx
User Avatar
November 4, 2014
scusami che misura di permalip hai messo? 4mm? o 5mm?
UPDATED FROM Meldog1992
5 days post

Day 5

Meldog1992
My mouth area is feeling even more mobile today. I had a sub earlier with loads of filling and was able to open my mouth wide open to eat that lol. Lip feeling a little tingly (must be sensation coming back) still taking medication 5 times a day to ensure I don't get any infections and anti vitals to make sure I don't get any cold sores! Still struggling brushing my teeth at the back (just the front of my molers can get to the back ones easily.)

So I look completely normal now no swelling what so ever went to Uni yesterday and today and it was fine- no one seemed to notice (not sure if that is a good or bad thing.) So swelling wise if you're just getting the top one don't worry it seems to go down pretty quick (or at least it did for me.) I'm wondering whether it is because my lips are used to trauma from fillers!

So when I got back to my Uni accomadation the other night my housemates said they looked good but expected (as I expected) for them to be bigger. Now they have gone down even more (I was still a bit swollen then) they barely look any different. I don't know if it's possible for them to go down any more than they already have. If they go down more by tomorrow then they literally will not look any different than they did before- they only look slightly different now. Beginning to think I may have wasted my money...they are the tiniest bit thicker.

Maybe I am being paranoid I don't know? But so far not entirely happy.

Replies (1)

October 26, 2014
i had the implant by the same doctor and i really regret it as it hasmt made much of a difference:( shud have carried on getting fillers