Individuals who wish to have fuller lips may consider a lip enhancement procedure, which will place silicone implants or other available fillers inside the lips to add volume and shape. Implants will produce a result that is permanent and may be used in the upper, lower or both lips. Similar to other facial implants, lip implants come in a variety of materials, shapes and sizes to match the patient’s preferences. If a patient decides that a less permanent treatment is desired, injectable fillers provide beautiful results. Fillers are performed with an injection that may consist of hyaluronic acid, collagen, a fat transfer or other substance. They are not permanent and usually last between 6-12 months. Newport Beach cosmetic surgeon, Dr. Ed Domanskis, will assess the patient’s lips, discuss her aesthetic goals and recommend a procedure that will create the desired results.
Lip Enhancement Options
- Silicone Implants: Lip enhancement using implants places a solid implant according to preferred size and shape that will increase volume in the lips. The result will look and feel natural, especially after several months when the implant is settled in its position. This is a permanent enhancement that can also be removed if the patient desires. The majority of surgeons use two implant types that are available today: Advanta Lip, which uses a synthetic Gore-Tex material that offers a fuller result with a firmer feel; and PermaLip, which is a solid silicone material that offers a soft, natural result.
- AlloDerm: Another alternative to silicone is a tissue matrix that is fabricated using the dermis that is harvested and processed from cadavers. This is rendered acellular and so any rejection is very rare. As this is porous, natural tissues within the lips will be able to integrate through it further enhancing the natural appearance of the augmentation. It is inserted the same way a silicone implant is placed.
- Fat Filler: Also known as fat transfer, fat deposits are harvested from the patient’s own body by means of liposuction. These collected fats are purified and reinstated with tiny syringes into the lips. The doctor will take the extra measure of reinstating the fat tissues, slowly layering the filler to reshape the lips to meet the patient’s aesthetic desires.
- Injectable Filler: This is a popular way to enhance the lips in a nonsurgical manner. Fillers are made from substances that are found naturally within the body such the hyaluronic acid or collagen based solutions. The result is realistic and looks and feels natural. Fillers produce beautiful results, however, they are considered short-term and reinjection is advised every 6 months.
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"I could not imagine having a better experience! I have had nearly 10 surgeries in my life (never plastic surgery before) and have never been treated so well and been taken care of so competently before. I am a medical student, so I have very high standards for care, and I can tell you that you will not find a better surgeon! Not only did he perform superior work and completely exceed my expectations, but he was also very accommodating and thorough. He changed his schedule to fit my school schedule, he gave me his personal cell number for questions since I am from out of town, he called and texted me to make sure I made it home okay and was feeling better, and he made the experience very enjoyable. His office administrator, Rachelle, was SO kind and helpful! She was such a joy in the entire process and seemed genuinely happy to help every time I called-such a breath of fresh air from so many other doctors' offices. There really aren't enough good things I could say about his health care team and I would 100% recommend trusting them with your care."- L.B. / Google / Aug 26, 2018
"I feel so bad, thought I had left a review. Couple things first, my review has value, the reason is that I'm rarely satisfied, and have had many things done over the years, what I received was unexpected and why I came back for more. I have psoriasis, for years I put Clobetesol on my face, which thinned it out and gave me a lovely TURKEY NECK, yikes, nothing I could do, but I had a friend who had a neck lift and it was awful, that is he had pain, weird scary looking wraps, so while things like that rarely bothered me I just wanted him to pull it up or put in fillers to tighten it. I finally ceded to neck lift, and what I got I did not expect. Not only did I get a PERFECT NECK, but I got back my best feature, my chin, I have a long, manly chin, that had been obscured with fat and loose skin, now you have to understand I went from a single guy with no prospects to back to how I was in my 20's, what is that worth?? Hock the house, seriously, to get young, hot girls again? And then the love of my life who I'm still with, all because, yes appearance, it matters people don't let anyone lie to you, I basically got to go back in time. Second, I had got used to "man boobs", and fat over my stomach, I'm athletic so figured I could handle it, but after seeing a side picture of myself, I went for it. At first he thought I'd need a tummy tuck, we avoided that, and I got what every man should get, ETCHING, first he removed all of the fat on my chest, then ETCHED the stomach, if you've never heard of it neither had I, he makes a indentation around your abs so you have them whether you work out or not!! Result? I was in seeing my dermatologist, female with her assistant, she asked me to remove my shirt, something I used to dread, I took it off and she looked at her assistant and said "What do you do", "What do you mean", "You have a great body", this all without working out, though I'm motivated and doing that now. What can I say? I have the mind and experience of an older guy, with the face and body of a much younger guy, say what you will, judge all you like, BUT I LOVE LOOKING GREAT AGAIN, getting a compliment "You have a great body", you can't imagine how often I hear "Handsome", oh that word I hadn't heard for such a long, wasted period. I had stated I was important to listen to because of experience, I've had IPL's, fillers because of my thin skin, lasers, must be over 25 doctors I've seen over the years and what do they have in common? They talk FAST AND OVER YOU, they charge to for a consult!! What nerve. Dr. Domaskis though a amazing doctor ACTUALLY LISTENS AND RESPONDS TO WHAT YOU SAY, it's why I'll NEVER pay for a consult, what arrogance what if we don't like the doctor? I want to end with this, I was staying at a hotel when I had my procedure, that is neck lift, though his directions were right on, I made a mistake and was uncomfortable, well I can be quite a nuisance, that is complainer, so I got angry, what did Doc do? HE CAME TO MY HOTEL AND FIXED IT HIMSELF!!! Tell me what plastic surgeon have you heard of doing that? Trust me the guy cares, I screwed up, he gets in his car, drives to my hotel and fixes MY MISTAKE. Thanks Doc!!!"- M.H. / Yelp / Jul 21, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure. Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
The surgical technique employed with lip augmentation depends on the type of material used. For implants, incisions will be made on the outer corner of the mouth and the implant is inserted through a tunnel that the plastic surgeon creates. The scars are concealed as the incisions are made along the natural lip line, and the sutures are so fine that once dissolved, they are unnoticeable. For injectable fillers, incisions are not necessary. The substance will be injected using a small, fine needle directly into the lips. During this process, the doctor manipulates the shaping of the filler by putting pressure on the lips where it is needed.
Another potential option is VeraFIL. This technique involves the use of a small silicone shell, coated with Teflon, being inserted through small incisions on the corners of the mouth. Once it is in place, the shell is filled with saline to the desired fullness. While this method does indeed increase fullness, it may pose the same potential risks are saline breast implants. Speak with Dr. Domanskis about the benefits of this technique.
Lip enhancement using an implant product will generally be performed under general anesthesia in an accredited surgical facility. It is considered outpatient and the entire process is usually concluded within an hour. Injectable fillers require no anesthesia, however, a local numbing medication is usually used. After the procedure, the lips will be swollen and there may be bruising present. This will go away after a few days and the patient will instantly see results of the treatment. It may take a few more weeks for the best results to show.
Lip augmentation surgery fees can run up to $5,000. Injections average between $300 to $500 (per syringe of filler). Although injectable fillers are less expensive than a single lip enhancement surgery, reinjection is needed to maintain the desired results. Patients may decide that a more permanent solution is worthwhile and can consider implants to save in the long run.
Plan Your Procedure
- Average Cost
- $3,000 - $5,000
- Recovery Time
- 5-14 Days
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- 2 Months
- Procedure Recovery Location
Lip Augmentation FAQs
Solid or Liquid Fillers?
It depends. Both solid implants and injectable fillers have their advantages and disadvantages. Patients need to consider the longevity and maintenance of both options. Solid implants are permanent while injectable fillers need reinjection every 6 months. Patients may opt to see the effects a filler will have on the lips first and realize lip augmentation is not for them. The pros and cons of both can be discussed during the initial consultation.
How Real Will It Look?
Technology today is able to design implants that produce great results when it comes to providing a natural look and feel. Optimal results are achieved when implants settle and integrate with the natural tissues of the lips. It is important to find a surgeon who has the necessary skills and experience when it comes to lip enhancement treatment.
Can I Have It Removed?
Yes. Silicone implants are easier to remove than porous implants but both are removable with a secondary surgery. Liquid fillers go away naturally over time as the substance is absorbed by the body, although a minimal fraction may be retained and may take a while before fully absorbed.
Will There Be Scars?
With implants, incisions are placed along the natural lip line and the scar will be barely noticeable. Fillers inserted by injection will not have any scars at all. It is important to take extra care of the surgery wounds according to doctor’s prescriptions to avoid any infections.