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
"Dr Domanskis saved me! My promised implant job before meeting him ended up not good and me distressed. Dr Domanskis was very compassionate and clear during my consultations. He said i may need 2 surgeries, and incredibely he did it all in one surgery and repaired 2 very different looking breasts to look the same and fuller! I couldnt be happier. His knowledge and skill level is second to none (I have had more than 1 breast surgery in my time). I HIGHLY recommend him and will always go back to him if needed for other things in the future! Thanks Dr. Dom! :)"- Anonymous / RateMDs / Feb 20, 2019
"I'm a new patient of Dr. Domanskis and met him under emergency circumstances (that a previous monster surgeon had done to me.) I was over a month post-op of breast lift, replacement and reconstruction surgery for the second time in less than a year and was left with LITERALLY hundreds of stitches in my breasts and a huge hole for the second time that was the size of a quarter and my implant was exposed and This was not only a repeat of what happened to me in Feb 2018 of last year but this time I knew better from past experience (that ended up putting me in the hospital for a deadly staph infection in July 2018) That it's best I find a competent Dr. Who is highly recommended. I called my Oncologists and immediately they said Dr. Domanskis is the best! Couldn't agree more! Truly from the time I called Initially which was in the AM on a Monday I was taken care of by Rachelle and she made sure I was in to see the Dr by 2:00 that day. When I met Dr. Domanskis I was already so fearful of Dr.'s and the lack of care if I had been shown previously, I was surprised at the time and effort he put into listening to me and removing all the hundreds of stitches that should have been taken out weeks ago and the amount of concern Dr. D shows me when taking a culture of the wound to make sure I did not have another staph infection like last time. He sat and slowly explained everything that was hoiu on and what my options would be. Come Friday I opted to have the implant extracted in his office and to my surprise, it was not only painless but super fast and I'm currently healing and looking forward to having Dr. Domanskis help reconstruct what the monster surgeon had done to my body. I have so much faith in Rr. Domanskis and love this place! I know hands down that I will be cared for and taken care of here. This Dr. and his team (Rachelle) treated me like family or an existing patient, it's not about money here it's about caring for the patient and they really do!!"- H.B. / Google / Jan 25, 2019
"Dr. Domanskis & Rachell - I love this place!! Hands down I will never go to another Surgeon after I have met my forever favorite Dr. Domanskis! I had an emergency situation and was desperately avoiding going back to my previous surgeon (due to having two breast revision and reconstructive surgeries, not by choice but because my prior Surgeon left me each time with a hole the size of a quarter and implant exposure which led me to end up in the hospital last Summer with a almost deadly staph infection and recently leading me to face again the same hole he never repaired originally) I was referred to Dr D. by my oncologists office and so I called and was immediately given the utmost care from Rachelle when explaining my situation to her over the phone she was so sympathetic and quickly fit me into Dr. D's busy schedule. I was seen immediately that same day and was treated like an existing patient and greeted with a friendly and warming Dr. Domanskis. I was so hopeless and afraid after suffering mental anguish, pain and the fear of having to be under the care of a incompetent surgeon, Dr. Domanskis not only helped me right from the first consultation but he and Rachelle helped start the process of wound healing and removal of the implant without pushing me off and saying I should see my original surgeon, like I was told before earlier this year. DR. D made me have confidence again in Dr.'s and I am so grateful that he was willing to help me during this horrible time of fresh recovering that I was in. I am now looking forward in being Dr. D's patient and have so much faith that he will be able to reconstruct what the past monster had destroyed twice. I know that I will not only get the results that are best for me and my body but Dr. D and Rachell genuinely care about the client rather than just the money. THANK YOU SO MUCH DR.D & Rachelle I can't wait to so you soon!!"- Anonymous / Vitals / Jan 24, 2019
"He knows what he is doing - Dr. Domanskis is very intuitive without alot of explaining he was in tune with what I wanted and gave me the hips to balance out my shape! I always had stubborn belly fat and back fat as well as a narrow waistline and flabby arms. After this liposuction my waist has drastically changed into the hour glass shape I wanted and I am happy with the results :)."- D. / RealSelf / Dec 27, 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.