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.
"I will be seeing Dr D in October. He will be fixing years of BOTCHED work. His staff are pleasant, insightful and all around awesome. Its a big deal to take my case on and I'm proud to say even before the work is done, I have FINALLY made the right choice. AND I'm coming all the way from Canada! Im soooo freaking excited!So I had my surgery in early October. It was quite the case although Dr D has such great energy all the fear I had was alleviated. I had a few issues after the fact that caused me to return to him and Orange County (basically the poor skin quality from all the previous surgeons BOTCHED work). Again he was unphased. He's a genius, talked me through all steps, what we should do and my aftercare. Rachelle and himself took great care of me. Also nurse Julie I'd highly recommend if travelling alone which I was this time. He makes himself available to you 24/7 which you pretty much never see. HIs work is amazing, hes pleasant, kind and compassionate as is Rachelle. I wish I had gone to him in 2012 like I had initially planned. If I could rate him 100 out of 10 I would.Love his and his teamSE"- S.E. / Google / Nov 28, 2019
"So I’m complicated. Years of botched work from prior surgeons. Nothing phases Dr Domanskis. He always has a plan. I’m travelling from Canada, he’s amazing. I have his cell. He always answers, and I’m high mtce. I’ve never seen such skill and compassion. His staff are amazing. There IS no better surgeon and trust me I know. These were all breast complications but he also did ab etch and let me tell you it’s amazing work! Pics to come. I love him and his staff! Xo"- S. / Healthgrades / Nov 19, 2019
"Dr. Domanskis has performed surgical procedures on both, wife and I and he is by far the best. His knowledge and patient centric approach making you comfortable by informing you on every step of the way was more than we hopped for. What an outstanding doctor !! Well done Dr. Domanskis."- C.B. / Yelp / Oct 21, 2019
"Dr. Domanskis is the best Plastic Surgeon! I would give him 20 stars if I could. He just performed an En Bloc Capsulectomy on me 3-weeks ago, tomorrow. I am pleased with the results, I feel great and am so happy that I had this done. I feel great after just 3-weeks post-surgery, it's unbelievable.When I initially called his office to schedule my Consultation with Dr. D, Rachelle took my call and was so incredibly helpful in answering all of my questions and has always been so kind and understanding. At my appointment with Dr. D, he was so thorough and informative. He answered all of my questions big and small and got me to a point prior to surgery that I knew exactly what to expect afterwards. He fully explained the process of the surgery, so I understood exactly what he would be doing to remove the capsule and implants. After surgery he made sure to follow-up with me to make sure I was doing okay and to make sure I didn’t have any issues/ concerns. He is empathetic and has the best bedside manner. I would recommend him to anyone and everyone that is looking to have surgery – big or small."- S.D. / Google / Oct 09, 2019
"I will be seeing Dr D in October. He will be fixing years of BOTCHED work. His staff are pleasant, insightful and all around awesome. Its a big deal to take my case on and I'm proud to say even before the work is done, I have FINALLY made the right choice. AND I'm coming all the way from Canada! Im soooo freaking excited!"- S.E. / Google / Sep 14, 2019
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.