Lip Augmentation – Fillers, Implants, Transplantation
Lip Augmentation and Proportions
The beauty of the face is determined by its proper aesthetic proportions and lips are part of them. In volume, they should correspond to the volume of the eyes and eyebrows. The upper and lower lips should be equal in volume, juicy at the profile line, with sexy borderline appearance. Lip augmentation is one way of achieving correct volume and proportions.
Young girls seek grace and visible appearance. For adults it is more important to create volume in oreder to prevent or stop lip wrinkling, as well as dry and atrophy appearance. Thin lips are often congenital, but with age and atrophy of muscles the lips lose their volume, become dry and wrinkled, due to perioral muscle activity. In any case, it is important to express the lip contour and increase pink mucosa volume of the lips or the so called "kissing surface".
Patients must be at least 18 years of age.
Implants, fillers or surgical procedures?
Cosmetic surgery enjoys a variety of methods for lip augmentation: by fillers and implants or by own tissue (WY or VY plasty).
Temporary or lasting implants could be placed surgically or by injection. They could be placed at different locations, according to patients' needs. Surgical placement of implants is allowed using 2 points per lip near the oral commissure. Implant placement, and if necessary - removal, should not leave a scar. Injectable and other implants (fillers) may be used only if CE certified. It is important for patients to know that the use of liquid silicone injections are forbidden and pursued by law.
Permanent injectable fillers could not be imposed because of reactions, displacement, and formation of granulations that need surgery. Silicone injection are banned in most European countries. Silicone for intraocular injection for short-term adhesion of retina have low purity and must not be used for permanent (lifelong) aesthetic purposes. All patients with silicone injection are subjected to repeated excisions of the lips, but the silicone that has penetrated the tissues can never be removed entirely.
Temporary injectable fillers are based primarily on hyaluronic acid. There are many products with different densities to fill lips or wrinkles. More permanent preparations are cross linked or double cross linked.
Another method is filling the lips with autologous fat. This method does not give the most aesthetic results - organized reaction is much more violent, a large swelling and redness is present for days. Unfortunately, the result is neither stable, nor uniform. Fat cells should be vascularized in the new position, powered by blood supply of the own tissue. Only cells with good contact with the own tissues can receive blood supply. All other cells die and are absorbed. Thus, the effect decreases and is proven to retain maximum 30% of the injected volume. Over-filling does not give aesthetic appearance and better survival. Fat transplantation could need repeated or adjusting procedures.
GORETEX Band - can be used as temporary or permanent.
Placement of Goretex band is a brief outpatient surgery under local anesthetic. Soft elastic surgical Goretex band (bundle of Gore-Tex threads is a wrong technique) along the contour of the lips is intended to prevent lip wrinkling. It is a permitted implantation material used also in vascular and cardiac valvular prostheses. The material has a very soft-elastic consistency and can not be felt in touching or kissing.
This band may be removed at any time (temporary use) and can be placed at any time again using only point perforations that do not leave a scar. The effect of increasing the lip volume is about 2 mm as the thickness of the tape. Additional effect is that of lip juiciness.
This method is recommended for women over 35, when first signs of lip wrinkling appears. It is also preferred by young women who prefer minimal unobtrusive, but permanent effect with an implant that can be removed at any time, without negatives. In this method the swelling of the lips is invisible and patients can return to work and social life the next day.
Have similar application as Goretex Band.
Surgical Methods With Permanent Efect
WY and VY plasty outpatient operations inside the lips permanently increase the volume and the pink surface area, with a very good and stable result. Dr. Serdev’s modified method allows for maximum increase, even with thin lips, and reduces trauma. The lips heal fast - for 3-5 days. Hyposensitivity could persist no more than 2-3 months. This is the only inconvenience, but the result is permanent, without the use of foreign bodies. This operation should be performed by a qualified cosmetic surgeon.
It gives poor results with visible scars and should be abandoned.