Pittsburgh cosmetic surgeon, Dr. James Fernau, has created gorgeous results for countless women seeking lip enhancement surgery. Women who wish to have fuller lips may consider a lip enhancement procedure, which will place silicone implants or 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. They 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 collagen, a fat transfer or other substance. They are not permanent and usually last between 6-12 months.
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.
Lip Augmentation Reviews
"I had an upper lip lift about a month ago. I'm very pleased with the results. Dr Fernau's work is exceptional. The suture line which goes all around my nose is nearly imperceptible. The post-op pain was minimal. Dr Fernau is very down to earth and accessible. His staff is quite friendly and helpful. I highly recommend dr Fernau and I will look no further for a surgeon no matter what the procedure."- K.L. / Vitals / Aug 05, 2014
"Today I had my first appointment with Dr. Fernau and it was for lip injections. I have been to many other businesses for lip injections before but have felt my wants were not met by the injectors due to poor technique and/or lack of knowledge in regards to products that can be used for the result I seek. Dr. Fernau was very pleasant, along with the other staff in the office. He made sure that he understood my expectations and ensured I was comfortable throughout the entire process. He had told me that in the medical field, especially in his speciality, that "tenacity is important" and I couldn't agree more. He had went beyond my expectations from using products that have never been used on me before from others, ensuring I was pleased with the outcome, and even providing a discount/special. His technique was one of impeccable skill and I had left the office with beautiful results instantly. In the past, I had left other offices with considerable swelling and unnatural looking lips. I was confident enough to be seen publicly immediately after the injections. He insisted upon a follow up to ensure I was satisfied and guaranteed a free fix if I was unsatisfied. I am looking forward to seeing him next week and highly suggest him for his ability to create aesthetically pleasing (and lasting) results."- J.E. / Google / Aug 12, 2015
"Dr fernau placed filler in my lips and they look amazing! I get compliments all of the time on my lips . He is a perfectionist and highly skilled ! And the office girls are the best ! I'll never go anywhere else."- Anonymous / UCompareHealthcare / May 24, 2016
"Dr.Fernau recently did my lip augmentation using voluma and the pout technique ! Oh my gosh I can't stop trying on different color lipsticks ! My lips are voluptuous yet do not look over done ! Just natural the numbing Creme saved the day and made it painless with the injection ! His staff those girls are knowledgable and just kind ! I will go back over and over again for filler as well as other procedures in the future ! He really took his time with me and made me feel at ease !!"- Anonymous / RateMDs / May 25, 2016
"I have been to Dr.Fernau's office for Juvederm injections in my lips on three separate occasions and both he and his staff have been fabulous every single time. I came to get juvederm fearfully after a bad experience at a local and very popular medical spa that left me with botched looking lips that had to be fixed and dissolved. I wish I would have found Accent on Body before then! Dr.Fernau and his staff injected my lips in a truly artful and careful manner! They are excellent at what they do, and have a friendly bedside manner that makes you feel comfortable. I now have the perfect pout and I love my lips!"- D.L. / Facebook / May 26, 2017
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.
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 - $4,500
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Weeks
- 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.