Women in search of dramatic change to the shape of their lips may desire to have lip implants. Known also as a lip augmentation, this cosmetic procedure creates plumper, fuller upper and/or lower lips. At Scottsdale Plastic Surgeons, we use fat grafting that provides long-lasting fullness. For patients wanting a painless, nonsurgical way to fuller lips, there are many injectable fillers on the market to consider as well. Each option can be discussed during the initial consultation with our board-certified surgeon, Dr. Holden.
Lip Enhancement Options
- Lip Implants: This is a surgical procedure that provides a permanent increase in lip size. There are two alternatives available that most surgeons use, including PermaLip, which is a solid silicone material that offers a natural, soft result; and Advanta Lip, which uses a synthetic Gore-Tex material that offers a fuller result with a firmer feel.
- AlloDerm: This is a popular surgical method to enhance the lips. It consists of components from the most durable part of the skin, known as the dermis. It is harvested from cadavers and placed within the lips through tiny incisions. It integrates with the natural tissues and fibers within the lips to create a smooth, natural appearance.
- Fat Filler: This is a nonsurgical injection, also referred to as a fat transfer. The process involves removing fat through liposuction from the patient’s body, filtering this fat and then transferring it to the lips.
- Injectable Filler: This is a nonsurgical injection that is made to the lips to create a fuller look. There are a variety of filler products available including those made of collagen, hyaluronic acid, calcium hydroxyapatite, etc. These are marketed under various brand names and offer varying results
"Rhinoplasty - Scottsdale, AZ - I couldn't be happier with my new nose.I hated my nose for as long as I can remember, when I looked in the mirror or at pictures of myself that's all I saw. The first time I met with Dr.Holden he pin pointed my exact issues with my nose with out my having to tell him. He was very kind and patient and answered all of my questions. While talking to him it was obvious he knew what he was talking about and was an expert in his field. I felt so comfortable and confident with him that I canceled my other consultes (with another surgon I used in the past) and scheduled by surgery for the next week. Dr.Holden also saw me at every one of my follow up appointments, not some nurse, which was very important to me and helped with my post surgery anxiety. With being 34 years old and a mother of 3 it was very important to me for my new nose to look natural. It does. I am thrilled when I look in the mirror and the people close to me have all remarked how wonderful it looks. While people that I haven't shared my surgery haven't noticed or at least not enough to say "oh my gosh you got a nose job!" I still look like me. :)"- S. / RealSelf / Jul 30, 2015
"Restylane Lyft Gave Me the Lift I Needed. - Dr. Holden was very knowledgeable and he took time to discuss all options available to me."- L. / RealSelf / Dec 04, 2016
"After many consultations with several surgeons I'm happy to say I found Dr. Holden. He is hands down the best of the best when it comes to trusting someone for facial plastic surgery. Dr. Holden performed a revision rhinoplasty and chin augmentation on me. After doing extensive research, Dr. Holden was more than qualified for the job. He had the same vision I had when it came to creating the masterpiece that he did. He turned my imperfection into perfection. I'm a person who worries about every little thing, and not only did Dr. Holden answer all my questions but he never rushed me and always made me feel comfortable. Behind every phenomenal doctor is great staff. Everyone was positive, smiled and was happy to assist. Andrea provided me with step by step instructions and explained everything to me. The customer service was beyond my expectations. Dr. Holden will be the only doctor to perform any future facial plastic surgery that I may need as I age."- K.A. / Yelp / Oct 28, 2016
"Chin Implant, Lower Facelift, Fat Grafting- 42 Year Old Female- Best Decision - Scottsdale, AZ - Dr Holden was amazing- start to finish. He was very honest with me, and we discussed the best plan for my multiple issues. This was not a quick conversation and I was so impressed with the way he explained everything to me. He spent considerable time going over what the surgery itself would entail, what to expect after surgery, and my questions about recovery. He understands that this is both exciting and a bit terrifying as well- because it is my face after all. I wanted to look like myself, but with a better profile and jawline. He explained that a lower facelift, custom chin implant, as well as a touch of fat grafting under the eyes, at the temples, and at the lips would give me the results I desired.Interestingly enough, I was planning on having a different surgery for this problem, where my jaw would be broken and moved forward (orthagnathic surgery) and we spent considerable time weighing the pros and cons of both. Since my braces had largely corrected my teeth crowding and overbite, there would only be a few millimeters added with orthagnathic surgery. This would not be enough to change my profile in a noticeable way, and I would still need soft tissue reconstruction to get my desired effect. Not to mention, I would NOT need my jaw wired shut for 6 weeks with a facelift, and the pain would be remarkably less as well.Dr Holden made me feel very confident in my decision, and his advice was so valuable to me. His expertise was obvious as well. Not once did he pressure me or rush my decision, and we decided to proceed.After surgery, he was just as interested in my recovery and had frequent follow up visits. I felt he genuinely cared about my well being and outcome. I really could not be happier! I feel so grateful to Dr Holden for all the time he spent walking me through this complicated decision, and the results speak for themselves. When my friends see me now a week out, even though I'm still a little bruised and swollen, the typical reaction is tears of joy. I have several friends who are plastic surgeons, and they were impressed with my results right away as well. I am so grateful that Dr Holden was my surgeon- I have never felt so beautiful."- S. / RealSelf / Sep 11, 2016
"42 Yr Old - Amazing Breast Augmentation Experience - Scottsdale, AZ - Dr Tsujimura was the perfect choice for my breast augmentation. I trusted him immediately. He was kind, respectful, and gave me very honest feedback to my questions. I wanted silicone implants, somewhere in the 250-300cc range, under the muscle, with transaxillary placement. He discussed the pros and cons of implant types, incision location, implant placement, and implant size/profile. We agreed on a plan, and I couldn't be happier with the results. Even though I am only a week out from surgery, they look natural, symmetric, and appropriately sized for my small frame. I did not have any numbness on my inner arm or chest wall, which can happen with the transaxillary approach. I had almost no bruising either, just a little around the incisions. Pain was very minimal. He was very caring and involved during my postop visits as well, and made me feel very comfortable during my recovery. I am so grateful that Dr Tsujimura was my surgeon! I would recommend him to anyone!Also, his office staff and surgery staff are amazing- they make you feel appreciated, important, and they are all so kind and helpful! They made the experience even that much better!"- S. / RealSelf / Sep 11, 2016
The technique used to perform lip augmentation will vary depending if the patient is having a surgical or non-surgical procedure. Patients who are having a surgical procedure with fat grafting will have their fat harvested from a donor side on their abdomen or thighs. Incisions are placed on the outer corner of the mouth. These incisions allow the surgeon to create a tunnel within the lip where their fat can then be placed. The same approach is used for AlloDerm. Once the implants and/or tissue are in correct placement, the lips are then sutured and the incisions closed. These sutures are dissolvable.
Lip enhancement procedures that use an injection will take place with a local numbing anesthetic. These injections are made through a syringe that is placed inside the lip. The substance that is used is injected in layers until the desired fullness has been achieved. Some patients will need to have this process repeated several times depending on how quickly the body absorbs the injected material.
Lip augmentation (surgical and nonsurgical) is performed as an outpatient procedure in our surgical facility. The surgical process for fat grafting requires sedation in most cases. Lip augmentation using an injectable filler is performed in-office and usually takes about 30 minutes. A numbing cream is generally used for injections. The lips will be sore and swollen for a few days. This subsides and the results are fuller, soft lips.
Lip augmentation will vary in cost. Some injections can average between $450-$550 per syringe, while lip augmentation using implants can run between $3,000-$6,000.
Plan Your Procedure
Lip Augmentation FAQs
Implant or Filler?
The good news to this question is that there are many choices and alternatives, each one offering specific benefits to meet each patient’s goals and desires. Women who wish to have permanent results will probably be better suited to have implants or some sort of filler treatment that produces longer lasting results. Some patients may not be sure how they will feel following lip augmentation, and may want to take baby steps with their lip enhancement. Luckily, there are many procedures they will offer a fuller lip, but that won’t last forever. During your consultation, all of these techniques will be discussed so that the right decision can be made.
Does fat grafting Look Fake?
Augmenting lips with fat results in a natural look and feel. After a few weeks when swelling is gone, the lips maintain a fuller appearance. Most patients remark that their new lips look and feel both natural and soft.
Is This Reversible?
Patients who do not like their fat grafted lips can have the fat removed. It’s important to make sure all swelling has subsided before making the decision to have them altered. Injections will slowly absorb into the body and thus the lips will naturally become smaller when an injection is involved.
What About Scarring?
Scarring is very minimal with a lip augmentation surgery because the incision is placed on the outside of the mouth in the natural crease of the lips. Once healed, the incision is barely noticeable at all.