Lip augmentation; This is suitable for anyone who wants larger or fuller lips. In addition, there are people who are born with abnormalities of the lips or whose lips are distorted for one reason or another later in life.
There are many different procedures to choose from, but they can be grouped together.
Temporary improvement many substances used to temporarily enlarge the lips. These substances are mainly injected under the white line.
It is the line without white hair which describes the vermilion (red mucosa) of the lip and is distinct from the normal skin of the lips. This gives a sulky lip (Paris). (See illustration).
The volume of the lip can be increased by injections into the muscle, but these tend to dissolve more quickly.
The most used material is collagen for which an allergy test is required. Recently, a hyaluronic acid gel (Hylaform, Restylane) has been used. All these dissolving substances must be supplemented every 3 to 6 months.
This is generally considered temporary. It has the advantage that the patient's own tissues are used and that there will therefore be no allergic reaction. Fat is collected as part of another liposuction procedure or harvested specifically for the purpose of lip augmentation.
Fat is generally extracted from the abdomen or buttocks. It can be stored in the refrigerator for later use for several months. The injection of fat causes more temporary swelling (pungent bee lips) than the injection of other substances.
Permanent Lip Enlargement Using Patient's Own Tissues
The dermis, or deep layers of the skin, has been used as a transplant for many years, but has recently become popular for lip enhancement. The tissue is harvested as a by-product of another operation where it would otherwise be thrown away - for example, abdominal reduction, breast reduction, facelift, etc. The other.
The advantage is that this tissue takes well as a transplant because it is the patient's tissue so there will be no allergy problem. The transplant may not take completely and there will be a thinning of the dermis with age. However, good results can be obtained.
It is a larger procedure, producing more swelling for a longer time (one to three weeks) and can also create complications of infection and bleeding, as in any operation.
An alternative graft to the dermis is the fascia (the covering of the muscle). This may be the temporal fascia of the temporal muscle cover under the scalp at the temple, or elsewhere.
Lip augmentation or grafting is limited by the amount of vermilion or lip lining available. Some older adults have very limited amounts of vermilion.
Vermilion Surgical Advancement
The lining of the inner side of the lip can be advanced downward to form a fuller lip or even advanced downward and rounded to replace normal skin. This operation will change the normal white line.
These reconstructive procedures tend to be used to treat birth defects and those acquired as a result of injury or illness.
Which procedure is the best?
There are many procedures that can be used to improve the lips. Some patients prefer temporary workers because they can change their mind.
They may also simply wish to try the appearance of larger lips as a preliminary to something more permanent. Many patients and surgeons prefer to use the patient's own tissue, although the injections are simpler.
The choice will depend very much on the wishes of the patient and the experience of the surgeon.