Hart Cosmetic & Reconstructive Surgery Institute


621 S New Ballas Road
Suite 676A
St. Louis, MO 63141
Phone: (314) 251-6250
Fax: (314) 251-6822


Lip Enhancement

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 Are You a Candidate for Lip Enhancement?

      Full lips through lip augmentation with facial fillers such as cosmetic dermal fillers and lip implants have gained popularity recently. Thin lips or wrinkled lips that detract from facial appeal have long been a challenge for many women and men.

      Basically, lip augmentation is the magnification of the lips with a cosmetic facial filler, fat transfer, or lip implants to create fuller lips. Several types of fillers and implants are available.



Human-Based Collagen Lip Augmentation

      During the lip augmentation procedure using human-based collagen, Dr Hart may inject a manufactured human-based collagen filler such as Cosmoderm, Cosmoplast, Cymetra, Autologen, or Fascian to fill the lip area. Human-based collagen fillers are biocompatible and offer results that may last for four or more months.

      It is important to note that the lip area is typically overfilled initially, because up to 40% of the collagen dissipates within a short period of time. Furthermore, as collagen treatments continue over time, more and more of the collagen remains and creates a greater opportunity for increased longevity, in some cases lasting a lifetime.

Bovine-Based Collagen Lip Augmentation

      Before a lip augmentation procedure using bovine-based collagen, Dr. Hart will perform an allergy test to ensure you are not allergic, because this form of collagen is derived from cows. After results from the allergy test show that you are a candidate for bovine-based collagen, Dr. Hart will inject manufactured bovine-based collagen into the lip area.

      The names of bovine-based collagen fillers include Zyderm and Zyplast. Also, Artefill uses a bovine collagen product to suspend polymethylmethacrylate microspheres (tiny bits of PMMA, a type of plastic) that lodge in the lips after the collagen dissipates, with the goal of providing a more permanent benefit.

Hyaluronic Acid-Derived Lip Augmentation

      During the lip augmentation procedure using hyaluronic acid, Dr.Hart will inject a hyaluronic acid solution to fill the lip area. Hyaluronic acid is a safe, clear gel composed of a naturally occurring polysaccharide (a carbohydrate) that exists in human tissues and skin. Hyaluronic acid fillers are said to offer longer lasting results than collagen-based fillers. Brand names of these fillers include Restylane, Perlane, Dermalive, Juvederm, and Hylaform.

Fat Transfer Lip Augmentation

      During the lip augmentation procedure using a fat transfer, Dr. Hart may extract fat cells from a discreet area of your body (such as the buttocks), prepare the extracted fat cells, and then transfer them through an injection to the lip area. Dr. Hart use various techniques to prepare the transferred fat cells. The technique used may impact the longevity of the results.

      Fat transfer results may be unpredictable, but in many cases provide longer lasting results than those achieved with a filler.

Lip Augmentation Filler Risks

      Lip augmentation filler risks are often minimal. Patients may experience some momentary bleeding at the injection site and often experience swelling as well. However, the swelling usually decreases within a short period of time. Other risks include infection, lumping, scarring, numbness, cold sores, and asymmetrical lips.





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