
Lips
Surgery – Lips Enhancement
A lack of fullness in the red lip
or crease lines along the lip margin and up into the white lip can be
treated by injectable fillers (collagen injections, hyaluronic acid,
Restylane® and others) but usually the effect does not last much
more than 3-6 months. There are alternative forms of treatment. It is
possible to use a small strip of your own dermis, a small amount of
your own fatty tissue, an Alloderm® graft or an implant under the
skin of your lips to produce the required degree of fullness, and this
can also improve the crease lines.
Other options that current technology offers are permanent injectable
synthetic filler, I prefer to use the natural body tissues for this
purpose.
Skin is made up of two layers, a thin surface layer
of epidermis which includes the pigment layer of the skin, and then
a deeper thicker layer of dermis which gives the strength and thickness
to the skin. It is the thicker dermis, which can be grafted in to build
up the thickness and contour of the lip skin, and this often lasts 2-3
years although there is a more permanent solution with an implant. The
fat graft varies in duration between 6 months and many years with fat
becoming part of the lips living tissue. Long-term results have proved
to be very satisfactory and can give an extremely natural appearance.
The operation can be done both under general or a
local anaesthetic with intravenous sedation, and on a day case basis
so that you do not need to stay overnight in hospital. If a dermis graft
is used this is inserted through a very small incision on the inner
aspect of your lip, so that these are not visible at any time.
Initially after the procedure it is anticipated that the lip will became
swollen or bruised, this settles in 2-3 weeks down to the final enhanced
appearance.
There is usually very little or no pain.
Temporary numbness and swelling are anticipated side
effects. Complications of this procedure are rare in occurrence: Infection
may require antibiotics or surgical removal of a dermis graft or an
implant.
After the operation you will be visited while in hospital
by myself normally or otherwise a member of my team in order to ensure
a personal and confidential programme of after care. I can be contacted
through my secretary or -out of hours- the Hospital switchboard should
the need arise.
Revision surgery may be required in a very small minority
of cases in the short term. In these circumstances you will not incur
any surgical fees (payment to the surgeon), but you will be responsible
for the cost of the hospital, cost of any additional implant (if used)
and anaesthetic fees.
It is important to note that a more in detail
discussion about the operation and possible complications adjusted to
your specific needs takes place during consultation.