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November 21, 2009
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The Cleveland Clinic

Lip Augmentation

So you want to improve the appearance of your lips? You've got your reasons. Plumping your pucker often improves self-confidence and sexual confidence.

The good news is that you have many options to improve the appearance of your lips. The methods we discuss here also reduce fine lines and wrinkles around your lips. It's important to be realistic, too. Injections or implants can enhance and improve your natural look, but they're not about performing miracles.

Who Are the Best Candidates for Lip Augmentation?

You must be in good general health overall. You are not a good candidate for lip augmentation if you have:

  • Current cold sores
  • Certain diseases such as diabetes or lupus
  • Any scarring of the lips
  • Blood clotting problems
Like any other cosmetic surgery, lip augmentation requires a lot of responsibility. You can only determine for yourself if you're ready. We've included the most popular injections and implants here. This information should serve as a general overview only and should not replace your doctor's advice. Once you've selected a doctor, you will communicate with him or her and decide together which option best suits your needs.

As with any medical procedure, you should tell your doctor of any allergies or any medications that you are taking and you will be required to discuss your medical history. Certain diseases can increase your chances of complications, such as blood clots, diabetes or poor circulation. If you are a smoker, this may also be a complicating factor.

Injections

Your surgeon will most likely use topical anesthesia (painkiller applied directly to the lips) for injections. These are performed on an outpatient basis in your doctor's office or an outpatient center and you will be sent home the same day.

Here are the options:

  • Artecoll is a synthetic material that plumps up the lips. Because it's synthetic, you are at higher risk of having an allergic reaction to it than if you got an injection of collagen or fat, but it lasts longer than either.
  • Autologen is an injection of your own collagen, extracted from another place on your body. There's no risk of allergic reaction, however, the results are only temporary. This may be good for people who aren't ready to commit to a permanent result.
  • Collagen can be extracted from cows and injected into the lips. There's a risk of allergic reaction, so it's best to have your surgeon give you a test dose before proceeding to the full dose. The results are temporary lasting 4 weeks to three months.
  • Dermalogen is collagen extracted from deceased human donors. It's also called injectable Human Tissue Matrix. This is also a temporary fix, but your body should not reject it.
  • Fascia injections use a specific type of connective tissue harvested either from your own body or from a deceased human donor. It can be implanted surgically or injected. The main drawback is that within a year of injection, your body will reabsorb the fascia.
  • Fat from your own thighs or abdomen can be injected into your lips. There's no risk of allergic reaction and you may achieve permanent results. This can also be implanted surgically (see below).
  • HylaForm is a material created from natural body substances. There's no risk of infection, but you will need repeated treatments to maintain the result as it's only a temporary fic.
  • Restylane is a clear gel. It contains hyaluronic acid, which naturally occurs in humans, so there's little chance for an allergic reaction. It's biodegradable, so your body will absorb it within about six months of the injection.


Next: Implants and surgeries for lip augmentation »

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Lip Augmentation

What is body dysmorphic disorder (BDD)?

Body dysmorphic disorder (BDD) is a serious illness when a person is preoccupied with minor or imaginary physical flaws, usually of the skin, hair, and nose. A person with BDD tends to have cosmetic surgery, and even if the surgeries are successful, does not think they are and is unhappy with the outcomes.

What are the symptoms of BDD?

  • Being preoccupied with minor or imaginary physical flaws, usually of the skin, hair, and nose, such as acne, scarring, facial lines, marks, pale skin, thinning hair, excessive body hair, large nose, or crooked nose.
  • Having a lot of anxiety and stress about the perceived flaw and spending a lot of time focusing on it, such as frequently picking at skin, excessively checking appearance in a mirror, hiding the imperfection, comparing appearance with others, excessively grooming, seeking reassurance from others about how they look, and getting c...

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