What is PermaLip Lip Augmentation?

If you’ve long coveted the lips of stars like Angelina Jolie, Scarlett Johansson or the iconic Marilyn Monroe, you’ve probably done some research on lip augmentation procedures and wondered which option would, once and for all, give you the plump, pouty, natural look so admired on stage and screen. While there are several options available, from temporary injectable solutions to implants, Board certified New York City plastic surgeon Dr. Matthew Schulman is particularly excited about PermaLip lip augmentation implants.

What makes PermaLip Implants Different from Others?

PermaLip lip implants are a significant and pleasing step up from previous varieties of cosmetic lip implants. They have been a life-changer for many of Dr. Schulman’s patients who wanted to boost and plump up thin lips, or who have experienced the thinning of the lips that often comes with the aging process.

Previous models of permanent lip implants came with several disadvantages, the most obvious of which was their unnatural look and feel. Some of them had what Dr. Schulman calls the “cigarette roll” look, as the ends were not tapered to conform to the natural shape of the mouth. Many of these older lip implants would migrate into unnatural positions over time, causing lip distortion and difficulty with activities like speaking, eating and kissing. They were also difficult to customize, so that also contributed to the unnatural look of older styles of lip implants.

In addition to these problems, if a patient later wanted a lip implant removed, the process was difficult and complicated because, over time, the body would begin to absorb the material and the implant would become one with the patient’s face, sometimes in an unnatural position. Bruising, scarring and swelling were frequent side effects of the removal process, and more extensive work was usually needed to restore the patient’s natural lip contours.

PermaLip implants, however, are extremely easy to implant; they are even easy to remove if the patient later feels that is necessary. Otherwise, PermaLip lip implants can stay put and perform well and naturally for years and years. They are made out of a soft, non-reactive silicone that has a natural feel and texture when inserted inside the lip. Patients rave about how natural these lips feel when eating, talking and even kissing.
Another thing that patients enjoy about PermaLip lip augmentation is that they are more customizable than previous styles of lip implants. They are tapered at each end to prevent the “cigarette roll” look and they come in three different widths and three different lengths. The patient can choose either a 3-millimeter, 4-millimeter or 5 millimeter diameter, along with the correct length. The wider the diameter, of course, the bigger the pout.

PermaLip implants also do not become incorporated into the body’s other tissues over the course of time. This is an added benefit for those patients who choose this lip augmentation procedure. If the patient later decides to remove the implant for any reason, the removal process is as simple as the original insertion process. The insert just slides right out, and recovery time is minimal.

Some patients initially express concern that perhaps the PermaLip lip augmentation inserts will rupture or leak, but they cannot do this. They are made from solid, but soft, flexible silicone that remains inert inside of the lips. There is no liquid component to the implants, so there is no danger of leaking.

For most of Dr. Schulman’s patients with PermaLip, however, these implants have lasted and looked great for years and years, so it’s relatively uncommon for him to have a removal request with these particular models.

Is PermaLip Lip Augmentation Better than Injected Solutions?

For years, lip augmentation by way of an injectable fat, collagen or other solution was the standard procedure for people going for the pouty, kissable look. Over the years, more sophisticated injectable solutions were developed, including hyaluronic acid. Hyaluronic acid is naturally produced by the body, so adverse allergic reactions are extremely rare.

Dr. Schulman also has excellent results using several other non-surgical lip fillers such as Restylane®, Juvederm®, Perlane®, Radiesse®, Sculptra® and Belotero®. These all produce wonderfully natural, plump, pouty puckers and are a good option for many patients on a temporary basis.
The keyword here is temporary; lip augmentation injections usually last from about six to nine months, on average. So the main issue that patients have with injected solutions is that they have to be re-injected a couple of times a year to keep the pretty pout going strong. The cost of these repetitive injections can add up over time. Painful, biannual injections and the inconvenience factor of having to schedule the procedure and recover from it regularly can be a turn off for many patients.
The PermaLip lip implant, on the other hand, is truly permanent. It stays put and continues to plump up your pucker, so you only have to pay for it one time and then proceed to enjoy life with the fuller lips you’ve always wanted without having to keep paying to have them redone periodically.

What Should I Expect from a PermaLip Implant Procedure?

If you would like to know more about PermaLip lip augmentation or any other lip enhancing procedures, please schedule an appointment to talk with Dr. Schulman personally. He will talk with you about all of the options we can provide and help you plan a procedure that will create the best look and overall outcome for you.
If you and Dr. Schulman opt for PermaLip lip augmentation, you’ll schedule another appointment for the short, outpatient procedure. Dr. Schulman will use a local anesthetic and then cut tiny slits on either side of the mouth to slide the PermaLip implant right into the correct area of the lip, or lips. You can have the bottom, top or both lips augmented in this way.

Following the lip augmentation, you will probably experience some swelling, pain and tenderness in the area, particularly over the first 24 to 48 hours. Some patients experience minor bruising as well, but this is not common. You should be able to see the final results over the course of the next few days as the swelling continues to go down. Tenderness and light sensitivity can last for about two weeks in most cases. Just be sure to follow Dr. Schulman’s recommendations for recovery for the best outcome.
If there is ever a reason you want to have these lip implants removed, the process is fairly straightforward and simple. Once again, tiny incisions will be made on either side of the mouth and Dr. Schulman will simply slide the PermaLip implant right out.

If you are curious about the results other patients are getting from PermaLip lip augmentation, we invite you to look through the lip augmentation photo gallery. You might also benefit from hearing Dr. Schulman talk about PermaLip implants on his YouTube channel. But to find out how PermaLip lip augmentation, or any of our other lip augmentation procedures could give you the lips you’ve always wanted, definitely schedule an appointment with Dr. Schulman today.

The Truth About Pretty, Pouty Celebrity Lips

Following in the footsteps of her older sister Kim Kardashian, whose backside has fueled a "booty boom," Kylie Jenner has everyone coveting her pouty lips.

The reality starlet has been open with her fans about getting lip fillers, and Cambio website wanted to know "What It Really Means to Get Lip Injections Like Kylie Jenner."

They asked Dr. Matthew Schulman, one of New York City's top cosmetic surgeons, to explain the procedure.

Dr. Schulman Explains

Dr. Schulman said that most plastic surgeons have switched from using collagen or fat injections to using hyaluronic acid. Hyaluronic acid is naturally produced in the body, so it is less likely to cause health issues.

"Allergic reactions are very rare," Dr. Schulman said. "There are no long term repercussions of lip injections when temporary filler [containing hyaluronic acid] is used."

However, the results last less than a year, and more-permanent procedures come with more risk. As always, it's important to "Do Your Homework" to find a qualified doctor.

"If permanent fillers such as silicone are used, any lumps, bumps or asymmetries will be permanent," he said.

Dr. Schulman Services

Dr. Schulman offers a variety of non-surgical facial fillers, including Juvederm®, Restylane®, Perlane®, Belotero®, Radiesse® and Sculptra®.

He also attains beautiful results with PermaLip™ permanent lip implants. Unlike temporary fillers, PermaLip is truly permanent, which over time, saves the patient time and money. PermaLip is a soft silicone implant that looks and feels natural, as the shape and movement of the mouth is unaffected.

You can trust board-certified ASPS Member Surgeon Dr. Matthew Schulman to give you wonderful results, using local anesthesia in a safe, in-office procedure.

View Before and After Photos

See photos of Dr. Schulman's clients in our PermaLip lift implant before-and-after photos.

Contact Our Office

To meet with Dr. Schulman to find out how he can give you a beautiful celebrity pout, contact Dr. Schulman online or by phone (212-289-1851).

Celebrity Looks to Avoid – “The don’t-wannabe list”

It is common for my patients to request specific body parts of celebrities. Topping this list is Angelina Jolie’s lips, Kim Kardasian’s butt, and Jennifer Aniston’s breasts. This is common in plastic surgery, and plastic surgeons have come to expect (and accept) this because many of these body parts represent what we consider the aesthetic ideal.

Just as frequently though, patients request not to look like well known celebrities. This list of celebrity “don’t-wanna-be” changes a few times a year, but here is a list of the most common celebrity no-nos and tips to avoid looking like them. Continue reading "Celebrity Looks to Avoid – “The don’t-wannabe list”"

Permanent Lip Implants – A new option for fuller lips

One of the most common procedures performed is lip augmentation. This is generally done through the injection of dermal fillers, such as Juvaderm, Restylane, and Perlane. These fillers provide natural appearing, full lips when performed correctly, but the results are temporary, requiring repeat injections two or three times per year. These treatments are not only painful, but can be costly to maintain. At an average cost of $700 per treatment, maintaining the results can cost upwards of $7,500 over 5 years and a staggering $16,000 over 10 years!

There have been several attempts in the past to develop a permanent solution for those who want fuller lips. Silicone has been used because it is permanent, but the silicone move when used in the lips because of constant lip motion. Other materials that have been used include Gortex and Alloderm that is rolled like a cigarette and placed in the lips. The problem is that these materials can look unnatural and cause significant scarring on the inside of the lips making it very difficult to remove the materials in the event of a complication. Because of the well documented problems, physicians have virtually abandoned the use of permanent materials in the lips.

Now there seems to be another option. I have been using PermaLip, a permanent silicone implant for the lips. These implants are solid silicone rubber that is soft and flexible. They are manufactured with tapered ends, making them very natural appearing when placed in the lips. The soft nature of the implant allows them to move naturally with lip motion. Additionally, they do not elicit an inflammatory response, making it easy to remove if necessary. This makes the PermaLip a safe option for permanent lip augmentation. Unlike with injectable fillers, the results are consistent and not soley dependent on the skill of your injector.

The implants are placed in a short in-office procedure requiring only local anesthesia. These is some swelling and bruising after the procedure that may last for one week. However, with a cost of approximately $3000 for both upper and lower lip, this is a cost effective option for women who desire permanently fuller lips.

PermaLip is quickly becoming one of my most requested procedures. I fully expect the demand to continue to increase as people look for cost effective options for looking better.

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