You Want Those Sexy Lips! (part 2)
CLICK HERE TO GET THOSE
SEXY PLUMP LIPS NATURALLY!!
Part 2 of 2
In part 1 of this 2-part article, the different types of injectable fillers
for the lips were discussed. There are also more permanent options such
as lip implants and surgery.
AlloDerm is an implant material made from donated human cadaver skin
and processed by the LifeCell Corporation. It comes in sheets and the tissue
can be cut to any size or shape that the physician wants. Incisions are
made in each corner of the lip and the implant is inserted. How much resorption
that occurs with this implant over time is still questionable. There are
some reports of it lasting up to two years and others that say less. Some
patients complain that their lips feel hard in the area of the implant,
however, this firmness usually resolves after a few months. Also, your own
tissue integrates with the AlloDerm, so essentially, you can not have these
implants removed. If you did, you could end up with tissue deformities.
Some physicians do whatís called a dermal fat graft where the surgeon can
use skin tissue from a facelift or tummy tuck. If that is not an option
for you, skin tissue can be removed from your inner thigh area. That tissue
is processed and then 3 cuts are made in the lip and the graft is inserted.
How long this implant lasts also depends upon the individual person.
GORE Subcutaneous Augmentation Material (S.A.M.), is one of the synthetic
implants, which can be used. The same company that created GORE-TEX fabrics,
W.L. Gore @ Associates produces GORE S.A.M., which is a flat rubbery material
that comes in different solid thicknesses, and also tiny thin strands that
can be bundled on top of each other. Incisions are made in each corner of
the lip and the implant is inserted. With the thicker strands, patients
have complained of firmness and there have also been instances where the
end of the implant breaks through the skin. Also Gore S.A.M. can roll up
above the muscle of the lip and then would have to be removed. The tiny
thin strands of Gore S.A.M. were developed to avoid firmness; however, they
may not be as easy to remove as the thicker strands if the patient wanted
Another synthetic implant that is available is Softform, which is produced
by Collagen Aesthetics. It comes in a round tube in different sizes, which
is surgically inserted into the lips, similarly to Gore S.A.M. These tubes
are hollow so normal tissue can grow through the tube to stabilize it. Because
your own tissue grows into the center of the tube, it may be more difficult
to remove than the Gore S.A.M., and some patients have complained of firmness
in the area of the implant.
Advanta facial implant is a another option. Advanta is not tubular but
has a soft central core which allows increased cellular interaction and
vascularization. Patients may experience less rigid encapsulation resulting
in a softer, more natural healing response. Because of the softness and
tissue integration of the Advanta implant, many surgeons consider this to
be a better alternative to Gore S.A.M. or Softform.
There are also lip-lift surgeries. Basically, there are three different
types of lip-lift surgeries. Unfortunately, the area between the nose and
cupid's bow area elongates as we age. We often develop a long sagging thin
upper lip that covers most of the upper teeth when the lips are slightly
parted. Corners of the top lip droop down and the bottom lip often starts
to sag too, eventually showing the lower teeth, again when the lips are
slightly parted. Today more and more surgeons are addressing this area of
the face that is very important in maintaining our youthfulness.
The most common lip-lift procedure is called a bullhorn liplift. Removing
skin under the nose and resuturing the skin back together creating a higher
lip performs this procedure. The incisions are hidden along the base of
the nose. This procedure shortens the distance between the top lip and the
tip of the nose allowing for more upper tooth show when the lips are slightly
parted. It also everts more of the upper lip vermilion, therefore creating
more "poof" in the upper lip. Some plastic surgeons are also plicating (folding)
or removing a strip of orbicularis oris muscle with skin while doing the
upper lip lift. Then they are suturing the orbicularis oris muscle to the
periosteum underneath the nose. Many, many more complications have been
seen using this technique so it is not widely accepted or recommended. Severe
stiffness and numbness can be experienced lasting for many months and in
some cases can be permanent. With this suturing technique, you can be left
with abnormal movement of the orbicularis oris muscle and nose, which can
lead to bizarre looking movements of the upper lip during animation. It
has been reported that muscle damage can occur from this suturing technique.
The orbicularis oris is a sphincter muscle and it's natural and normal movement
is restricted when it is sutured. Because of the complications from this
technique, speech disturbances have also been seen. Most plastic surgeons
will only do a skin only liplift which is the safest way to go. With the
newer advanced techniques, beautiful results are seen with the skin only
When patients are considering undergoing a procedure that involves a
"new" technique or type of technology, they should further inquire if results
supporting the safety and effectiveness of the procedure have been documented
in a peer-reviewed journal or other reputable publication. If the plastic
surgeon doing the procedure is the only one doing it, then there must be
a reason for that.
Bullhorn lip-lifts can change the shape of your nose so this risk needs
to be discussed with your surgeon. Also, some surgeons are now hiding their
incisions within the nostril opening. While this technique may camouflage
the scar, it can lead to negative cosmetic consequences with patients who
have prominent nasal sills. The removal of the sills at the base of the
nose can lead to enlarged nostril openings and a distorted nasal base. With
the bullhorn lip-lift you also have a risk of scarring under the nose. With
most people this scar fades but if you do not scar well or have a history
of developing keloids then any of the lip-lift procedures are not for you.
Over time, both the skin only and muscle lip lift can drop. If this occurs
a revision liplift can be done.
Another lip-lift procedure that is done but is not as popular is called
the Gullwing lip-lift often referred to as the vermilion lift. The incision
is made all along the vermilion border at the junction where the pink part
of the lip meets the flesh-colored part above your top lip. Then a strip
of skin (the flesh-colored part) is removed and the lip sutured to the now
higher skin. This also creates a reduced lip to nose ratio. However, scarring
along the entire upper lip is a risk.
Corner lip-lifts are also done for people that have a sad look because
the outer corners of their lips turn down. The incisions are made on the
exact edge of the upper outer lips.
Another procedure that is usually intended for the lower lip is called
the V-Y lip augmentation. One to three small V shaped incisions are made
in the mucosa of the lip (the wet part inside the mouth) and then they are
sutured in the shape of a Y. The top of the V is left open and heals thereby
expanding your lip and creating elevation of the inner lining of the lip
where the upper lips and lower lips would meet if you closed your mouth.
This procedure addresses the increased bottom tooth show from a drooping
lip that often develops as we age. When doing this procedure, surgeons are
very careful to stay away from the musculature underneath the mucosa, so
that they do not injure superficial nerves. If these nerves are injured
you can develop permanent numbness. This is not uncommon!! Most surgeons
have stopped using this procedure because of this risk and because the end
result is so subtle.
As you can see, there are many available options for lip enhancement
and rejuvenation. Donít be afraid to ask your physician questions about
any aspects of these procedures. Remember with any of these lip enhancement
procedures there are risks and complications that may occur.
Back to Part 1
MORE ON FILLERS
FOR LIPS CLICK HERE
A NEW LIP LIFT PROCEDURE CALLED LIP SUSPENSION
out our extensive list of Cosmetic Surgery Educational Articles
Over 150 Links
on Cosmetic Surgery!!
The Wrinkle Cure