Permalip implants (Philip Young MD Bellevue Washington) are silicone implants that are placed in the lips from the corners of your mouth.  The procedure can take as little as 15 minutes.  It can be done under local anesthesia and the recovery is very fast.  Below are some before and after pictures. The after pictures are taken only 2 weeks after the procedure.  These silicone implants will not dissapear like restylane and juvederm injections.  They are there permanently.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Permalip (Dr Young uses this Lip Implant at his office in Bellevue Washington) is a relative new silicone lip implant that can permanently augment the lips.  There are 3 sizes for the permalip (silicone lip implant, silicone lip enhancement, silicone lip augmentation, silicone lip enhancement) small, medium and large and which very in width from 3, 4, and 5mm.  They are used to essentially give the lip more volume.  They are placed in incision in the red part of your lip and these can be varied and discussed with Dr Young during a consultation.  The great thing about these implants is that they last essentially permanently.  Silicone is very capatible with our tissues.  Silicone is located just under carbon on the atomic chart of all the atoms on earth.  So its elemental structure is very similar to carbon which is what humans are predominately made of.  Of all implants it is the most compatible.  Hundreds of thousands of people have had silicone implants and it is proven to be very safe, non carcinogenic, non toxic, etc meeting many of the characteristics of an ideal implant.  Bottom line is that there is no ideal implant but silicone possesses many of those characteristics.  If silicone implants are not something that you are totally comfortable with, other tissue can be substituted including different areas of your body like muscle covering, SMAS, and free fat grafts.  Other options include micro fat injections to the lip, VY advancements, and other lip lifts.  More temporary lip implants include restylane, juvederm, perlane, and the new juvederm xc which has lidocaine and has received some recent attention.

Here is a video showing a live demonstration of a Permalip Lip Augmentation Procedure.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

There are other options for the corner of the lip lifts (Lip Augmentation, Dr Young Seattle).  The two major designs are shown below in the diagram that is included.  The original one is on the left and a modified one is on the right.  These lifts can elevate the corners of the mouth significantly but do not address the marionette lines and extra fold inferior to the corner of the lips.  In my experience, and in the hands of others, there can be a tendency with these more traditional corner of the lip lifts to elevate the corners too much.  That is why other’s have adopted excisions more like the ones drawn in my other blog and shown in the cartoon picture that I included as well.  All options can be used to improve the downturned mouth like many women and men wish to improve. Notice how the older lip lifts are bowl and heart shaped and the newer designs in the cartoon drawing are reversed bowl shaped which seem to avoid excessive elevation.  The other shapes in the cartoon are for direct excision of the nasolabial folds and an extension of the corner of the lip lift that includes the marionette folds, or puppet mouth line folds.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

The corner of the lip lift is done on the skin portion next to the corner of the lips.  With this procedure their will be an incision that will be visible at the junction of the white and red portions of the lips.   It can elevate the corner of the lips to make the lips more symmetric. A lip lift under the nose is another way to make the lips more symmetric with a less visible scar as opposed to the corner lip lift.  Also, sometimes the asymmetry can be due to the decreased appearance of the red lip area.  To evert the red lip sometimes mucosal advancements are needed to show more of the red lip and volumizing procedures may be needed as well to create more symmetry.  All of these options are more permanent than the temporary fillers.

Sometimes the lips are asymmetric due to the connection of the lip to the surrounding bone.  More specifically it can be due to the way the lip is attached to the area around the nose and the bone in this area. When the attachment of the lip to the nasal bone area is asymmetric the lips can appear different on each side.  This condition may require attaching the lip and the muscles of the lip higher around the nasal bone area.  This is a more complex situation.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

A lip reduction procedure will help you tremendously. A lip reduction procedure entails incisions inside your mouth and lips and resecting a portion of the lips to reduce the overall size.  This procedure can be done in an outpatient setting and should take about 1 hour or so.  It is relatively a low risk procedure and it can be done under just local anesthesia or with iv sedation.  General anesthesia is not necessary and actually makes is harder in some ways.

Hope that helps!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington