Q: Dr. Eppley, I need advice. I want a permanent solution to my thin upper lip. I had braces as a child but still have a toothless-looking, thin-lipped resting expression. When I smile or make sure to hold my mandible apart, I have a nice mouth, and I have had small amounts of restalyne before that did not last long. I want a permanent solution and need to know if implants are the answer or a dental procedure of some kind. Thank you!
A: Thank you for sending your lip pictures. Lip implants work best in patients that already have adequate vermilion exposure…which you do. The implant needs enough vermilion tissue to be able to safely surround the tissues and to push both out and up. So I think you are a good candidate for a Permalip implant in your upper lip if you are looking for a permanent augmentation method.
Permalip implants, like all facial implants, have their disadvantages of which asymmetry or implant malposition is the most common. Its smooth surface allows for good introduction and passage through the tissues and for uncomplicated removal if needed. But this very smooth surface is also what causes it to short inside the capsule in some patients.
Dr. Barry Eppley