Other Surgery

Lip Augmentation or Lip Enhancement


Lip augmentation comprises a variety of techniques which are used to treat thin (hypoplastic) upper and lower lips to make them fuller, more rounded and youthful looking by utilising your own tissues, treated donor materials or synthetic substitutes. Lip augmentation also effectively improves the vertical wrinkles of the lips brought about by ageing or smoking. It also reverses the tendency of very little red lip being visible brought about by the ageing process. Professor Malata would decide in full consultation with you the most appropriate way to augment your lips: A variety of techniques are now available for lip enhancement. Some of the options include:


Your own tissues: fat injections; dermis, dermal-fat,& fascia grafts.

Treated donor substances: bovine collagen, dermis (Alloderm)

Synthetic (alloplastic) materials:

  • Implantable: PTFE (Goretex), etc.

  • Injectable: Restylane, Juviderm, etc.


Enhancement with Fillers:

Restylane (hyaluronic acid) therapy offers excellent immediate results. Injections are performed in the outpatient clinic/ office and can be done during your “lunch hour”. However, ongoing treatment is necessary to maintain results. These generally last 6 - 9 months, although each individual breaks down the restylane at varying rates. For further details on restylane please see the section on Fillers (link to Fillers).


Permanent Enhancement:

Permanent Enhancement is achieved by either using a dermo-fat (skin and fat) graft from a non-hair bearing part of the groin or fat transfer from the hips or abdomen, or “AlloDerm” grafting.

  1. Lip augmentation is generally undertaken under local anaesthetic unless the patient prefers otherwise, or is undergoing other surgery at the same time such as a face lift, a "nose job", chin or cheek implants, liposuction, etc.,

  2. It is done as a day case but an adult must take you home on discharge from hospital.

  3. The two or three small incisions on the lips are sutured with dissolving stitches.

  4. At the end of the surgery your lips will look bruised and swollen, and feel numb and excessively large because of the effect of the local anaesthetic.


As in any cosmetic surgery, there are benefits, risks and the final results are not guaranteed.


Risks of Lip Augmentation with implants

  • Bruising and swelling: common

  • Numbness and stiffness: common but temporary

  • Infection: rare

  • Cold sores: activated by the trauma of surgery

  • Bleeding (haematoma) - rare

  • Exposure of material extrusion

  • Delayed wound healing/ fistula formation

  • Asymmetry/ implant malposition or migration / distortion of lip

  • Resorption of fat, dermis, collagen: unpredictable

  • Incomplete improvement

  • Induration (firmness or hardening of the lip)

  • Irregularities

  • +/- Donor site problems

  • Deformity of lip due to buckling of implant

  • Possible revisional surgery with removal of implant


Alternatives to Lip Augmentation with implants

  • No surgery

  • Lipstick

  • Tattooing

  • Camouflage cosmetics

  • Fillers i.e., temporary augmentations

(Lip Enhancement with Implants)


1 hour


Local or General; LA with sedation


Day case (or rarely overnight stay)


5 days until socialising with close friends and family

1 week until return to work & normal social engagements

2 – 3 weeks until bruising and swelling disappeared

3 – 5 days until driving

4 weeks until return to gym and other strenuous activities

12 weeks until final result



To find out more or make an appointment please contact Mr. Malata's Secretary on 01223 573 715 or glenys.secretary@ntlworld.com