Dermal fillers: Currently, the most widely accepted means for lip augmentation is with injection of dermal fillers. A number of brands exist to volumize the lips safely and effectively. These are gels made of a substance called hyaluronic acid. This substance exists naturally throughout the body and is very safe when injected by an expert. Restylane®, Juvederm®, Belotero®, and Perlane® are commonly brands used. Current formulations last approximately 1 year. Dr. Panossian is a master injector of dermal fillers for lip augmentation and for wrinkle reduction.
Fat injection: using your own fat, lips can be filled in a more permanent way. Fat is suctioned from the abdomen or thighs and purified prior to injection. A certain percentage of fat may absorb, resulting in less fullness over time and the need to repeat the procedure as necessary for the desired effect. Because this is a more permanent way of performing lip augmentation, an undesirable effect may require a small procedure to contour the lip further and remove areas of excess fat.
Radiesse®: This substance is a filler made of calcium hydroxylapatite (CaHA) microspheres. It works a bit differently than the hyaluronic acid fillers listed above by stimulating greater collagen synthesis. This process results in a longer lasting result and is especially useful for deep laugh lines or to augment cheeks and/or chin. Although Radiesse® may be injected into lips, it is generally avoided due to reported issues of lumpiness.