Newsticker

Wir sind im Osterurlaub! +++ Ab dem 28.04.2014 sind wir wieder für Sie da. +++ Auch EMailanfragen werden ab dem 28.4.2014 wieder beantwortet. +++ Vielen Dank für Ihr Verständnis!

Lip Augmentation

Posted in Facial Surgery

Lip AugementationLip augmentation procedures increase the size of the lips to make them fuller and more attractive. The procedure is used to help women and men of all ages. The upper or lower lip may be treated singly, or both upper and lower lips may augmented at the same time. Lip augmentations have become increasingly popular in recent years. Some types of lip augmentation involve the insertion of natural or synthetic materials. Other surgical techniques bring tissue from the inside of the lip to the outside.

Some of these procedures are permanent, while others provide only temporary results. If you're considering lip augmentation, the following information will provide you with a good introduction to the different lip augmentation procedures. For more detailed information about how this procedure may help you, please schedule a consultation with Dr. Kremer.

What are some of the most common benefits of this surgery?

Whether you have always had thin lips, or you want to return your lips to the shape and fullness they had when you were younger, a lip augmentation procedure may provide you with the look you want. If you are dissatisfied or self-conscious about your lips, this surgery can open up new possibilities for you to change your appearance and self-image.

What will happen at the initial consultation?

During the consultation, you will have the opportunity to talk to Dr. Kremer about the changes that you’d like to make in your appearance. He will explain the different options available to you, the procedure itself, and the risks and limitations involved as well as the anesthesia required. Be sure to as all the questions you have about the surgery. Learning everything you can about your options, risks and benefits is the key to making an informed decision. It is important that you explain the results that you would like. Bring photos to show Dr. Kremer what you like and what you don’t like. He will be able to tell you if you are a good candidate for lip augmentation.

How is a lip augmentation performed?

There are many different types of lip augmentation procedures, each with particular advantages and limitations as will be explained below.

Injections:

Injections involve filling the lip with a soft substance to create a fuller appearance. Collagen and fat are the most widely used injectable substances.

Hyaluronsäure ist eine biotechnisch hergestellte, gelatineartige Substanz aus Hahnenkämmen, die nach heutigem Wissen keine Allergien oder sonstige Abstoßungsreaktionen auslösen kann. Hyaluronsäure wird in die Lippe mit einer kleinen Nadel eingespritzt. Weil der Körper langsam die Hyaluronsäure abbaut, halten die Resultate im allgemeinen zwischen fünf und sechs Monaten. Das Verfahren kann je nach Bedarf wiederholt werden. Nach wissenschaftlichen Erkenntnissen soll der Körper durch die Behandlung zur Produktion eigener Hyaluronsäure angeregt werden.

Prepared from the collagen found in cow skin, collagen injections are used to temporarily augment the lips. Although it is purified, this collagen may cause allergic reactions in some people. For that reason, a sensitivity test should be performed before the actual lip augmentation procedure. Collagen is guaranteed by the manufacturer to be BSE-free. Collagen is injected into the lip with a small needle. Because the body slowly absorbs the collagen, the results generally last between six and seven months. The procedure may be repeated as needed. Fat injections are also placed in the lips with small needles. The fat used is harvested from another area of the body - most often the abdomen or the inner thighs - and is purified before it is injected into the lips. An advantage to this procedure is that there is no possibility of an allergic reaction. As with collagen injections, results are temporary. The procedure is often performed more than once to achieve desired results.

Grafts:

There are several different substances commonly used in grafting.

SoftForm™ has recently replaced another lip implant material, Gore-Tex™, because it has been shown to produce better results with fewer complications. SoftForm™ does not shrink and is never absorbed into the body. It also remains in place because scar tissue forms around it. This allows it to easily be removed if ever desired later or if it becomes infected. To insert SoftForm™, a small incision is made in the inside of the lip. The material is then made into the shape of a small tube and it is inserted with an insertion trochar (needle). For the upper lip, this process is repeated three times, to implant three separate pieces in the lip. In the lower lip, two pieces are usually used.

Dermal fat grafting produces lasting results in approximately half of the people who try it. Although it is possible that the body will reabsorb it, many people choose fat grafting because they are most comfortable with using the fat from their own body to enhance their lips. The fat is harvested from another area of the body, often the abdomen, or during another procedure like e.g. a facelift. It is then prepared and inserted into the lip through small incisions in the corner of the mouth.

Local flaps bring material from inside the mouth outside to enhance the lips. An incision may be made inside the mouth to push the tissue inside the mouth upward and outward into the lip, sometimes in conjunction with grafting. Or, an incision may be along the upper lip line. In this case, skin above the lip is removed, and the lip is then stitched along the line of the incision.

FAQFrequently asked questions about Lip Augmentation by Dr. Michael A. Kremer:



What are some of the most common benefits of this surgery?

    Whether you have always had thin lips, or you want to return your lips to the shape and fullness they had when you were younger, a lip augmentation procedure may provide you with the look you want. If you are dissatisfied or self-conscious about your lips, this surgery can open up new possibilities for you to change your appearance and self-image.

    What will happen at the initial consultation?

      During the consultation, you will have the opportunity to talk to Dr. Kremer about the changes that you'd like to make in your appearance. He will explain the different options available to you, the procedure itself, and the risks and limitations involved as well as the anesthesia required. Be sure to as all the questions you have about the surgery. Learning everything you can about your options, risks and benefits is the key to making an informed decision.

      It is important that you explain the results that you would like. Bring photos to show Dr. Kremer what you like and what you don't like. He will be able to tell you if you are a good candidate for lip augmentation.

      How long does the procedure take?

        Most lip augmentations take a half hour to two hours. Some procedures take longer than others. Dr. Kremer will be able to tell you how long your procedure is likely to take.

        Will I need to stay in a hospital?

          If you have no medical problems, the procedure can be performed on an outpatient basis under local anesthesia with light sedation. You will probably be allowed to return home within a few hours of the surgery.

          How much pain is there?

            Whether or not an anesthetic is necessary depends on the lip augmentation procedure. Topical anesthesia may be used before lip injections, so that the procedure involves minimal discomfort. Generally, local anesthesia is used in grafting procedures. This makes the procedure painless, although there may be some discomfort afterward.

            What can I expect after surgery?

              Immediately following the surgery, the lips may swell and hurt. Cold compresses should be used for 48 hours to control the swelling. During this time, talking and chewing should be avoided as much as possible. Oral pain medications may be used to control the discomfort.

              Prophylactic antibiotics will be given to reduce the possibility of infection. To help avoid infection, it is also important to keep the lips clean.

              What is the recovery period like?

                Most people report little discomfort in the days after lip augmentation. However, grafts and flaps usually involve more pain during recovery, and a longer recovery period, than lip injections.

                Injections: Most people return to normal, public activities within a couple of days of an injection procedure. Bruising and swelling may last as long as a week.

                Grafts: People often wait between one and two weeks after graft procedures before returning to their normal routine. During that recovery time, they may experience some problems with drooling. Grafting also may leave the lips feeling unnaturally stiff for 2 to 3 months after the procedure. Any non-dissolving stitches may be removed about 7-10 days after the procedure.

                What is the long-term outcome like for most people?

                  Some of the procedures offer permanent results, and some are temporary. If you want to experiment with a new look, you may want to begin with a temporary method. Scars from incisions, if any, are rarely perceptible.

                  What are the ideal conditions?

                    In general, the best candidates for lip augmentation are:

                    • Men and women of all ages.
                    • In good physical health.
                    • Psychologically stable.
                    • Informed about the healing process.
                    • Understanding and accepting of any limitations.
                    • Free of allergies to the implant material used.
                    • Realistic in their expectations for the outcome.

                    The above is only a partial list of the criteria that Dr. Kremer will consider in determining whether or not this procedure is appropriate for you.

                    What risks are there, what complications can occur?

                      Significant complications from aesthetic lip enhancement procedures are rare. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia. Other possible complications include: numbing, scarring, swelling, and stiffness in the lip.

                      To reduce the risk of complications, it is important to follow all the instructions you receive from Dr. Kremer before and after the procedure.


                      The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your personal options is to schedule a personal consultation with Dr. Kremer. He will be able to answer specific questions related to your situation.
                        • InfoTell Dr. Kremer about any allergies you have (to foods, drugs, environmental elements)
                        • Tell Dr. Kremer if you have a history of bad scarring, such as keloids.
                        • Tell Dr. Kremer about all medications, herbal supplements or natural supplements you are taking (both prescription and non-prescription)
                        • Carefully follow any instructions Dr. Kremer gives you regarding eating and drinking and smoking.
                        • Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.
                        • Arrange for someone to drive you home after surgery or after discharge from the hospital.
                        • Please inform Dr. Kremer immediately in case you should experience fever or symptoms of an infection after surgery.
                        • Please use a cooling mask or ice packs to reduce swelling an discomfort after surgery.
                        • Refrain from strenuous physical activities during the first days after surgery.
                      • InfoTell Dr. Kremer if you have any of the following pre-existing conditions

                        • thyroid problems such as hypothyroidism
                        • elevated blood pressure or other circulatory disorders
                        • cardiovascular disease
                        • diabetes
                        • any other serious medical condition(s)

                         

                      Auszeichnung klimaneutrale Website
                      Aesthetic Plastic Surgery Munich
                      Dr. Michael A. Kremer, MD

                      Mauerkircherstr. 40 - D-81679 Munich
                      Phone: +49 (0) 89 - 55 27 450