Dr. Rottler, Your Skill, Talent and bed side manner are the best! Thank you sooooo much.

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Dr. Rottler, I cannot express enough “Thanks” for what you did for me... I am so lucky to have you as my doctor!

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Plastic Surgeon in St. Louis, Dr. Rottler, Offers Lip Augmentation

Lip augmentation creates fuller, plumper lips and reduces fine wrinkles around the mouth. Lips may be injected with filler materials or with fat transferred from another site in the patient’s body. Fillers are absorbed and repeat treatments are necessary to maintain results. Newer, longer-lasting options include implantable materials like AlloDerm and SoftForm.

Lip Augmentation Fees

  • $500 and up
  • Implants – $2500 and up (depends on technique and filler material)

Lip Enlargement Surgical Technique

A natural or synthetic biocompatible material, or the patient’s own fat, is injected or implanted in the lips. One injection is usually sufficient to produce the desired result, which may be temporary, depending on the material used. Injections may need to be repeated periodically. Proper placement of the injected material is important. AlloDerm, a natural collagen sheet made from donated skin, is inserted through tiny incisions inside the corners of the mouth. Once the AlloDerm implant is in place, it eventually becomes integrated with the natural tissues. Gore-Tex, SoftForm and soft ePTFE are other synthetic implant options.

Further options include:

  • HylaForm – a crystal-clear injectable gel; the hyaluronic acid in Hylaform is similar to that naturally found in the body
  • Radiance – calcium hydroxylapatite
  • Perlane – crystal-clear injectable gel; the hyaluronic acid in Perlane is very close to that naturally found in the body
  • Juvederm – hyaluronic acid gel
  • Collagen

Lip Augmentation Information

Dr. Rottler or his staff will discuss your options during your consultation. Depending on your goals or desires, the appropriate material/filler will be discussed in detail.

Benefits of Lip Enlargement Surgery

  • Immediate return to normal activities (one-day return if sedated) for nonsurgical procedures; depending on the procedure and materials used, recovery period is within a week for surgical procedures
  • Gore-Tex implants are permanent, easily inserted and well tolerated by the body
  • Temporary procedures like fillers can be appealing to patients who want to experiment with a fuller-lipped look, but not necessarily commit to it

Other Considerations for Lip Augmentation

  • Allergic reactions can range from prolonged redness, swelling or itching, to firmness at the injection site. Other possible complications include bleeding, lip asymmetry, and migration and extrusion of the implant. Normal swelling and bruising lasts from three days to a week
  • Patients with a reaction to the pre-treatment collagen skin test; who have a serious allergy history; or are allergic to lidocaine (a local anesthetic) should not consider lip augmentation. Treatment is sometimes postponed for patients with active inflammatory skin conditions or with infections
  • Collagen injections have a short-lived effect (9-12 weeks); fat injections provide longer-lasting results, but are sometimes unpredictable as to the degree of improvement and can have lumping or scarring effects
  • Soft-form is a foreign body and may become infected or be rejected. While many surgical techniques exist for lip augmentation, none are ideal.
Paul Rottler, MD, FACS

Board Certified Plastic Surgeon

Call 314-966-8880