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Lip Augmentation

Many patients seek a change to the shape or volume of their lips (cheiloplasty) alone or in combination with other aesthetic enhancements or treatment for aging changes. In most cases, the desired procedure is lip augmentation (enlargement). Making the lips bigger can be achieved with temporary fillers, permanent fillers or grafts, or by complex surgical rearrangement of the lip tissues. In some patients, lip implants made from a silicone-based plastic can be used; the most common variety is called PermaLip®. Dr. Ransom does not perform silicone injections due to the abundance of problems with this technique (see Lip Augmentation Revision).

Dr. Ransom recommends that all patients seeking lip augmentation for the first time start with temporary fillers before considering more permanent approaches. Temporary injectible fillers used for lip enlargement are generally composed of hyaluronic acid (“HA”) gel (the active ingredient in Restylane®, Perlane®, Juvederm®, and Belotero Balance®). Treatment involves carefully planned placement of small amounts of the filler material to highlight the lips’ natural curves and replenish the lips’ youthful volume. Dr. Ransom does this in the office, using topical anesthesia and/or local block techniques to enhance patient comfort.

If a permanent change to the lips is desired, Dr. Ransom can use the patient’s own fat cells (autologous fat grafting) or perform a surgical procedure designed to make the lips bigger, through rearrangement of the lip tissue. With autologous fat grafting, adipose tissue (fat) from the abdomen or thighs is harvested using a method that is very similar to liposuction. This tissue is then washed and purified to isolate the fat cells. Subsequently, the fat cells are carefully placed at key anatomic points using tiny injection cannulas; this highlights the natural structure of the lips while adding or restoring volume. In many cases, lip augmentation with fat grafts is a permanent solution. For some patients, however, the procedure must be repeated to ensure that just the right amount of volume is added.

Finally, for patients who desire a significant and permanent increase in lip volume, Dr. Ransom can perform a surgical procedure called V to Y lip augmentation. This technique uses the patient’s own lip tissue, which, by rearrangement and precise suture placement, allows for an increase in the size of the red part (vermillion) of the lips (either upper or lower, or both). This procedure is performed under sedation and can be combined with other aesthetic surgical procedures, such as an upper lip lift (bullhorn or subnasal lip lift surgery).

Who is a candidate?

Anyone who is interested in enlarging their lips or creating a more supple or sensuous lip contour. A variety of methods are available (see above), including temporary and permanent treatments. The only contraindications for a lip augmentation are active infection (including “cold sores”), or inflammatory and autoimmne conditions that cause blistering or open sores in the mouth or lips. These require adequate treatment before the procedure can be performed. Dr. Ransom advises patients who are interested in a lip augmentation to first try out the temporary soft tissue fillers. These generally last at least six months, and may last up to a year or more in some patients, depending on the filler selected. After this trial phase, Dr. Ransom will work with you to design your “new lips” – anything from a subtle refinement to a larger “bee stung” look.

Dr. Ransom see patients from all over Bay Area for lip augmentation, including Mill Valley/Marin County, Napa/Sonoma, San Raphael/Petaluma and the world.

Frequently Asked Questions

Q: Will lip augmentation change the way my mouth moves or affect the way I speak?
A: No. The lip augmentation procedure, no matter how it’s performed, does not affect the nerves or muscle of the mouth. If you select a surgical approach, immediately following the procedure there will be a moderate amount of swelling and bruising. While this is resolving, you may have some mild difficulty with enunciation or eating certain foods. This is temporary and generally resolves within two days. As your healing progresses, your lips will move normally and naturally.

Q: Is it possible to make just the upper or just the lower lip larger?
A: Yes. Dr. Ransom will work closely with you to determine the exact treatment plan that will best help you reach your aesthetic goals. It is common to treat only one lip, either the upper or the lower. Dr. Ransom is a face specialist and understands that everyone’s face is different. He will gladly go over the details of the procedure and your specific questions during your confidential consultation.

Q: I have had lip injections with fillers and I like the results… but I want something that lasts longer. What are my options?
A: This is a common question and there are a variety of treatments available. Procedures using your own tissues include fat grafting (where fat cells are taken from the abdomen and injected into the lips) and use of other tissue grafts (e.g., dermal fat grafts or SMAS grafts). Dermal fat grafts are generally harvested from the skin in the bikini line and have a better take rate than fat injections. SMAS grafts are an excellent choice, but are only harvested during a facelift surgery. Lastly, some patients will choose a lip implant, such as PermaLip®. These are made of a soft, flexibile silicone-based plastic and are inserted in a minor surgical procedure. They can be removed at any time – as opposed to silicone injections, which are not recommended.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.