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Revision Lip Augmentation

Many patients seek lip augmentation (enlargement) alone or in combination with other aesthetic enhancements or treatment for aging changes. Unfortunately, lip augmentation injections and surgery does not always give the desired result or go as planned. The patient’s expectations are not met for a variety of reasons.  The most common reasons for revision lip augmentation or lip reduction is asymmetry of the lips caused by poor technique, formation of scar tissue or granuloma (excessive inflammation or foreign body reaction), and contour deformities from infection after injections or surgery.

When temporary fillers have been used, such as hyaluronic acid (the active ingredient in Restylane®, Perlane®, Juvederm®, and others), treatment is simple. This involves carefully placed, very small injections of the enzyme that digests hyaluronic acid (called hyaluronidase and marketed as Vitrase or Wydase). Dr. Ransom does this in the office, and depending on the severity of the defect, may require more than one visit to appropriately measure the patient’s response.

If a permanent implant material or filler has been used, treatment can be more involved. Common lip implant materials include GoreTex (PTFE), Silicone injections, AlloDerm® (acellular dermis), autologous fat grafts, and rarely saline-filled silicone implants.  With solid implants, surgery involves removal of the implant and repair of the lip contour. This may require a staged approach, with the implant removal followed by a later revision lip augmentation after some healing has occurred. Dr. Ransom is a specialist in revision lip augmentation surgery and is able to perform the revision surgery with incisions inside the lips so there are no external scars.  In rare cases, he needs to graft tissue from your own body to create a natural symmetric contour to the lips.  This is most often fat cells that are harvested from the abdomen, through a tiny incision hidden in the belly button.

For patients who have had silicone injections, surgical removal of the silicone particles alone is not possible. This is because the silicone integrates with the native lip tissue, and causes a significant inflammatory response (this is actually what cause most of the lip augmentation from silicone injection-based approaches). In these cases the lips must be carefully reshaped by specific excisions of the scar tissue or granulomas formed by the body in response to the foreign material (silicone gel). Dr. Ransom can perform this surgery in the office with local anesthesia and nerve blocks. Recovery is quick, with minimal pain or discomfort.

Who is a candidate?
Anyone who has undergone a procedure to increase the size of the lips, but is unsatisfied with the results, is a candidate for revision lip augmentation. Given the variety of techniques used to make the lips bigger, the specifics of your revision procedure will vary. Most often, patients who seek revision plastic surgery of the lips have undergone silicone injection. And in many of these cases, the results are uneven, or too big, or there have been complications such as infection and scar tissue. Dr. Ransom will work closely with you to identify the exact areas of your lips that need improvement. He is happy to discuss details of the procedure during your consultation.

Frequently Asked Questions

Q: Will revision lip augmentation change the way my mouth moves or affect the way I speak?
A: No. Revision lip augmentation procedure, no matter how it’s performed, does not affect the nerves or muscle of the mouth. Immediately following the procedure there will be a moderate amount of swelling and bruising; this will vary based on the technique used in your first procedure and the details of the revision procedure performed by Dr. Ransom. While this is resolving, you may have some mild difficulty with enunciation or eating certain foods. This is temporary and generally resolves within a few days. As your healing progresses, your lips will move normally and naturally.

Q: Is it possible to change the size of the upper only, or the lower only?
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.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

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.