Dr. Hakan Gündoğan

Lip Augmentation


Having full, plump lips is often considered a sign of good health, beauty and youth. Whether you were born with thin lips or your lips are thinning due to the natural aging process, there are many ways to enhance them or restore soft tissue loss.

Lip injections using natural or synthetic fillers can keep your lips plump for months at a time. Lip implants and other surgical procedures can also be performed for a more permanent solution.

Lip augmentation creates fuller, plumper lips and reduces fine wrinkles around the mouth. Lips may be injected with filler material or with fat transferred from another site in the patient's body. Both fillers and fat are absorbed and repeat treatments are necessary to maintain results.

Dr. Hakan does not inject any permanent filler material into lips.

A natural or synthetic biocompatible material (Dr. Hakan Gundogan uses only Hyaluronic Acid Fillers), 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. Gore-Tex, SoftForm and soft ePTFE are other synthetic implant options.These materials are prone to many problems and are not being used or suggested by Dr. Hakan Gundogan.

Other options include lip lifts, vermillion (lip) advancement and permanent makeup. Every year, thousands of people undergo successful lip enhancement and are pleased with the results.

When to Consider Lip Enhancement

* Your lips have always been thin and disappear when you smile

* As you age, your lips have become thinner and less full

* You feel self-conscious about how your lips look

* Having fuller lips will help balance out your face

* If your self-confidence would improve from such a procedure

Are you a good candidate for a lip enhancement?

The following are some common reasons why you may want to consider lip enhancement:

* Good candidates for lip enhancement want to plump up thin lips or create a fuller look. If you smile and your top lip or both lips disappear, you may benefit from lip augmentation.

* Some techniques can improve uneven lips, the shape of your mouth and gum-show when you smile.

* On the other hand, if your lips are too large and overwhelm your face, speak to your plastic surgeon about lip reduction surgery.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a lip enhancement procedure performed?

There are many methods for lip enhancement. Dr. Hakan Gundogan will offer you options depending on your aesthetic goals and recovery time frame. It might be appropriate to have two or more of these procedures to achieve the right look for you.

Injections - fat transfer

In fat transfer, autologous fat (fat from your own body) can be taken via liposuction from another area of your body and injected into your lips. Injections may need to be repeated until you get the desired result.

Injections - fillers

Fillers made from natural or synthetic biocompatible material such as collagen or hyaluronic acid act as a fat substitute to plump up the lip. One treatment is usually sufficient to produce the desired result. The results, however, may be temporary and require repeat injections.

Surgery - dermal graft

A permanent method of augmenting the lips is accomplished by surgically advancing the lip forward, with incisions placed inside the mouth. A dermal-fat graft, taken from the deeper layers of the skin, may then be positioned under the mucosa (the lining of the lip) to add additional plumpness.

Surgery - vermillion advancement

This procedure involves making an incision along the border of the colored portion of the lips, removing a strip of skin outside the border and then pulling the colored portion to increase the area of the lips.

Surgery - lip implant

Lip implants can be inserted through tiny incisions inside the corners of the mouth. There are many natural or synthetic implant options available. Dr. Hakan Gundogan will discuss which option is best for you.

Surgery - lip lift

Removing extra skin and lifting the lips will help those with loose skin or those who have a downward sloping mouth. To increase the upper lip, an incision is made under the nose and the skin is shortened to pull up the lips. Other lift techniques can shorten the upper lip to expose more teeth. To lift a downward turning mouth, small incisions are made on the side of the mouth and the extra skin is removed. Very small sutures are used for this procedure and removed four to five days later.

What are my options?

There are many different options to enlarge or enhance the size and shape of your lips: fat injections, filler injections, dermal grafting, vermillion advancement, lip implants and lip lifting. Injections, grafting, and implants can physically change the plumpness and volume of your lips, while lip lifts and vermillion advancement can change the shape and increase the amount of colored area of your lips.

Silicone injections – patient safety warning
Silicone injections are an unsafe and unacceptable option to use as filler. These injections are not FDA approved and often offered by unlicensed individuals and should be avoided.

Your initial consultation with Dr. Hakan Gundogan

During your initial consultation, you will have the opportunity to discuss what you want to achieve. Dr. Hakan Gundogan will evaluate you for lip enhancement. Once the surgeon understands your goals, he or she may suggest additional or related procedures. It is important to be completely honest during the consultation. It’s a good idea to be fully prepared to answer these questions:

* Do you have any medical conditions or drug allergies? Are you being treated for any medical conditions?

* Have you had any previous surgeries?

* What are your current medications and vitamin and herbal supplements?

* What is your current use of alcohol, tobacco and recreational drugs?

* What is your history with any noninvasive cosmetic procedures?

* What outcome do you expect from the surgery? What is your chief motivation in undergoing it?

Dr. Hakan Gundogan will also:

* Ask you to look in a mirror and point out exactly what you would like to see improved.

* Take pictures for your medical record, measure your face and use computer imaging to show you improvements you can expect

* Evaluate your health status, including pre-existing health conditions or risk factors

* Evaluate the elasticity of your skin

* Discuss your options and recommend a course of treatment

* Discuss likely outcomes, including risks or potential complications

* Discuss the type of anesthesia that will be used

Your treatment plan

Based on your goals, physical characteristics and the surgeon’s years of training and experience, Dr. Hakan Gundogan will share recommendations and information with you, including:

* An approach to your procedure, including the type of procedure or combination of procedures

* The outcomes that you can anticipate

* Your financial investment for the procedure

* Associated risks and complications

* Options for anesthesia and surgery location

* What is needed to prepare for the surgery

* What you can expect to experience after surgery

How do I prepare for a lip enhancement procedure?

Preparation for lip enhancement will depend on what kind of procedure you and your aesthetic plastic surgeon have agreed upon. Dr. Hakan Gundogan will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history and perform a physical exam to determine your fitness for surgery.

In advance of your procedure, Dr. Hakan Gundogan will ask you to:

* Stop smoking at least six weeks before undergoing surgery to promote better healing

* Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding

* Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery

Lip enhancement is usually performed on an outpatient basis. If you are having a surgical procedure, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

What can I expect on the day of lip enhancement treatment?

Nonsurgical treatments

Injections with fillers and permanent makeup can be performed in the office with little to no downtime and minimal preparation. The surgeon or specialist will prep the area to be treated and may apply numbing cream. The procedure should take less than an hour in most cases, and you will be given instructions to follow once you leave the office.

Fat, collagen and other natural or synthetic materials may be injected safely into your lips to add volume.

Surgical lip enhancement

Your lip enhancement procedure may be performed in a hospital. Most procedures take at least thirty minutes to two hours to complete.

* Medications are administered for your comfort during the surgical procedure.

* General anesthesia is commonly used during your lip enhancement procedure, although local anesthesia or intravenous sedation may be desirable in some instances.

* Dr. Hakan Gundogan will follow the surgical plan discussed with you before surgery.

* If you are having fat transfer surgery, liposuction will be performed to remove viable fat to be injected into your lips.

* After your procedure is completed, you will be taken into a recovery area where you will continue to be closely monitored. After surgery, you may have stitches.

You will probably be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate postoperative recovery.

Aftercare and Recovery

The downtime from nonsurgical options (filler injections and permanent makeup) is minimal. You may experience some bruising or swelling which will subside with time.

Dr. Hakan Gundogan will discuss how long it will be before you can return to your normal level of activity and work.

Immediately after lip enhancement (surgical)

You will experience postoperative bruising and swelling, with mild to moderate discomfort for a day or two. A cold compress can be applied to the operative site to reduce swelling, bruising and pain. You may be restricted to a liquid-only diet for one or two days. You will most likely be mobile the day of your surgery, but your activities will be restricted.

Recovery time frame

It is vitally important that you follow all patient care instructions provided by Dr. Hakan Gundogan. This will include information about wearing compression garments, care of your drains if placed, taking an antibiotic if prescribed and the level and type of activity that is safe. Dr. Hakan Gundogan will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

The first two weeks

* You should be able to return to work and other normal activities within a week.

* Stitches are removed in four to six days; sutures placed inside the mouth will dissolve in a similar period of time.

* You may be restricted to a soft diet for up to ten days.

Week two to eight

* After four to six weeks, vigorous physical activity can be resumed.

How Long Will the Results Last?

How long the results last from your lip enhancement procedure depends on the treatment chosen and your reaction to the treatment.

* Fat injections may require multiple injections but could lead to permanent lip enhancement.

* Filler injections results depend on the type of filler used. Some dermal fillers last from three to six months, while others last almost a year.

* Dermal grafting, lip implants, lip lifting, and vermillion advancement provide essentially permanent results.

Maintain a relationship with Dr. Hakan Gundogan

For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon's office for follow-up evaluation at prescribed times and whenever you notice any changes in your facial implants. Do not hesitate to contact Dr. Hakan Gundogan when you have any questions or concerns.