Further experience with permafacial implants for lip augmentation: a review of 100 implants.

BACKGROUND Although fillers and surgical lip lifts are effective ways of treating the perioral area, both have inherent downsides. Fillers lack permanence, and lip lifts do not address the issue of fullness. OBJECTIVES The authors present the results of a long-term follow-up study of Permafacial implants (SurgiSil LLC, Plano, Texas) for lip augmentation. This report is a follow-up from their first publication. The original publication demonstrated the benefit of the procedure at the time of a facelift. The present study reports a long-term follow-up on all of the authors' first 50 patients. METHODS The authors' original publication demonstrated the benefits of inserting Permafacial implants concurrent with a facelift procedure. In this long-term follow-up study, the results of the first 100 implants (50 patients) are presented; this initial group of patients was followed up for one to two years. Implant migration, lip function, implant position, sensation, and patient satisfaction are reviewed. RESULTS Very few complications were reported; they included migration with revision, along with patient-requested size adjustments or removal. No extrusions were reported. The degree of patient satisfaction with these implants was high. COMPLICATIONS Although the authors initially experienced a significant migration rate, a modification in technique reduced this rate over the long term. Permafacial implants are an effective method of increasing fullness in the lip area, and they are associated with few complications and high patient satisfaction.