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  NAVIGATOR: Home: Treatment FAQs: Cosmetic Surgery: Implants (Lip): Permalip ™ 09 September 2010  

Permalip ™ Information and Background


Permalip Lip ImplantProduct Summary
Permalip™, launched in the UK in 2007, is manufactured by US based company Surgisil and distributed in the UK by Eurosurgical Ltd. It is a silicone implant designed exclusively for lip enhancement.
 
What is it made of?
Permalip™ is made of very soft, solid silicone which is tapered at each end to match the natural shape of the lips.

The implants cannot leak or rupture, and come in a variety of sizes (9 in total) depending on the amount of lip augmentation required.

How does it work?
The procedure takes approximately 15 minutes and is performed under local anaesthetic.

The implants are inserted via two small, 4mm incisions at the corner of the mouth on the upper and low lips. The implant is then passed through a tunnel created in the lip and centred; the incisions are then stitched closed with absorbable sutures.

Is it temporary or permanent?
Although Permalip™ is designed to be a permanent lip enhancement the manufacturers claim that it can be easily reversed by implant removal, due to the smooth surface of the implant.

This surface, which consists of a proprietary coating to avoid the silicone coming in direct contact with the body, stops tissue in-growth into the implant and reduces the development of excess scar tissue.

Despite this promise of easy reversal, some practitioners are concerned about the effects of volume loss in the lip after removal of the implant and how this could be corrected.

Licenced status
Medical device.

Permalip™ received European CE Mark approval in June 2006.

Ongoing clinical trials are underway in the USA for FDA approval.

Should be used by
Fully trained and qualified surgeons or doctors only.
 
Not to be used in
Inserting lip implants should be avoided in areas where the skin is swollen or where infections are currently present, e.g., active acne or cold sores, until these have been successfully treated. This will reduce the post-operative risk of further infection after the insertion of the implants.

Those people who have problems with healing and/or scarring may also be unsuitable for a Permalip™ procedure.

Reported side effects
Patients should expect their lips to swell post-operatively quite disproportionately to the minimally invasive nature of the procedure, with swelling lasting for 3 – 4 days and bruising for 7 – 8 days. Lips will still be sensitive to pressure for about 2 weeks.

This may cause difficulties with speaking, smiling, eating and drinking for a short time.

Potential risks include scarring (at the insertion points), which should fade over time, and infection, which may result in implant removal.

Post-operative advice may include the taking of anti-biotic and anti-viral medication to avoid any potential infection and foreign body reactions. Patients will also be required to massage and manipulate the implant daily, after the first 2 – 3 days, to ensure that the implant doesn’t become fixed or tethered to one side of the lip and retains full movement; this will need to be maintained for approximately 3 – 4 weeks as the implant settles in the lip.

Clinical Results

For a gallery of Permalip™ before and after photographs, please visit the Surgisil website.

(Before and after photographs are real patients, your results may differ).

Cost of treatment
Costs for Permalip™ treatment can range from approximately £2,000 - £3,000.
 
 
To find a clinic in the UK & Ireland who provides Permalip™, please click here.
 
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TREATMENT LINKS
American Academy of Cosmetic Surgery (AACS)
American Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Care Quality Commission
Surgisil™ - Permalip™