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Adam G. Tattlebaum M.D.
Lip Augmentation in Maryland

Lip Augmentation

Lip Augmentation Procedures:

Lip Augmentation procedures are ever increasingly popular. Like many things I do as a plastic surgeon there are different options each with pros and cons. By far the most popular choice today are injectable fillers. The Hyaluronic fillers are jellies that are injected under the skin to add plumpness and fullness. Other options can include, permanent lip implants, fat grafting and lip lift.

General Considerations:

When patients are new to lip augmentation I always recommend they start small. One can always add more product. I like shapely lips, but I don’t like “worm” or “duck lips” my assistant Eve and I strive to keep a natural contour of the lips.


Fillers and Fat Injections: Fillers are by far the most popular choice. Juvederm Ultra and Juvederm ultra Plus are what we use in my practice the most. These products now contain a local anesthetic so injection is more comfortable. We use a topical anesthetic as well. I always caution my patients that after injections they leave the office with both filler and swelling in the lips. The lips will get smaller when the swelling goes down. Fillers tend to be a little bumpy after injection. As the filler sits in the lip it absorbs water and tends to swell and even out. Occasionally gentle massage will help. After two weeks, the balance of lip shrinking and filler swelling is seen. Fat from other areas can be injected into the lip. Patients sometimes do this when having liposuction on other areas. Unfortunately the fat will only remain if it takes on blood supply from the surrounding tissues. Because of motion of the lips the longevity of fat grafts here are variable. Lip Implants: A variety of materials have been placed to augment the volume of the lip ranging from cadaveric tissue, to the patients own tissues. The trend is leaning more towards a soft silicone implant. These can be placed under a local anesthesia. I still tend to favor the injectable fillers. Lip implants, while permanent are prone to asymmetries, irregularities and occasional infections.
Lip Augmentation in DC
Lip Augmentation in Virginia
This patient had rhinoplasty and a permanent lip implant. Lip Lift: The Lip Lift, sometimes called the “bullhorn lip lift” is when a wedge of skin is taken out under the nose, pulling the red lip upwards. While the scar is well hidden it is still a scar in a visible area none the less. In this operation, again done under a local anesthesia, less is more. To learn more about lip augmentation or enhancement please contact assistant Pei (pronounced Pay). She would be happy to schedule a complimentary consultation in our primary Rockville, Maryland office or at my satellite offices in Annapolis, Maryland or McLean, Virginia.

A Word From The Doctor

Welcome to my new and updated website. I hope you find it not only better than my old one, but different from the many others you may be looking at.

As a Maryland plastic surgeon I worry that there is not only too much plastic surgery information on the internet to sort through, but that much of it is more hype than substance. I hope you will consider this new site a teaching tool. I have put it together in an effort to answer the most common things my patients want to know.

I hope as you read this site, you will have a sense of how I think cosmetically and how I have approached my patients. By no means is my way the only, but the thinking that I have used and honed over the past 18 years has served me well. I hope it will be of benefit to you.

Each patients results will be different depending upon their goals and starting situation, but I try to present here concepts that will be helpful in considering what is right for you.

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