Silicone Lip Filler – Permanent Lip Enhancement

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

A silicone lip filler is a cosmetic treatment that offers a permanent solution to individuals seeking fuller and more defined lips. Unlike temporary and semi-permanent options, silicone lip fillers deliver long-lasting results without the need for touch-ups, shaping the lip contours through microdroplet injections that stimulate collagen production.

While silicone’s durability might sound appealing, it comes with significant risks, such as difficulty in reversal and potential complications. For those considering lip enhancement, understanding the benefits and drawbacks of silicone compared to other filler types like hyaluronic acid or fat transfer is crucial to making an informed decision.

The Procedure of Silicone Lip Injections

The process for silicone lip injections requires meticulous planning and an expert approach, with steps including a detailed consultation, precise injection techniques, careful pain management, and a well-structured treatment timeline.

Consultation and Preparation

The initial consultation serves as the basis for any silicone lip injection procedure. It involves a thorough discussion of the client’s aesthetic goals, a comprehensive medical history review, and an explanation of the potential risks and benefits. This stage is crucial for establishing realistic expectations and determining the suitability of silicone as the filler of choice. The practitioner ensures the patient’s understanding of the permanent nature of silicone and discusses alternative treatments. Additionally, photographs may be taken for before-and-after comparisons. The preparation phase also includes guidelines to minimize the risk of complications—advice on avoiding certain medications or supplements that could make bruising or bleeding worse, and lifestyle considerations, such as quitting smoking, which can affect healing.

Injection Technique

Microdroplet Technique: The microdroplet technique is crucial in the administration of silicone lip fillers. The process involves injecting minute amounts of silicone at several points in the lips to create a natural fullness and shape. The technique allows for a gradual and controlled building of lip volume, promoting a more adapted and refined result. The precision of the microdroplet approach also fosters the integration of the filler with the lip tissues and optimizes the stimulation of collagen production. Over a series of sessions, this technique provides the lips with a soft and smooth appearance, minimizing the potential for complications such as lumps or granulomas.

Injection Sites and Volume: Determining the appropriate injection sites and volume of silicone is a delicate balancing act that requires a strategic approach. Injectors focus on the vermilion border or the body of the lips, depending on the desired effect, whether it is to define the lip edges or enhance overall volume. The volume of silicone used depends on individual lip anatomy and the extent of augmentation desired. The goal is to attain a harmonious symmetry with the rest of the facial features while ensuring the lips retain their natural movement and appearance. The injector’s expertise ensures that both the quantity and placement of silicone are optimized to meet the patient’s aesthetic goals with precision.

Anesthesia and Pain Management

Pain management and patient comfort are very important in the procedure for silicone lip injections. Typically, a topic or local anesthetic is applied to the lip area to relieve discomfort. Options may include a numbing cream or dental nerve block injections which can effectively minimize pain sensation during the procedure. The choice of anesthesia will depend on both the patient’s pain threshold and the injector’s protocol. Post-procedural pain is typically mild and can be managed with over-the-counter analgesics. Ice packs and specific post-care instructions are also provided to minimize swelling and discomfort in the recovery phase.

Treatment Duration and Frequency

The treatment duration for silicone lip injections is usually concise, often taking less than an hour per session. The frequency of treatments is adapted to the natural response of the patient’s tissues and the desired outcome. Initial results may be seen immediately, but the full effect unfolds gradually as the silicone stimulates collagen production and integrates with the lip tissues. Additional treatments are spaced out, often at intervals of a month or more, to allow for this integration and for any swelling or bruising to subside. This staged approach affords the practitioner the opportunity to fine-tune the results, ensuring patient satisfaction with the final appearance of the lips.

Risks and Complications Associated with Silicone Lip Fillers

Alongside their permanent enhancement benefits, silicone lip fillers come with their own set of possible immediate and long-term complications.

Immediate Side Effects

Swelling, Bruising, and Pain: After receiving silicone lip injections, it’s common for patients to experience some level of swelling and bruising, which typically goes away within days to a week. Pain, often described as a mild to moderate soreness, can also occur and is usually manageable with over-the-counter pain relievers. The extent of these side effects varies from person to person, with factors such as injection technique and individual healing responses playing a role. To minimize such discomforts, practitioners may recommend cold compresses and suggest patients keep their head elevated, especially during sleep in the initial post-procedure period.

Infection and Allergic Reactions: Infections, though rare when performed in sterile conditions by experienced professionals, can present a risk with any invasive procedure, including silicone lip fillers. Symptoms of infection could range from localized redness and swelling to more systemic signs such as fever. Additionally, despite silicone’s inert properties, allergic reactions are possible and may manifest as prolonged redness, swelling, or itching. It is vital for practitioners to screen for risks of allergies during the initial consultation and advise patients on the signs to watch for, ensuring prompt medical attention if such complications arise.

Long-Term Complications

Granuloma Formation: One of the more serious long-term complications of silicone lip fillers is the potential development of granulomas—firm nodules that form when the body attempts to wall off foreign substances it cannot degrade or absorb. These can occur months or even years after the injection and may cause aesthetic concerns or discomfort. Treatment options for granulomas include corticosteroid injections to reduce inflammation or, in some cases, surgical excision, which carries additional risks and may not always be successful in removing all granuloma tissue.

Migration and Unevenness: Over time, silicone has the potential to migrate from the original injection site, leading to lip asymmetry and unevenness. These complications can detract from the aesthetic goal of the treatment and may require corrective procedures to address. Such abnormalities may become more obvious as the natural aging process affects the surrounding lip tissues, introducing additional challenges in maintaining the initial lip enhancement results.

Difficulty in Removal or Reversal: One of the key drawbacks of silicone lip fillers is the significant challenge associated with their removal or reversal. Unlike temporary fillers that naturally dissipate over time or can be quickly dissolved, silicone is designed to be permanent. Should a patient wish to revert their lip augmentation or encounter serious complications, the removal process is not straightforward. It often involves intricate surgery that may not completely remove the silicone and could potentially result in scarring or other forms of disfigurement. As a result, those considering silicone lip fillers must thoroughly weigh the permanent state of the procedure and its implications.

Importance of Choosing a Qualified Practitioner

Successful outcomes with silicone lip fillers rely heavily on the practitioner’s proficiency. The quality of results, safety during the procedure, and minimization of risks depend on choosing a qualified and experienced injector. Qualified practitioners are trained to assess the facial structure accurately, determine the optimal injection sites, and carry out the procedure with meticulous care. They are also skilled in managing side effects and recognizing early signs of complications, should they occur. Therefore, patients should conduct comprehensive research, verify credentials, and review the practitioner’s track record to ensure they are in capable hands.

Frequently Asked Questions

How long do silicone lip fillers last?

Silicone lip fillers are designed to offer permanent results, not requiring the regular touch-ups associated with temporary fillers.

Are silicone lip fillers safe?

Silicone lip fillers carry potential risks and complications, but when administered by a qualified professional using medical-grade silicone, they can be safe.

Can silicone lip fillers be removed?

Silicone lip fillers are permanent and difficult to remove; surgery required for removal can be complex and may not guarantee complete silicone elimination.

How much do silicone lip fillers cost compared to other options?

Silicone lip fillers often have a higher initial cost but may prove cost-effective over time due to their permanent nature, compared to the recurring expense of temporary fillers.

What is the recovery time after getting silicone lip fillers?

Typical recovery time following silicone lip filler injections is a few days to a week for initial swelling and bruising to subside.

Are there any age restrictions for getting silicone lip fillers?

Most practitioners recommend waiting until the lips have fully developed, usually after the age of 18, before considering silicone lip fillers.

How can I maintain my results after getting silicone lip fillers?

Maintenance of silicone lip fillers entails healthy lifestyle choices and following any specific care instructions given by your practitioner; additional adjustments may not be necessary due to their permanent nature.


Silicone lip fillers present a lasting solution to lip augmentation with various advantages, but they carry risks that require consideration. Understanding the treatment's permanence, potential for long-term adverse effects, and the importance of expert application is crucial for anyone considering this option. Evaluating safer and more temporary alternatives, such as hyaluronic acid fillers or fat transfer, can also help ensure the right choice is made based on individual preference and comfort. In any case, the selection of a skilled practitioner, vigilant aftercare, and an informed understanding of what to expect post-treatment will contribute significantly to the success and satisfaction with the results.

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Rauso, R., Fragola, R., Fasano, M., Zerbinati, N., Nicoletti, G. F., & Lo Giudice, G. (2022). Surgical Lip Remodeling Following Permanent Filler Injection: A Scoping Review.

Moscona, R. A., & Fodor, L. (2010). A retrospective study on liquid injectable silicone for lip augmentation: long-term results and patient satisfaction.

Fulton, J. E., Jr, Porumb, S., Caruso, J. C., & Shitabata, P. K. (2005). Lip augmentation with liquid silicone.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.