Evidence Basedcheckmark

Lip Augmentation with SMAS Implant

Lip augmentation with a SMAS implant involves removing excess tissue of the superficial musculoaponeurotic system, and then shaping and positioning it in the lips to add volume. This type of lip plumping is only performed during a sub-SMAS facelift surgery. The SMAS separates the facial skin from facial muscles and is comprised of natural fat, collagen, and fibrous tissue. SMAS grafting to enhance the lips produces immediate and long-lasting results and very little downtime.

Lip Augmentation with SMAS Implant

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The Skinny


Average Recovery

2 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$5000 - $8000

The Specifics


What is a lip augmentation with SMAS implant?

A lip augmentation with SMAS implant is a type of surgical lip enhancement procedure that can only be performed by a board certified plastic surgeon in conjunction with an SMAS facelift. The superficial musculoaponeurotic system (SMAS) is located between the deepest skin layer and the facial muscles. It is composed of collagen fat, and other fibrous tissue.

Anatomy of the Lip

Female lip anatomy infographic

During a facelift procedure, SMAS can be harvested for reimplantation in the lips. Given this is the patient’s own tissue there is no risk of rejection. Small incisions at the corners of the mouth allow the plastic surgeon to create a tunnel through which the SMAS material can be molded and shaped. These implants can be placed in the upper lip and/or lower lip. The SMAS implant creates plump lips with a natural appearance and improves facial feature symmetry.

What cosmetic concerns does a lip augmentation with SMAS implant procedure treat?

  1. Lip Size: The SMAS lip implant material can be used for lip augmentation creating plump lips and fuller lips with a natural lip appearance.
  2. Lip Shape: SMAS materials can be molded and shaped to alter the appearance and symmetry of the upper lip and/or lower lip.

Who is the ideal candidate for a lip augmentation with SMAS implant procedure?

Ideal candidates for a lip augmentation with SMAS implant are those in good health already undergoing a SMAS facelift who would like to simultaneously enhance lip volume, projection, and eversion. Lip augmentation with SMAS implants are not recommended for those with infections in and around the mouth (like cold sores), smokers unwilling to quit around the time of the procedure, and those with certain chronic conditions.

What is the average recovery associated with a lip augmentation with SMAS implant procedure?

Initial recovery from a lip augmentation with SMAS implant can range from one to two weeks. Most patients return to work within three days. Limitations on exercise and strenuous activity are recommended for up to four weeks. A soft diet will be necessary for one week post op.

What are the potential side effects of a lip augmentation with SMAS implant procedure?

Possible side effects from a lip augmentation with SMAS implant procedure include bumps, lumps, migration of materials, asymmetry, bruising, bleeding, and swelling.

What can someone expect from the results of a lip augmentation with SMAS implant procedure?

A lip augmentation with SMAS implant will provide immediate and permanent results. Swelling and wound healing will resolve over three to four weeks.

What is the average cost of a lip augmentation with SMAS implant procedure?

A one time, permanent surgical procedure, a lip augmentation with SMAS implant cost ranges from $5,000 to $8,000. The actual cost of the procedure is dependent upon location, plastic surgeon, and length and involvement of the surgery. Remember this is a cosmetic surgery (not a reconstructive surgery), and so it will not be covered by insurance.

Pros

body will not rejectnatural resultslong lasting results

Cons

asymmetryonly available with a faceliftresults fade slightly over time

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


Lip augmentation with a SMAS implant is only performed alongside a facelift procedure. A portion of the excised SMAS tissue is inserted into the lips to enhance volume. Here is a quick guide for what to expect before, during, and after lip augmentation with SMAS implant.

The Takeaway


Lip augmentation with SMAS implants is a permanent lip enhancement procedure only performed in conjunction with a SMAS facelift already being performed by a board certified plastic surgeon. SMAS material is native to the candidate’s body and, therefore, carries no risk of rejection. The average recovery is two to four weeks.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Luthra, A. “Shaping Lips with Fillers.” J Cutan Aesthet Surg. v.8(3); Jul-Sep 2015.; 2015-07-01
  2. Spiegel, J H, and O L Spiegel. “Lip Lifting: Not Just Fullness-Everything You Need to Know about Lifting and Creating Youthful, Beautiful Lips.” Facial Plastic Surg. , 3 Apr. 2019, pp. 129–133.; 2019-04-03
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