One of the greatest challenges in plastic and cosmetic surgery of the perioral region has been the search for an exceptional solution to tissue augmentation. Past methodologies, both temporary and permanent, have met with disappointing results for both physician and patient.

Temporary solutions typically involve the use of commercially produced fillers or autologous fat, which can be unpredictable with respect to how long they last, and require repetitive treatments that are painful, repetitive, and costly.

Permanent solutions have relied on implants that may, due to their surface characteristics, promote tissue ingrowth. This may result in a restriction of movement and an unnatural appearance.

PermaLip Lip Enhancement
SirgiSil Before  Before SuriSiL™

SurgiSiL After   After SurgiSiL™

A soft, solid silicone implant that is a permanent solution for thin lips. A quick, in-office procedure that will give you long lasting, full lips.



1. Is Perma Facial Implant an injectable product?

No. Perma Facial Implant is made of soft, solid silicone and can be removed at any time.

2. Why is Perma Facial Implant™ different from other techniques used to augment facial tissue?

Perma Facial Implant™ offers a permanent alternative to repetitive, costly, and painful filler injections, and strives to overcome the potential complications of permanent injectable and solid implants. Perma Facial Implant is contoured, has a smooth surface to minimize tissue ingrowth, and is reversible.

3. How do I know the implant is the right size for me?

Perma Facial Implant™ is available in a variety of diameters and lengths to accommodate the uniqueness of each person’s tissue characteristics. During the course of a consultation with your surgeon, it will be determined what Perma Facial Implant™ size is best suited for you.

4. How is Perma Facial Implant™ different from other facial implants I have read about?

Perma Facial Implant™ is composed of a material ideally suited for use in the facial tissues. Other implants that have been used utilize substances that can potentially cause “tissue in-growth” into the surrounding tissue—in a sense, scarring to the implant itself. This process increases the likelihood of restricted, or unnatural movement. This potential problem has been minimized due to the surface characteristics and the type of material used to manufacture the Perma Facial Implant™.

5. What if I want to have the implant(s) removed?

Although Perma Facial Implant™ is permanent, it is also designed to be easily reversible should a person wish to return to their original appearance.

6. What should I expect post-operatively?

You should expect to be swollen and slightly tender post-operatively. Depending on the individual, there may be some bruising as well. The majority of bruising and swelling usually subsides after the first week. Discomfort is usually present for a few days, which will be alleviated by pain medication prescribed by your physician.

7. Is it quite painful?

Most discomfort, if present, usually resolves after 24-48 hours, although you will be sensitive to light or medium pressure for about 2 weeks.

8. Is there much bruising?

There is really not very much bruising with typical cases, although this may vary from person to person. Some patients are more prone to bruising than others.

Some doctors suggest that you take Arnica montana or Bromelain orally to decrease bruising. You may be instructed to use a topical arnica ointment as well. These three products are thought to decrease both bruising and swelling for many surgical procedures.

9. When will I be able to see the results?

The operative site will be swollen the first few days following the procedure. As the swelling subsides you will begin to see your final result.

10. How are facial implants comparable to injectables?

Implants do not wear off like temporary injectables. Temporary injectables are associated with repeat treatments every few months as the body breaks down the filler. Therefore, repetitive, painful, and costly injection procedures are required indefinitely to be maintained. Permanent, or long-term fillers, also exist. While this type of filler does not need to be repeated regularly, they can be very difficult to remove. If an undesirable appearance results, or if a patient wishes to revert to their original appearance, this may be difficult to accomplish. Perma Facial Implant™ has the advantage of being both permanent, yet easily reversible, giving it the best of both worlds.

11. Can the Perma Facial implant leak or rupture?

No. Perma Facial Implant™ is unique in that it is manufactured from a very soft, but solid, silicone.