ESTRELLA AESTHETICS & SURGICAL ARTS
Dear Prospective Patient,
Thank you very much for your inquiry regarding cosmetic lip augmentation. I have 20 years of experience
performing lip augmentation.There are both temporary and permanent methods to either enlarge (augment) or
show more mucosa of the upper and lower lips. The options include: skin (dermal) fillers, fat grafting, fibrous
tissue from under your scalp (pericranial graft placement), PermaLip soft silastic implant placement and lip
mucosal advancement flaps.
Temporary lip enhancement can be achieved by injecting hyaluronic acid dermal fillers, such as Perlane.
This procedure is most often done using ice for anesthesia, but can also be performed using either topical or
local anesthesia. The results with dermal fillers lasts about six to eight months, thereafter, additional injections
I completed a residency and fellowship at Stanford University Medical Center and remained as a clinical
professor for seven years. I am medical director of Estrella Aesthetics & Surgical Arts in Corona, California and
the Center of Excellence in Facial Plastic & Reconstructive Surgery. I have multiple board certifications including
the American Board of Facial Plastic & Reconstructive Surgery, the American Board of Cosmetic Surgery in Facial
Plastic Surgery and the American Board of Otolaryngology-Head & Neck Surgery.
Permanent results can be achieved by placing a silastic implant, known as Perma Lip. A tapered soft silastic
implant of varied thicknesses and lengths allows minimal traumatic placement. Patients have been very
responsive to this technique with minimal discomfort and rapid recovery with no infections or extrusions to date.
Lip Fat transfer can also create satisfactory fullness with a soft feel There outcome is a natural soft feel to the lip.
Both procedures can be performed under local anesthesia with mild oral sedation.
When one desires more pink show to the lip, advancing the mucosa forward (V-Y advancement flap) from
inside the mouth can create this appearance. One may also need to augment the size of the lip further with
one of the other techniques is the size increase with this procedure is not large enough.
During your initial free consultation, we will discuss your concerns. I have Lip Augmentation before and after photos
and an educational video at www.EstrellaAesthetics.com for you to review. I look forward to meeting you.
Sincerely & Respectfully,
Robert J Troell, MD, FACS