Lip Augmentation (Perma Lip) – BEAUTY BY DESIGN, Las Vegas

_______________________________________________________________________________________

Dear Prospective Patient,

Thank you very much for your inquiry regarding cosmetic lip augmentation. I have 18 years of experience
performing lip augmentation. I completed a residency and fellowship at Stanford University Medical Center and
remained as a clinical professor for seven years. I am quadruple board certified to include the American Board of
Facial Plastic & Reconstructive Surgery and the American Board of Cosmetic Surgery, Facial Plastic Surgery..

I am founder the Center of Excellence for Facial Plastic & Reconstructive Surgery and have a practice in both Las
Vegas, Nevada and Laguna Beach, California.

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, pericranial graft placement, soft
silastic implant and lip advancement flaps.

In 2006, I presented an innovative procedure for lip enhancement using the tissue under one’s scalp, known as
pericranium, at the American Academy of Facial Plastic Surgery Spring Meeting. The long term follow-up on the
pericranium lip augmentation results have been recently submitted for publication in a peer reviewed journal.

I have also submitted peer reviewed papers that I have presented at several cosmetic surgery meetings on the
use of fat grafting (Naturalfill) for lip enhancement using the VASER ultrasound system.

Besides these permanent methods for lip augmentation, there is also a silastic implant that can be inserted into
the lip called 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. Size implants vary from 3, 4 and 5 mm diameters and 55, 60
and 65 mm tapered lengths. All of these permanent lip augmentation procedures can be performed under local
anesthesia.

Temporary lip enhancement can be achieved by injecting hyaluronic acid dermal fillers, such as Restylane and
Juvaderm under local anesthesia. The results with dermal fillers remain about six to eight months, thereafter,
additional injections are necessary.

During your initial free consultation, we will discuss your concerns and review the therapeutic options currently
available. I have before and after lip augmentation patient photographs at www.drtroell.com for you to review.I
look forward to meeting you in my office

Sincerely & Respectfully,

Robert J Troell,MD, FACS