Lip Augmentations Seattle

View Our Gallerylip enlargement in Bellevue

Lips are one of the most expressive and sensual parts of the face. With aging, lips lose some or all of their robust appearance. The sides of the mouth start drooping and vertical wrinkles set in. Occasionally, because of genetics, individuals also might have naturally thin lips.

The purpose of lip augmentation is to bring about natural, sensual and proportional enhancement to the mouth area. This should be done as non-invasively as possible, with the most long-lasting material available.

Dr. Egrari is a Bellevue plastic surgeon who takes a scientific and artistic approach in recommending a sound method of lip augmentation. Through vast experience with lip augmentation, he has narrowed his choices and strives to only use the most up-to-date and effective means in this very dynamic and evolving field.


The three Hyaluronic Acid fillers — Restylane, Perlane, and Juvéderm — are the state-of-the-art for lip enhancement. These are done as an office procedure. It takes 15-20 minutes to inject the lips. Dr. Egrari has a unique style of injection which includes icing, anesthetizing the lips by a block, and using a direct technique for injection of the product. There is often some swelling in the first 24 hours. Occasionally patients can bruise. There is no downtime, though we do recommend that you refrain from significant exertion and exercise in the first 24 hours. The lips achieve their best shape at 2 weeks and can last up to a year. Most people need touch-ups at 6-month intervals.


Restylane is a safe and natural cosmetic dermal filler which is made of non-animal-based Hyaluronic Acid. Hyaluronic Acid is a naturally-occurring substance in the body so it naturally dissipates with time. All living organisms have Hyaluronic Acid in their bodies. In humans, this substance creates volume in one’s face, giving it a healthy, young appearance. It is in a clear crystal gel. The fact that it is non-animal based virtually removes the risk of animal-based disease transmission or allergic reaction. There is no pre-testing required. This is currently Dr. Egrari’s method of choice for non-invasive lip augmentation.

Restylane® Silk
Restylane Silk at Egrari Plastic Surgery Center
Restylane Silk is designed specifically to provide natural-looking results in the lip area by using smaller, smoother particles than those used in other Restylane® products.


Perlane is an injection that gets rid of wrinkles and enhances areas of your face immediately — including your lips, superficial lines around your mouth, forehead lines, and smile lines. Perlane is a non-animal Hyaluronic Acid, manufactured by a unique method in the Q-Med Laboratories in Sweden. Perlane is a slightly longer lasting derivative of its sister product, Restylane.


Juvéderm is a smooth-consistency gel also made of Hyaluronic Acid — a naturally occurring substance in your skin that helps to add volume and hydration. Juvéderm injectable gel is eased under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds — the creases that run from the bottom of your nose to the corners of your mouth). Juvéderm has many of the properties of Restylane and Perlane and comes in two different forms, Ultra and Ultra plus.


Fat Transfer

This remains a viable and beautifully natural method of lip enhancement. The results are long-lasting (3 years). Occasional touch-ups are needed for the augmentation.

Fat Transfer is a small outpatient operation, done under local anesthesia with sedation. This procedure is done along with other procedures ONLY. Most patients need 7-10 days to recuperate from the initial swelling and bruising. For more information call our office.

After Care

With any filler injection, patients are always given an Arnica booster pack to reduce bruising.

Additional Information

  • Lip enhancement is a dramatic embellishment of the aging face. In general, excessive enhancements are not natural and tend to give the “duck lip” look. Dr. Egrari will guide you to the option that will give the best, longest-lasting results.
  • Many patients who undergo lip augmentation, also consider other cosmetic enhancements such as chin augmentation, nose surgery, or eyelid surgery.
  • In general, permanent products should not be injected into the lips. Lips are dynamic and change with time. Placing permanent products into the lips can cause future deformities.
  • The American Society of Plastic Surgeons offers additional information on Lip Enhancement —

Visit our Gallery to view before & afters of our Lip Augmentation procedure.

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