Nasolabial Folds and Lips

Nasolabial and Marionette Folds

Nasolabial (the lines running from the nose towards the mouth) and “marionette” (the lines running from the corners of the mouth down towards the chin) lines and folds are some of the earliest signs of aging.  Many women and men in their twenties have folds, but as we age, and the skin around the mouth loses fullness, the unsupported skin sinks into wrinkles, deeper lines, creases and folds, causing a tired and worn-out look.  By placing fat into and around the lines and folds, we can support the skin and “lift” it, creating a much more youthful and rested appearance.

Lip Augmentation

For those who feel their lip size or shape is inadequate, fat grafting is a wonderful solution, because results will last for many years.  Fat grafting to the lip area can also help to define the lip line, which becomes less sharp as we age.  “Smoker’s lines” and other wrinkles of the skin above the lip can also be improved by the addition of a thin layer of fat into the area.  The ideal proportion for the lips is for the lower lip to be larger than the upper lip.  Patients with naturally irregular or asymmetrical lips, or those who have had lip area surgery resulting in defects, can have them evened out with the addition of fat. Fat in the lips feels completely natural and soft, and cannot be distinguished from “real” lip tissue.

This man presented with a sneer that made him appear angry. One year follow-up (right) showed that fat grafting to the skin area of the lip not only corrected his sneer, but a slight plumping of the lip was also accomplished with fat grafting.


This is a young woman who desired much larger lips (before, left). At 7 months she had the desired look (middle) but felt that her lips looked even better at 2 years (right).

Fat grafting to the lips, chin and jaw with a one-year follow-up (right)

Eight year follow-up on this woman demonstrates the potential longevity of fat grafting to the lip

Male patient before (above) at 3 weeks (middle) and 4 1/2 years after Coleman fat grafting to the area around the mouth, the nasolabial folds and the upper and lower lips.

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Sydney Coleman Video on Fat Grafts, Stem Cells & Regenerative Surgery

August 20, 2013

Interview with Sydney Coleman, MD Sydney Reese Coleman is the physician who first observed and announced to the scientific community the amazing regenerative ability of fat grafts and the associated stem cells.  Beginning in 1987, he has developed procedures that...

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