Farrah Abraham’s Botched Lip Augmentation

by Dr. Ramtin Kassir, M.D., F.A.C.S. | Jan. 8, 2015, 1:46 p.m.

plastic surgeon NJ

Today’s trending topic has been Farrah Abraham’s lip augmentation.


Farrah shared photos of herself on social media of her botched lip implants, showing her upper lip protruding over her lower one.  


It seems that Farrah Abraham had an implant put into her lips instead of dermal fillers which are popular for lip augmentation.  It is likely that she may have had an allergic reaction.


Dr. Kassir advises patients to do their research and discuss their options with board certified plastic surgeons.  “Lip augmentation is a popular procedure, and it is important to do your research and discuss your options with a board certified plastic surgeon,” says Dr. Kassir.


It is important to select a surgeon who understands the anatomy of the face and lips and who has an artistic eye and talent. Dr. Kassir specializes in facial plastic surgery and is known for providing his patients with natural looking, age appropriate, and youthful lips.


What are some options for lip augmentation?


Injectable dermal fillers are widely used to achieve fuller lips. Options for enhancement of the lips and mouth include a variety of injectable "fillers": Restylane®, Radiesse™, Artefill, Belotero and fat.


For plump lips, Restylane is the preferred dermal filler because of it has a thicker consistency.  Restylane is usually used for lip augmentation as it has the highest concentration of hyaluronic acid than any other dermal filler.

What are the advantages of using Dermal Fillers?


Dermal fillers are gentle and safe for your skin, biodegradable and fully biocompatible with human hyaluronic acid which means  allergic reactions are unlikely. The provides hydration and lubrication to skin, the procedure is virtually painless, there is no down time, the results are easily reversible, and you can control the amount injected for desired volume.

Lip Augmentation Using Fat and or Muscle Transfer


You can enhance the volume in your lips or replenish the fat lost with your own fat. Fat transfer is a minimally invasive procedure and requires an experienced, highly trained, and superbly skilled plastic surgeon with a keen eye for aesthetics and precision. The surgeon’s techniques play a major role in the outcome of the results, this is why it’s important to select your surgeon based on credentials, experience and success rates.


What are the Benefits of Fat Transfer for Lip Augmentation?

Since the fat transfer is from your own body, there is no risk for allergic reaction. Unlike dermal fillers which provide results for approximately six months and require upkeeping, fat transfer can deliver permanent and natural looking results results.


SMAS lip augmentation can be achieved simultaneously with a facelift. Superficial Musculoaponeurotic System  (SMAS) is the layer of the fat and muscle that is underneath the skin in the face. During a facelift of a necklift, this layer is lifted, and the excess SMAS that is trimmed may be placed in the lips through small incisions hidden at the corners of the mouth. Augmenting lips using SMAS provides patients with long lasting lip enhancement results.

Lip fillers are safe, effective, quick, and they support and shape the tissue of your lips. They are also won’t give give you the “frozen look” that many of us are so apprehensive about. The ingredients will not contract the muscles forcefully allowing them to act normally. The results are natural unlike with Silicone injections which Dr. Kassir advises against not only because the results are dramatic, but because they easily lead to granuloma on the lips, infection, and it is extremely difficult to remove it.