Lip Augmentation with Own Tissue

Surgical lip enhancement at FNKV's plastic surgery department using the patient's own local tissue rather than injectable filler. Techniques such as V-Y mucosal advancement roll the inner lip tissue outward to create permanent fullness and a more defined vermilion border — a one-time procedure under local anaesthesia at 20,000 Kč, with no foreign material and no repeat top-ups required.

Most lip augmentation today is done with hyaluronic acid filler — effective, but temporary and cumulatively expensive, with results that must be repurchased every 6–12 months. The surgical alternative offered at FNKV uses the patient's own lip tissue to create permanent enhancement. **The technique:** Under local anaesthesia, the surgeon performs mucosal advancement (commonly V-Y plasty) on the inner, wet surface of the lip: small flaps of the abundant inner mucosa are advanced outward, everting the lip so more of its red volume shows. There are no external incisions — all suture lines sit inside the mouth — and no foreign material is introduced. **Who it suits:** Patients with naturally thin lips who want a permanent, subtle-to-moderate enhancement; patients tired of the filler cycle; and patients whose lip thinning is age-related and who may combine the procedure with other facial surgery at the department (facelift, fat transfer, eyelids — all on the published menu). **What to expect:** The procedure takes around an hour under local anaesthesia as day surgery. Lips are noticeably swollen for 1–2 weeks — the early result looks bigger than the final one — and the stable shape settles by 4–6 weeks. Dissolving sutures sit inside the mouth; soft foods and careful hygiene are advised in the first week. **Honest expectations:** Surgical augmentation with local tissue creates a refined, natural degree of fullness; it does not produce the dramatic volumes achievable (temporarily) with large filler quantities. For patients seeking permanence and naturalness, that is precisely its appeal.