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My name is Adrian Richards and I’m the Surgical Director of Aurora Clinics and I’m going to be talking about Permalip Inplant and what to expect from treatment and how the treatment is performed.
Well the important thing to notice is that the surgery of the Permalip implant can either be performed on it’s own under local anaesthetic, or can be performed as an adjunct to other procedures typically with patients who are having face lifts or other facial procedures may opt to have a Permalip inserted at that time. So if it is with another procedure obviously you’re asleep and you won’t be aware of the implants being put in. If you are having it under local anaesthetic obviously you will be awake and aware of what happens.
So the first thing we would do in a pre-operative assessment is obviously take photographs of your lips and discuss with you how you would like your lips to look, and there are three thicknesses of Permalip implant and we discuss which one is the most appropriate for you. Often patients will have different volumes, different size implants, different width implants in upper and lower lip, just depending on their own volume.
So what we’d like to do before the operation it’s very important to avoid any non-steroidal tablets such as Nurofen or Aspirin as these can increase the risk of bruising, and also medication such as St John’s Wort, Ginkgo and Vitamin E are associated with slightly more bruising, so we would like you to stop those. We would also like you to have a bit of a quiet weekend or a few days before the operation without too much alcohol just so that you’re in the best possible condition for surgery.
Then what will happen is you will come into surgery and I will typically numb your lips normally with injections rather similar to those you have in the dentist, so a small injection inside the gum on both upper sides and both lower sides, and that will numb up your lips. Then we leave that for about 10 minutes while the anaesthetic works and it should be very numb following this. Then we’ll clean the whole area with antiseptic lotion and I will make a tiny little incision just in the corner of your mouth and make a tunnel underneath the red area of your lip at the junction of what we call the ‘wet/dry border’ so the lip is actually composed of the same type skin, but the outside lip is exposed to the air and it’s slightly dry and crusty, and the bit inside your mouth is called the ‘wet [??]’ because it’s in contact with the saliva and it’s also slightly more red and glistening, so it’s at the junction, almost the line between those two that the implant is inserted under. So the implant is inserted under that area and we’re very careful to make sure it’s absolutely central in the area and then I put a couple of little absorbable stitches just in the corner of the mouth. So you sometimes feel those following surgery just in the corner of your mouth. Then very important, we talk about this in the next video that we need to look after the area very carefully to reduce swelling, normally with ice application. So we would apply that straight away, some antibiotic ointment to the corner of your mouth and then obviously we keep you and make sure you’re okay before leaving and make sure the anaesthetic has worn off and then it’s okay to leave. In another video I’ll talk about the post operative care from that point.
So thank you very much for listening to the video and watching the video. If you’d like any more information about Permalip or any of the other topics offered with Aurora Clinics please contact us via the website which is aurora-clinics.co.uk, or phone us on 01844 214 362. Thank you very much.
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