Recent studies of facial aging have demonstrated a noticeable thinning of the lips with age. The upper lip in particular thins and tends to lengthen with aging. There are two major methods of Lip augmentation available. The first involves filler materials such as collagen, restylane, artecol, riverderm etc. These methods are all temporary, they all have different lengths of time they last and all have different risks. In general though all are relatively instantaneous in their results have little or no down time and have lower one time costs than surgery. The second method is surgery. The most effective surgical technique for lip augmentation is fat grafting. Fat grafting major advantages is that the material to augment is your own natural fat. The fat is suctioned out of an area of excess processed to maximize survival and reinjected into the lips. The resulting fat usually undergoes a small degree of shrinkage but usually leaves a permanently fuller lip which is natural and soft.