Although numerous materials, including autogenous, homogeneous, and al
loplastic materials, have been used for lip augmentation with varying
degrees of success, no ideal one has been found to achieve a soft and
long-lasting result. Gore-Tex implant has been successfully used in ca
rdiovascular surgery. So far, it has not been used much in lip augment
ation. In this study, a Gore-Tex SAM facial implant (1.8 mm in diamete
r) was used for lip augmentation in 23 lips of 17 female patients. In
10 consecutive lips with three segments of the implant each, a compute
r-assisted imaging system was used to scrutinize the results. The resu
lts have shown that the three segments of the implant enhanced the lip
projection with about 0.98 mm in mean (p < 0.01) and the exposed verm
illion width with about 1.94 mm (p < 0.01) in the over 6 months follow
-ups. No major complications, only some minor ones, were seen. For lip
augmentation, we find that only minor changes can be achieved with th
ree segments of the Gore-Tex facial implant. We feel that it is safe a
nd believe it gives a permanent result which is not the case with coll
agen injection and usually not the case with lipofilling despite reinj
ections. Furthermore, we consider the implant quite expensive at prese
nt.