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It is important to understand that the appearance of your lips also depends on the structure of your teeth underneath the lips. For instance a malocclusion (failure of the upper and lower teeth to meet properly when the jaws are closed) can make the upper lip look less full. Furthermore, tooth bonding and veneers can alter the surface of the teeth. They can push the lips outward, which gives the lips a fuller appearance. Before considering lip enhancement, you may need to look at your teeth and even consult a mouth surgeon to discuss your options.
Also, before considering a lip implant, it is probably wise to find a practitioner who is experienced in the use of temporary dermal fillers. They can give you a temporary treatment to see if you like the effect.
Lip enhancement with most fillers is temporary. However, some newer fillers claim to be permanent which can be difficult to reverse if there are problems.
If you would like to avoid having to return for repeat injections every 6 months or so, then a permanent synthetic lip implant (which is still reversible) may be the ideal solution.
There are also additional surgical procedures that may be suggested by your surgeon, which might be more appropriate than either dermal fillers or lip implants for you. These include: