I do not think she's had Permalip, and I do not think that it is only temporary filler. It is my personal belief that she's had mucosal advancements along with a filler of some kind.She posted a video on Instagram where I think you can see the incisions. Look closely.Just wanted to write this post in case anyone was trying to increase their upper lip size but had no success with Permalip and filler. While it's possible she's had just filler, I really think from this picture that mucosal advancements were included too.Or maybe her lip just bends weirdly?? lol. Just didnt want anyone to get frustrated wasting money repeatedly on filler if they didn't know this option was out there. Hope this helps all those in the lip augmentatinon forum!