My Assessment: In talking with her, the first thing I did was to persuade her not to have a permanent procedure performed. The... lip implants are at times palpable and not very natural appearing. There is also risk of infection. The surgical procedures leave a scar and Radiesse is no longer recommended for lip augmentation because of the risk for nodule formation. The second thing I noticed was a slight asymmetry in the upper lips. The left side had a slightly different shape. She hadn't noticed this and was eager to improve the asymmetry. Treatment: Just under 1.0cc of Restylane to the upper and lower lips. The upper lips were treated to improve symmetry and the lower lip was treated to add fullness. 1 year Follow-Up: She continues to come in for lip treatments every 3 to 4 months.