Cosmetic outcome of lip augmentation obviously depends on the skill and the artistry of the board-certified dermatologist or plastic surgeon. However, the key is 'less is better'. Most people appreciate more subtle lip augmentation that looks natural, allows better coverage with lipsticks rather than 'oh my God, what did you do to yourself'. Start with accentuating vermilion lip borders, recreating cupid's bow between the the two columns of the upper lip and preserving the 1 to 1.6 ratio of upper lip to lower lip proportion.