I started to get my lips plumped once a year starting two years ago. The first time was with half a syringe of Restylane, the second with a full syringe of Juvederm, and now, my third time with a full syringe of Juvederm XC. I get about 80 percent injected into the bottom and 20 percent injected into the top. I am most happy with the results and lasting power of the Juvederm XC. I seem to always bruise horribly so I suggest doing the procedure two weeks prior to any major event and always have some deeply colored lipstick on hand to help hide them. I have been so pleased with the results I will continue to get touch ups with the Juvederm XC every year.
I have had multiple treatments at AesthetiCare medspa and have always been thrilled with the results! The best place to start is with a free one hour consult to find out about everything they offer. They followed up with a phone call soon after, where I booked a Forever Young BBL treatment and botox. I have also done CoolSculpting and my provider was so nice and made me feel super comfortable!
Unfortunately, insurance companies are becoming more and more strict on what they consider "medical necessity", especially when it comes to plastic surgery. I do capsule and implant surgery at least 2-3 times per week for implant removal, exchanges and reconstruction. The only time insurance has paid for removal of the implant and capsule is when it is associated with a cancer diagnosis- meaning the implant was placed for breast reconstruction or when the implant is associated with BIA-ALCL diagnosis (extremely RARE). I find their response when I have submitted letters for approval of removal of intact implants and capsule associated with deformity and pain, they say "capsular contracture is a known risk factor/complication associated with cosmetic implants".
I don't focus on BMI, which doesn't account for percent body fat or muscle tissue. The desired increase in breast volume/ goal size and the available adipose tissue you have to use are more important. Everyone is different. Thin patients can have fat augmentations as long as you have some fat tissue to donate and have realistic expectations. A personalized consultation with an experienced plastic surgeon will help you decide what's appropriate for you.