There are many ways we can shape the lips. The simplest way is to use an "injectable dermal filler" - these are made of a gel, similar in consistency to hand sanitizer, and contain "hyaluronic acid" (HA), a pure and natural substance in every cell of our bodies. Juvéderm and Restylane are examples of HA fillers. When performed by skilled providers, these are safe, effective, can be done in the office, and involve no-down time. Two advantages to starting with fillers are: #1 it's temporary, lasting about 6-9 months, so if it's not for you then it will go away over time (and can even be reversed with "hyaluronidase"); #2 as little or as much volume and shaping can be created as you desire - since you're awake, you can and should guide your provider as you go. Avoid thicker fillers such as Radiesse - these have the consistency of toothpaste and, while excellent for facial shaping, can be lumpy in the lips (this is what happened to Jessica-Jane Clement). The next step up would be a surgical procedure. Many can be done awake, depending on your goals. From simple lip plumping with hidden incisions on the inside of the lip, to more dramatic results with lip lifts, fat injections or dermal graft placement, can be planned. As with any surgical procedure, it may be difficult to reverse the result, so be 100% sure before you commit. If it's a volume issue, my recommendation is to start with fillers - as you become comfortable with your new lips, you can then progress to more permanent solutions. With any cosmetic procedure, ensure that your caregiver is an experienced board certified plastic surgeon (see link below). Good luck!