I currently have juvederm volbella in my lips and i have been looking into permalip implants. Many people say that even the 5mm (largest size as i understand) only makes a subtle difference in the size of their lips. i know that the goal of getting lip implants is to eliminate the need of injections. However, i'm wondering if i can combine the permalip (or another brand of lip implant) with hyaluronic acid injections to create the volume and shape that i want in my lips.