I had a Gore-Tex lip implant almost twenty years ago and had it removed about three years ago. (Photo)

Thank you for sharing your question and photograph. I would advocate for careful incremental increases in lip size with a dermal filler such as Volbella.  This will add subtle and natural volume to your lip without looking overdone.  Hope this helps.

Erika.    It appears that fat transfer is your best option because it sounds like you were pleased with the Gortex Lip Augmentation because you kept it for so long.  Fat feels and looks more natural than implants like gortex, and studies indicate that approximately 85% remains permanently.  I am not a fan of lip lift because of scarring. Be sure to consult with a board certified plastic surgeon. Good luck!

You would get a nice improvement with lip fillers. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical lip. PDO Nova threads can also be used to improve shape and provide lift. Fat is an alternative. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Having already had lip implants in and then removed, I would not do implants again. It time to consider a lip lift or lip advancement based on what you want to achieve.

It would require an examination but the lips can be filled to make the pink part appear filler to provide more balance.