Thank you for your question regarding whether lip implants look and feel natural. Yes, Permalip lip implants do look very natural. Of course, there will be patients who choose to large of a size and have fillers placed on top of the Permalip and wind up looking unnatural. However, the majority of my patients who undergo even the largest Permalip implant insertion look natural. The Permalip lip implant also feels very natural. During the first two- three weeks, there is the expected swelling around the Permalip lip implant. However, after approximately 3-4 weeks, all the lip swelling is gone. Once all the lip swelling is gone, there is a period of scar tissue creation then the lips settle down. Once the lips settle down, the lips feel very natural. I have not had any patients complain that their lips feel unnatural after Permalip insertion. If your chosen plastic surgeon is experienced enough with Permalip insertion, he or she should be able to have you meet and ideally feel patients with Permalip implants. Thank you your question regarding Permalip permanent lip augmentation. I hope that I have answered your questions regarding whether lip implants look and feel natural. If you have any more questions regarding Permalip lip implants, please contact my office. When seeking permanent lip augmentation, consider the Permalip implants. Please seek an experienced, board certified plastic surgeon with significant experience in inserting Permalip lip implants. Make sure they have performed many Permalip procedure surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame.)