Thank you for your question and picture.Your upper lip definitely looks fuller. As for the bump that you fill in the lip, it would need to be evaluated by a plastic surgeon. I just want to point a couple things out to you, corrections that could be made to improve the overall aesthetics of your lips.1. The vacuum appears to not only enlarged your lip, but it looks to have lengthened the nose to lip distance. This can be corrected with an upper lip lift. This is a very powerful procedure to help patients look younger.2. The upper lip appears larger than the lower lip. This is an un-natural look. An augmentation to the lower lip to help balance with the upper lip would improve the overall appearance.I hope this helps.- Dr. Bryson G. Richards, MD