For a 30-year-old trans woman considering lip enhancement, both a lip lift and additional filler offer distinct benefits, depending on your goals and anatomy. A lip lift is a surgical procedure that shortens the distance between the nose and upper lip (the philtrum), increasing the amount of visible pink lip (vermilion) and dental show. This can create a more feminine, youthful appearance, especially if your upper lip is long or you have minimal tooth show at rest. The results are permanent, but there will be a small scar hidden at the base of the nose. In contrast, fillers add volume and shape to the lips without surgery. They are ideal for enhancing fullness and contour, but cannot shorten the upper lip or increase dental show. Fillers are temporary, typically lasting 6–12 months, and can be repeated as needed. If your main concern is a long upper lip or lack of visible teeth when your lips are relaxed, a lip lift may be the better option. If you are satisfied with your lip length and want more volume, filler is appropriate. A consultation with a board-certified surgeon experienced in gender-affirming procedures can help determine the best approach for your goals.