What's the removal process like for Gore-Tex lip implants I got in 1995? (Photo)

In 1995, I got GoreTex implants in my upper & lower lip. As I've aged, and the skin has thinned, I can see that the upper implant bows out over the vermillion border, looking like a lump over my lip on one side. Especially visible when I smile. What's the removal process like, esp if there's adhesion (after 30 years, I'd assume at least a little !). It's the solid ribbon-like GoreTex, not the hollow form implant. Thanks!!!