Permalip implants on top of PMMA filler?
Thank you for asking about your Permalip implants.An exam is needed but usually permanent injections like PMMA make the lip hard - this will make the tissue difficult to work with and a Permalip implant hard to place. Nor will it look natural in thick or hardened tissue. However you need a plastic surgeon to examine you to advise you if this is the case.
Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS