Which procedure, more permanent than filler, will build and shape my lips? (Photos)

Thank you for sharing your concerns and photo. I understand wanting a more permanent solution while maintaining a natural look. Here’s a breakdown:

At 22, your options for long-lasting lip enhancement are mostly surgical rather than injectable. Some of the main procedures include:

Lip Implants:

Small, soft implants (silicone or other biocompatible materials) can add volume and shape that lasts for many years.

The procedure involves a small incision, usually inside the lip, and placement of the implant.

Recovery is typically about 1–2 weeks, with some swelling and bruising. Results are predictable and relatively permanent.

Fat Grafting (Autologous Fat Transfer):

Fat is taken from another area of your body and injected into the lips.

Offers natural-looking results and can also subtly reshape the lips.

Some of the fat may be absorbed over time, so touch-ups are sometimes needed.

Recovery involves minor swelling and tenderness for a week or two.

V-Y Lip Advancement:

A surgical procedure that reshapes and slightly increases lip projection by advancing your own tissue.

Results are permanent, but it’s more limited in how much volume can be added.

Recovery is similar: mild swelling and some discomfort for a few weeks.

Considerations:

Surgical options are more permanent but come with longer recovery and slightly higher risks than fillers.

Your facial anatomy, lip proportions, and smile dynamics influence which procedure will look most natural.

Even with surgery, subtle enhancements can be combined with filler later if desired.

At your age, a careful, conservative approach usually produces the best long-term outcome, keeping lips harmonious with your natural facial features.

If you want, I can also break down the pros and cons of each procedure side by side with expected results so you can better visualize which might suit you best.