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You are the only one who notices this and it is normal in many people---NO surgery---leave it alone and smile!
Dear sydkait, Your lips look nice and full, do not reduce them The other thing is that the pic was taken looking up, try a straight frontal pic to better assess the area Best regards, Nima Shemirani
From what I think you're referring to, it looks like you're concerned about the normal outline of the lip. This border may just be a little more pronounced in you. But, if anything, I know of many patients who would be happy to have lips as full and pronounced as yours. I wouldn't recommend doing anything cosmetically to alter the shape of your lips, as you'd likely end up less happy.
What you are describing as puffy appears normal to me. I wouldn't do anything. Perhaps try not staring at it so much. Sorry to have to be so frank.
The puffiness in the upper lip logically would be fat. But it could be collection of blood vessels, though unusual to be on both sides. Mostly fat.