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Thank you for the question. It really depends on what filler was used. If it was truly permanent (e.g., silicone) then the treatment for removal is actually a lip reduction. Silicone causes inflammation and granulation tissue in the lips and can't be extracted or dissolved directly. Fot other types of permanent lip augmentation, such as Permalip implants, these can be removed under local anesthesia. Best of luck moving forward!
Permanent filler in lips is not always a permanent solution. Patients can develop nodules, granulomas, uneveness, and overly large appearance of the lips. Lip implants are readily removed and can result in scarring of the lips. Silicone injections of the lips typically require surgical excision to remove and reshape the lips.
If you had a permanent filler injected into your lips, the only way to remove any of it would be to do so surgically.
If you had permanent lip filling with injectible rather than implanted material it would likely have been silicone or fat. Both of these can be reduced surgically but not readily. Solid implants can be removed quite easily.
Filler is a great option for the lips. I like Juvederm, as it is very soft and yields a great looking and natural result. Cost can vary depending on the physician and your location. I would recommend seeking the advice of a board certified dermatologist, plastic surgeon, or facial plastic...
Injectable fillers can only achieve a minimal increase in the vertical height of the vermilion of the lip. A more significant change in the height of the upper lip vermilion requires a subnasal lip lift.
Thanks for your photos. You say that you'd never noticed it until someone pointed it out to you. If you look back in your old photos (before you knew you had the bumps), can you see them present there? I think there are several good options for removing or camouflaging them....
