Minor surgical procedures of the upper lip and around the eyes provide the optimal long term results
I think your take is right on - the permanence of surgical corrections around the mouth is the aesthetic surgical optimum in your case. Fine indistinguishable scars hidden under the nose recesses and along the lateral upper lip borders allow lifting of the upper lip, exposing more red lip vermillion and fullness. Around the eye, I see fat grafting volume enhancement of the brow and under eyes/ cheek region framing and shaping the eyes in a more balanced and youthful way. Lip procedures when appropriately chosen restore youthful anatomy much better than that of fillers and blockers.