Removing a Permalip implant after 10 years - Will my lips be the same?

It is true, the only lip implants available is the custom made eptfe ones which are the best anyway. They look natural and are easy to undergo under local. Cost is roughly $3500 each and so worth it.

Permalip is a rubberized silicone implant that can be used for upper and lower lip augmentation. Personally, when I examine patients who have had this done, I feel that it leads to a firm and unnatural lip texture. Additionally, if they are not placed perfectly symmetrically, they can be obvious...

Yes, the Permalip implant is made of silicone and can be removed. This will leave a void so you will need fat grafting and/or a lip lift. These procedures can likely be performed simultaneously.

Personally, I prefer to avoid placing lip implants because of movement, migration and asymmetry. As an alternative, I would recommend an upper lip lift procedure if the distance between your upper lip vermilion and the base of the nose is greater than 15 mm. This procedure will elevate the lip...

You may benefit from having a lip lift following the removal of the permalip. The distance from the base of the nose to the lip vermilion is important and usually determines who is a candidate for the procedure. Fat grafting may be another option.