This really depends on your desires. Typically, I recommend no more than one syringe the first time. You will be able to judge the volume of the correction at the completion of the injection: At this point, you will be slightly more swollen than your final result. If you complete one syringe and desire more, than by all means have more injected at that session while you are still numb. If however you feel you are too large, relax, because it is slightly swollen and will likely reduce in size over the ensuing week. If you do not like the look at all or the balance of the upper to lower lip, the volume can be adjusted or "undone" using hyaluronidase in an "off-label" indication. Generally speaking, the lower lip is larger than the upper lip. However, many patients prefer a fuller upper lip. I therefore typically use 0.6 cc to the upper lip and 0.4cc to a lower lip using a 1.0cc syringe. I can easily adjust this to patient's desires or anatomy. I hope this helps!