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For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Yes, most of the lip lifts I do are under local. It is very easily tolerated. And it takes about an hour.
Thank you for your question. Based on your pictures you appear to be a good candidate for fat transfer to the lips to provide you better mouth lips contour.
Based on the posted photo I would do less of a lip lift then 5mm. Might do 3-4mm only. Best to seek virtual consults with.. BTW fee in the $5,000 ranges.