Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. Following my beauty principles, the upper lip should be approximately 75 % the size of the lower lip for the lips to appear balanced. The lips can be augmented using a dermal filler or a Permalip implant. It's an "urban myth" that a temporary dermal filler causes tissues to stretch and permanently change their shape. When the dermal filler dissolves, the tissue will go back to its original shape. There would not be additional wrinkles caused by the dermal filler however if an individual had their lips augmented for a decade and then decides to stop, there might be additional wrinkles around the lips and mouth that occurred from natural aging over that decade and not from deflation due to the dermal filler dissolving. Dermal filers and lip implants offer a much more reliable volume for augmentation of the lips than permanent fillers or fat injections which are associated with increased, unwanted, side effects. Hope this helps.