Restylane, Perlane, Fat Grafting, Juvederm... (34 Yr Old Female) - Nashville, TN

I have thin lips but not extremely thin. From 2003 to 2011 I had at first Restylane and later I switched to Perlane since it's thicker and lasts a little longer. I like it and my lips looked great but it absorbs into my body quickly. The first time injected it stays about 3 months, second time about 6 months, third time 6-9 months and after the fourth time it stays for a year. Never let it go away completely because then you have to start from scratch. When I say it stays it's just that there is some left in the lips. I felt like it went down a lot in the first few months after each injection. My lips were still fuller than without but I never got them to stay the way I wanted them. If your lips look good or not after injections is depending on how good the doctor is. Some doctors fill way up above the upper lip or below the bottom lip and it looks ridiculous and wastes a ton of expensive product. I always had my doctor inject along the lip line which makes the lips look fuller using less product.
I stopped getting Perlane when I found out about Permalip. I decided to let it all fade out and I would get Permalip. I finally went to a plastic surgeon 5 months ago to get it but he advised against it saying 1) they won't get as big as I want them. The largest implants are still pretty small. 2) They are stiff and you will always be able to feel them.
He suggested Fat grafting to the lips so that's what I decided to go with. Wish I hadn't. First off, the lipo is horrible. He took fat from my belly and so my belly was sore for months and is still uneven/lumpy-ish. I don't think anyone else notices but me but... I see it clearly and I don't like it. My lips... He injected an uneven amount and most of the fat absorbed within a week but they were still clearly uneven. After two months I had him do it again. This time with only lidocaine so it would be cheaper and it was a little bit ...traumatizing. They numbed me of course but not enough. It still sucks big time. The results from that second attempt: less uneven lips but still not even. He injected over 4cc this time but I still can't tell much of a difference.
Lipolips: expensive, painful and no good results.
Restylane/Perlane: Great but you need to refill your lips more often than (I think) is reasonable.

My doctor/head surgeon wanted to give it one more shot with the fat grafting but the day before, I decided it wasn't worth it and had him just give me 1cc of Juvederm (Ultra? or Ultra Plus?) My bottom lip looks great but I'd like a little more in my upper lip. This was yesterday (Jan 5, 2015) so I'll have to get back with the final results later on.
The doctor recommended Artefill because it'll last a lot longer so I had a skin test done for that. I might get Artefill but I need to do more research first. I'll try to get some photos uploaded. I hope this was helpful. Good luck!

PS If this is your first time filling your lips, go for it! Just don't get anything permanent on your first trial and find a good doctor. "Cheaper doctors" will end up costing you a lot more!