I came into my consultation very nervous about the possible outcome. I did not want to leave with fake, Lisa Rinna duck-lips. I also did not want it to be totally obvious to my friends and family that I'd done something to my face. And to be honest, no one really did, including my own dad. I had a few friends say, "There's something a little different about you, but I'm not sure what it is..." When I confessed to getting lip filler, then it clicked. But even at that, the comments I heard were more along the lines of, "Ohhh okay... They look a lot more natural than I would've expected," and, "It's subtle, but it makes a big difference."
As for the procedure, Dr. Leong made it as pain-free as possible by using a dental block, topical numbing, and microcannulas instead of needles. The worst part was the dental block, which still wasn't that bad (it felt similar to getting novacaine shots at the dentist). I was just a little sore and puffy later that evening when the dental block wore off. But even then, I didn't have to go into exile. I was still able to go out of the house and play in a poker tournament with friends. As I understand it, some medi-spas and cheaper places will opt out of the dental block, which makes the procedure incredibly painful. I'm so glad that was offered to me, as it made the whole experience much more comfortable.
I had one full syringe of Restylane Silk, with about 2/3 of the product being used on my top lip, and the other 1/3 on the bottom. I had no bruising, lumpiness, or unevenness. The only telltale sign that I'd gotten filler was the four small needle punctures where the microcannulas were inserted. I have some freckles around my mouth, so those weren't too terribly noticeable on me.
All in all, I was completely satisfied with my experience, and I am definitely planning on doing lip filler as a regular treat to myself. The only disappointing thing is that the results only last 4-6 months, if that. But if you're unsure that you're going to like it (as I was) being temporary is an upside. You can tweak the process to figure out what product you like, how much filler you need, how you want it distributed, and the shape you're going for.