Fillers can be used but the results can be unpredictable and cause lumpiness if used long term.

A new soft removable silicone lip implant is now available in a variety of sizes. Inserted under local anaesthetic swelling subsides in a couple of weeks and the effect is reversible by removing the implant under local anaesthetic. The PermaLip implant is rapidly gaining popularity due to its predictable results and reversibility.