Okay , my lips have never been full and now I'm 60 they are skinny, mean looking and turning down at the corners. The rest of my face is good. Have chatted to a dr about my lips and it would be very low key, no trout lips and not permanent of course. I see women who've had it done pressing ice packs to their faces and they are told the initial swelling is awful. Is it? How long did you get between top ups?