Implants like silicone and alloderm introduced to enhance the fullness on the purple lip. The Italian lip carry is used and described, which doesn't incorporate an incision underneath the columella (in the center), only on the edges. At Alemi Facial Plastic Surgery, we have a collaborative approach to our processes, https://grok.com/share/c2hhcmQtMw%3D%3D_018ca18a-f7cb-46db-9e7c-5df99389f06b