Implants for instance silicone and alloderm introduced to reinforce the fullness in the pink lip. The Italian lip lift is applied and described, which isn't going to consist of an incision underneath the columella (in the middle), only on the perimeters. Special surgical ink is used to mark the incision https://grok.com/share/c2hhcmQtMw%3D%3D_018ca18a-f7cb-46db-9e7c-5df99389f06b