Lip Augmentation gives you fuller lips and can be done to the upper or lower lips. If both the upper lip and bottom lip are thin, most patients choose to do both lips. Lip Augmentation is very popular because it produces immediate results, which can be subtle or dramatic, according to the needs of the patient. Lip augmentation can be performed in a very short amount of time, while under local anesthesia or sedation. Most patients have the procedure done under local anesthesia in the office.