Unbelievable results in my opinion. No surgery needed. I just had this two days ago. The before pics are from about 9 months ago when I realized I needed to see a doctor. The lips were quite painful but nothing I wasn't prepared to handle. They still are not healed and have swelling. I barely felt the eyes. I'm so thankful to live in a time where fillers are an alternative to surgery. I'm 44 years old and may need eyelid surgery in the future, but not yet!