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Immediate volume increase occurs on-table, settling within 7–10 days as hydration stabilizes. Ultrasound studies show 75–80 % volume retention at 6 months and 50 % at 9 months. Due to its low water uptake and flexible cross-linking, the gel resists migration and maintains natural lip movement. For most patients, results last 6 – 9 months with regular touch-ups, though smokers or those with more active lifestyles may benefit from a booster session at the 6-month mark. Standard-dose hyaluronidase can be used for quick reversal if needed.