How to fix bad results from bullhorn upper lip lift?

Years ago, I had a Rhinoplasty and was very happy with the results. Then I had a bullhorn upper Lip lift a year ago. Now my lip to nose ratio has improved but I have a new problem, my nostils are HUGE. My columella now hangs much lower than my outer nostrils.

I look as though I am always sniffing something AND now the skin between my upper lip and columella puffs out like an ape. I have to fix this!! What should I do?

2 answers to “How to fix bad results from bullhorn...”

A: Correction of Bull's Horn Lift

Otto Joseph Placik, MD

This is a confusing problem and I am not sure that there is an easy fix. Examination is clearly required. There are options but some may involve more scars or risk.

A: Bad result from bullhorn lip lift

Ricardo Rodriguez, MD

I have not have that problem. My technique is to use a deep layer of permanent sutures fixing the stiff membrane surrounding the cartilage (perichondrium) and bone (periosteum) to the dermis (under layer of skin). I only proceed to suture the skin once the lip skin is kissing the nose skin, and I ask the... more

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