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Best Lip Lift Procedure to Reduce Area from Nose to Lip?

My biggest expectation in getting a lip lift is to greatly reduce the area between the base of my nose and upper lip (while avoiding uneven nostril show), and I'm starting to have second thoughts about which type of lip lift procedure is best.  I'm not worried about a visible scar, I plan on taking good care of the incision and makeup covers quite a lot. So, what is the best type of lip lift procedure to achieve this?

Doctor Answers 15

Lip lift if you must

As I wrote on another question... I am not a fan of lip lifts. However if you have a very large space between your upper lip and nose it may be called for. I would do a gull wing incision under the nose. I always stay away from the lips which are much too beautiful a structure to mess up with an incision. Remember that scars are firmer than and less pliant than normal tissue. Make-up does not hide this aspect of the problem....thats why I prefer to go under the nose.

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Upper lip lift, lip shortening, lip augmentation

From the photo, you appear to be a  wonderful candidate for the upper lift lip. Not only can the distance from the bottom of your nose to the upper lip be reduced by as much as 4 to 6 mm, the central one-third of your upper lip will be aesthetically rolled up and out.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

Lip Lift:

There are two general approaches to the lip lift

Most of the better (in my opinion) lip lift procedures place the scar at the just beneath the nostrils. There are various names for this but the general pattern of skin removal looks like a bull's horns.

However, caution must be used in the amount of lift, because too much will lift only the central portions of the lip (pursed appearance) without effecting the outer corners of the mouth. In a more mature (aged) individual this is frequently combined with a corner lift. In a younger individual this will cause too much scarring

The other approach is to place the scar directly above the red portion of the lip where a woman wound apply lip liner.

I discourage patients from choosing this because I feel it alters the normal border of the lip and will always require some form of makeup or permanent pigmentation (tattoo). The advantage is that you can selectively lift any portion of the lip (not just the central lip as described above) and essentially have the patient draw out the desired result. The red portion of the lip is then rolled upwards and can be somewhat apparent.

In either technique, unfavorable scarring may occur and the procedure should not be undertaken until you are willing to accept this risk,

I hope this helps.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

The best lip lift procedure?

In the photos of your upper lip, you do have a lip length that is more than usually seen. The best procedure for you would be an excision of skin just under the nose from one side to the other extending around the crease between the nostril rim and the lip and cheek. There is a limit in how much skin should be removed, however. Excess skin removal will appear to turn the corners of the mouth downward. If this is the case, a small triangle of skin can be removed just above the corners of the mouth. The scars from the lip lift are inconspicuous, but those at the corner of the mouth may be more visible. Still, I think the lip lift would be a good procedure for you. Good luck.

Which lip lift is best?

My usual preference is for the version that places the scar along the bottom of the nose because it is very well hidden there. When placed along the edge of the lip it can be a lot more obvious. Lip lifts are most often done on older patients to correct sagging, and it your case there may be other things to consider such as a condition called "vertical maxillary excess." What this means is that if the lip is shortened it may end up pulling your mouth into an always-open position because the height of the upper jaw is long. Of course I can't say for sure from the picture but a plastic surgeon should be able to give you good advice.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 30 reviews

Best lip lift scar

Although this is not a procedure I perform frequently, the technique I use is the one that is resection right under the nose and nostrils.  It does a good job shortening the distance between the lip and nose while hiding the scar in a very favorable location.  I am not a big fan of the vermillion scar as I feel it can be too noticeable.  Good luck with your decision

Lip Lifts

I agree with other answers. Other factors to consider are the relationship of the nose to the white portion of the lip. If the nasal spine and columella are retracted the white portion of the lip may appear longer and this can be improved. In some patients, placing more emphasis on the red part of the lip, possibly with facial fillers, will help improve the white:red lip disharmony. I would tend to favor a graduated approach reserving an external incision as the end of the line therapy if other modalities do not produce a dramatic enough change.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 85 reviews

Gull wing lip lift

Often the lip-nose distance can be shortened with a gull wing lip lift.

This is a technically difficult procedure and exquisite care must be taken on closing the incisions.

It can be a powerful and wonderful procedure for the right patient. Or it can be a rabbit-like disaster, depending on how it is performed.

There are paradigms for knowing exactly where to put the incisions, how much (or little) to resect, and how to balance the lip overall, so a good group of before-after pictures is helpful once the patient has narrowed down their search to board certified plastic surgeons.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 103 reviews

Lip lift procedures in Los Angeles

Our office specializes in many different types of lip lift procedures to improve lip dimensions and aesthetics. A lip lift can be performed inside the mucosa of the lip or below the nose. 


Dr. Karamanoukian

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

Lip lift surgery Question. Toronto

As indicated in the answers below, lip lift is a good procedure when done on the right patient. It is a procedure which patient selection is critical to  a good outcome.  Ideal patients have a long upper white lip and relatively small red lip.  When at rest their upper lip should cover most of their upper incisors. When smiling a candidate should not have too much gum show.  Ideal candidates have fair skin and are not be prone to poor scarring. When done on the right patient it can be  a wonderful procedure.  in certain situations Lip filler can further enhance the lipafter the lip lift procedure is performed.

Philip Solomon, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.