Hi, I'm interested in reducing the space between my nose and upper lip, which now measures 1.7mm. I have no "tooth show" when my mouth is relaxed (see photo) but I'm not sure my jaw anatomy would allow for that, anyway, and I am most concerned with simply reducing the space. I've had a previous rhinoplasty, so I am also concerned with nasal base distortion. How many mm should I have removed? And will a skin-only lip lift drop slightly, causing the loss of a mm or two?
Many Conflicting Opinions on Upper Lip Lift Surgery? (photo)
Doctor Answers (2)
Upper lip lift
......I understand your concerns and would proceed cautiously...... there is no perfect answer to your problem, A direct lip lift with an incision at or just above the vermillion border almost always leaves a visible and sometimes unsightly scar...even when excellent surgical work is done. The same can also take place when the surgery is done at the base of the nose. I prefer to do surgery at the base of the nose and leave the vermillion border of the lip looking as natural as possible.
A direct lip lift (removing tissue just above your lip line) would be indicated since you have a long philtrum and minimal showing of your upper teeth. This will also remove wrinkles from the upper lip and make the upper lip look larger. I would remove 3-4 mm of tissue. With this type of lift, no distortion will occur at the nasal base.