Is there a reason why the incision cannot be done inside the nose above the nasal sill and continuing forward to transverse the columellar skin? Of course this includes removing a strip of skin along the incision. The main question is can the skin be undermined from the nasal sills, pulled and re-draped superiorly within the nose (above the nasal sill)? Why not? The lateral edges of the incision could begin at the inferior lateral edges of the nose (as with a typical bull wing approach).
Can a Lip Lift incision be placed above the nasal sill?
Doctor Answers (2)
Incision Location for Subnasal Lip Lift
Placing part of the incision inside the nasal sill will limit how much lifting can be achieved as well as give the nasal base a potentially unnatural appearance with the risk of some possible nostril distortion.