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.