Treatment Provider

Farhad Rafizadeh, MD
Board Certified Plastic Surgeon
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I've been researching this procedures for years...

I've been researching this procedures for years now - my rhinoplasty (as well as aging I guess) left my long philtrum exposed and I've wanted to address this for a while. My distance prior to the operation wasn't huge at 1.8/1.9mm but I had no tooth show and my upper lip had began to flatten. I'm grateful to those of you who have shared your experienced as it educated me on all aspects of the procedure. I considered several surgeons - dr. Howard in CA who has the most spectacular before/ after, dr. Horndeski in Sugar Land who has such clean technique and does corner lift through extension of the bullhorn incision as well as dr. Ricardo and dr. Rafizadeh who have a lot of experience with lip lift and some very positive reviews. However, with two small children and a busy job I was not able to travel even for a night and I had to be able to go back to work in no more than a week. Therefore I went with dr. Rafizadeh who is only an hour away from Manhattan. I wanted to have 5mm removed but I was hoping to have the corners lifted but dr. Rafizafeh's technique "tapers off the incision around the nostrils to avoid tension in that area. Dr. Rafizafeh uses several deep dissolvable sutures which are attached to the muscle to alleviate the tension on the skin as well as regular stitches at the surface.
The procedure lasted half an hour under local anesthesia but those injections were painful. After that - pain was limited. I didn't take the prescribed Vicodin as Tylenol was quite sufficient. I left the office with steri strip so I wasn't sure how my lip looked until the day after when the strip fell. It's hard to tell with the swelling, even now, 5 days later with my stitches removed, I'm still swollen and my nostrils are still huge. Yet, my lip looks nice. I have. Dry little tooth show, I wish I had more skin removed but the dr. Was worried about my gummy smile becoming "gummier". I also feel that my lips would have looked better if there was more skin excised on the size to lift the corners but I'm happy with my results. I hope my scar heals well, so far it looks good, but if things change, I'll update my review.
Overall - a positive change with little downtime ( I ignored the stares when I went outside on day 3-5). It's a subtle procedure but very impactful - the pouty lip and the shortened philtrum take years off...
One last thing - I used Medihoney which is a wound dressing based off manuka honey. I read that it's recommended by plastic surgeons to reduce healing time and scarring. I'll wait a few more days before I start applying silicon gel ( I bought kelo-cote).

A week later

I am happy with how the scar is healing, I don't even need to cover with makeup as its barely visible. My only regret is that I didn't do a corner lift as well. My corners point down which makes me look sad or angry:(.

Day 7, no makup


Provider Review

Board Certified Plastic Surgeon
101 Madison Ave., Morristown, New Jersey
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
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Wait times

I saw the doctor for the first time the day of the procedure - I just didn't find the time to go for a consultation before that. Dr. Rafizadeh is very personable and knowledgeable and the same goes for his team. I got a follow-up call the day after. So far I'm very happy with the experience.