Aventura Plastic Surgery - Miami

For sure a sub-nasal (bull-horn) lip lift would properly shorten the space between your lip and nose.

You are also a good candidate for a dermal-fat graft of tissue from the supra pubic area to the lips. This would add permanent fullness to your lips using your own natural tissue. I invented and popularized this procedure 30 years ago. Artificial implants in thin lips are a disaster and fillers give good results but must be often repeated. Your own tissue is safe , fully accepted , and at least 50% stays permanently for an excellent result. I have many patients who 20 years later still have noticeably fuller lips.

So my recommendation is a sub-nasal lip lift and a dermal-fat graft procedure

I do a fair amount of bull-horn lip lifts better called a sub-nasal lip lift. The scar hides nicely and it can elevate the central aspects of the lip very well. The drawback is that this lift does little to elevate the most lateral aspects of the lip. I stopped doing lip lifts that make an incision at the superior vermilion border of the lip because I consider the scar unacceptable no matter how careful the closure. I absolutely never do corner of the mouth lifts as the triangular scar incision ALWAYS leaves a small diagonal scar moving up and away from the lip that looks like an old injury. It never ends up looking like a natural lip corner crease.The sub-nasal lift and proper filler placement can enhance almost any lip concerns very naturally and rarely do I ever suggest more than this. I do offer Dermal-Fat graft procedures for people with thin lips, I invented and popularized this procedure having done it over 500 times in the past 30 years. Its the best way to get permanently full lips with your own tissue.

There are a number of things that can be done to tighten neck skin. Whats important here is what your particular issues are, and what will get you the best, longest lasting,and most natural looking result. Looking at your photo I would suggest a simple necklift that in my office is done with oral sedation and local anesthesia injections. It would take a little over 1 hour to do and would be totally safe with no real anesthesia risk. There is so little bleeding with this method that you have minimal post-operative swelling and almost no black and blue in the recovery phase. All incisions will be behind the ears and in the hair so very hard to see. Think of this as the back half of my standard facelift procedure. You probably will not take more than one pain pill in the recovery period and can be back to work in two to three days easy. Other modalities like laser and Ultherapy may make some small improvement but they will not get anywhere near a smooth and natural looking neck like a good lift will. Again I do this with simple safe local anesthesia in the office operating room and your result looks great and lasts. Its easy and almost painless.

There are no photos to look at here but assuming you have excess drooping skin in the neck area with visible jowl fullness the answer is simple....you need a facelift/necklift and possibly some submental (under the chin) neck liposuction. I do all these procedures in my certified office operating room with oral sedation and local anesthesia. This is the absolute safest approach and the easiest recovery without compromising the result. The local anesthesia with epinepherine markedly cuts back on the bleeding and makes the operation much quicker and easier. The lack of bleeding also lessens the post-operative swelling and black and blue and makes recovery much easier and shorter. The same extensive facelift with SMAS sewing that I did with general anesthesia for 20 years is done.... only better and safer by this anesthesia method. The oral sedation makes you totally comfortable through the entire procedure. An excellent and NATURAL looking face and neck lift is completed in just over 2 hours. Most patient take one pain pill and then just some tylenol and do fine. You are out walking and back to working in three days and sutures are all out at 10-12 days. After 30 years and almost 2500 facelifts we have a very comfortable process for taking off the years that is reliable, effective, natural looking, and long lasting. There are other methods out there to try for a sagging neck but to date none accomplish anything near what a good facelift does........except usually disappoint.