Am I a good candidate for lip lift to fix the distance between my lips and nose? (Photos)

Question

I’m 36 year old and I have been getting fillers for years in my lips. I feel like the distance between lips and nose makes my face look long and I am considering a lip lift but of course don’t want to look unnatural ir have a weird rabbit look. I also have fillers do they dissolve those before surgery? Am I a good candidate for a bullhorn lip lift?

Gary Linkov, MD · Answer

The ideal candidate for the Elelyft, or upper lip lift, is someone with a philtral length of 13mm or longer, no upper dental show, and/or a thin upper lip. The nasal base to mouth width ratio needs to be taken into consideration to avoid leaving the lip corners down. 
In your situation, I would recommend dissolving the filler prior to surgery. Consult with an experienced lip surgeon for a complete range of options that are appropriate for your situation.
Gary Linkov, MD
Lip Specialist / RealSelf Lip Lift Medical Reviewer
Manhattan

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. It appears that you might be a good candidate for a lip lift. However, I would encourage you to dissolve the filler product prior to being evaluated for surgery. Make sure you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question and pictures.  I believe you would be a good candidate for a lip  lift as it shortens the distance between your nose and upper lip.  Please do have a consultation with a certified plastic surgeon.  All The Best

Jason Emer, MD · Answer

lip lift with give you more teeth show and decrease the distance between your lips and nose.
For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)
Best, Dr. Emer.

Bianca Knoll, MD · Answer

thank you for posting your question. Based on your picture it seems that you have a long upper lip, which usually lengthens, and flattens to some degree during the aging process. Fillers can actually enhance the process. During the assessment for an upper lip lift, your dental show (while talking or smiling) would needed to be evaluated. It is also advisable to wait until your previous lip  filler injections have resolved. An upper lip lift is a very powerful procedure from an aestehetic standpoint  - being performed under local ansthesia with no downtime. Major swelling disappears within a couple of weeks. The incision is barely visible and be camouflaged using make-up in the beginning. Depending on your skin typ the scar will fade and become nearly invisible. I hope this helped.Best of luck

Zoran Potparic, MD · Answer

Although your lip/nose distance may be longer than "normal" it needs to be evaluated when you are animated (smiling, speaking). Yes, lip lift would help but you will have to accept scar, regardless how well hidden and fine it may end up. In person consultation with a board certified plastic surgeon with good reputation in facial rejuvenation is recommended. Good luck.

Farhad Rafizadeh, MD · Answer

Your philtrum is very long. You are an excellent candidate for a lip lift. I would need to see you lips in motion to decide if the filler needs to be dissolve, as you have a little asymmetry in your lips. The lip lift will improve your facial proportion and provide some teeth show. A consultation will give you all the answers to your questions. In the right hands you will not need to worry about an artificial or rabbit look. Lip lifts, like any other plastic surgery procedure will look perfectly natural if performed by an expert, respecting the facial aesthetic ratios and balance.

Gary M. Horndeski, MD · Answer

A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.  From your photographs, you do appear to have a greater distance between your nose and upper lip than normal and would benefit from a lip lift.Best Wishes,Gary Horndeski, M.D.

Marc Pacifico, MD, FRCS(Plast) · Answer

Many thanks for posting your question.From your photos, I think it can be seen that your nose-mouth distance is relatively long. However, you do have filler in at the moment as you say, and therefore the appearance of your lips is full (and proportionate).My suggestion is to have the filler dissolved and then reassess your proportions.At the moment, were you to have a lip lift, my concern would be that you would end up with a disproportionately full upper lip (compared with your lower) - but this might not be the case were you to have your filler dissolved.I hope this makes sense, and wish you luck taking things forwards

Ali Gurlek, MD · Answer

Greetings thanks for your question and photos,
you are a perfect candidate for a liplift surgery to reduce the space between your nose and lips

Am I a good candidate for lip lift to fix the distance between my lips and nose? (Photos)

Answers (11)

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