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How to Fix Bad Results from Bullhorn Upper Lip Lift?

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sniff sniffOct 15, 2009

Years ago, I had a Rhinoplasty and was very happy with the results. Then I had a bullhorn upper Lip lift a year ago. Now my lip to nose ratio has improved but I have a new problem, my nostils are HUGE. My columella now hangs much lower than my outer nostrils.I look as though I am always sniffing something AND now the skin between my upper lip and columella puffs out like an ape. I have to fix this!! What should I do?

Answers (3)

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Dr. Jed H. Horowitz, MD, FACS
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Dr. Jed H. Horowitz, MD, FACS
Board Certified Plastic Surgeon
4.9 | 143 Reviews
Answered on Nov 30, 2018
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Dr. Ricardo L. Rodriguez, MD
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Dr. Ricardo L. Rodriguez, MD
Board Certified Plastic Surgeon
4.6 | 201 Reviews
Answered on May 7, 2017
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Dr. Otto Joseph Placik, MD
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Dr. Otto Joseph Placik, MD
Board Certified Plastic Surgeon
4.8 | 123 Reviews
Answered on Mar 12, 2016
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Ricardo L. Rodriguez, MD

Dear Mr./Ms. Secondaryrhino: I see you have another question regarding your maxillary teeth show. Your concern about the chin is perfectly understandable. To answer this question there are two things to consider: Is your chin too long to begin with? What kind of facial proportions you like? Your...

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Jed H. Horowitz, MD, FACS

Good day! It is difficult to assess without an in person examination or at least a photo. But you are correct that your teeth and jaw alignment should be the priority. When your goals for them are achieved, then it is the perfect time to find a board-certified plastic surgeon and have an in ...

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Thomas Buonassisi, MD

Drooping and asymmetry in the corners of the lips can result from natural aging, genetics, or changes in soft tissue volume. For early intervention, treatments like neuromodulators (e.g., Botox) can help relax the muscles pulling the corners downward, creating a subtle lift. A lip flip is a...

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Jed H. Horowitz, MD, FACS

Good day! Thank you for providing photo with your query. I believe you are a good candidate for a lip lift. Ask your doctor about lip shortening which has small incisions placed at the base of the nose under the nostrils. This shortens the distance between the nose and the upper lip and wil...

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Otto Joseph Placik, MD

As you can see the general consensus is that a combined open rhinoplasty and bull's horn lip lift are generally not advised due to the possibility of compromising the blood supply to the columella. You can review the attached video to see the proximity of these two incisions. However a 1)...

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Otto Joseph Placik, MD

Generally the bullhorn lift will give the best results but also has the greater risk of scarring. The thread lip lifts tend to be short lived. Neither of these will lift the corners of the mouth and this is best achieved with a corner lift.

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