Lip lift, facelift and depressor septi muscle cut? (photos)

Without examining you and only looking at static pictures, I have seen worse nasal tip depression when smiling. Cutting the depressor may not achieve much given your degree of depression which I think is minimal. Be careful on the lip lift as it may pull down the nasal base as it's lifting up the upper lip. Meticulous 3 layer wound closure may minimize the scar but there is still a scar. The trade off needs to be carefully considered. Need a frontal view to make a better decision on the lip lift.

You may not be a good candidate for a lip lift as you have a short upper lip already.  A revision of the tip may be a better option to obtain slightly more upward rotation of your tip.  

Cutting the depressed septillion's muscle will not do much to elevate your tip. This should be done with structural grafting. A lip lift is not a good procedure bc it can leave horrible scars. Keep it simple and have your facelift done.

Before pursuing cutting the depressors, I would like to assess tip support.  If there is little support, cutting the muscles only may not give you what you're looking for.  

Several ideas. Do you have proper tip support after revision rhinoplasty. Maybe you need a columella strut. Incising the depressor muscle may help tip ptosis on smile but you may also need you philtrum shortened, not your lip.

Facelift and lip lift can certainly combined in one procedure. Sectioning of the depressor septi muscle should not be a problem to do at the same time as the lip surgery. More important is the aesthetic goal that you have in mind. It appears from y our photographs that your upper lip is not really droopy. Therefore, the lip lift needs to be very conservative or even better, delayed until after your first surgery. 

 I would definitely advise you to refrain on the lip lift. It could cause more problems than it fixes. I think a bit of filler to "plump" your upper lip is a much smarter solution. In terms of cutting your depressor septi muscle, you may not need this and I would really encourage you to get a second in person opinion from another board certified plastic surgeon before going ahead with this surgery. 

First, you really need to be evaluated in person to assess the dynamic movement of your face and mouth. Cutting the depressor septi muscle is not that predictable and you may not need it. As to the lip issue, you have flat upper lips with no "pout". That could be easily treated with filler injections in expert hands. Lip lift, using the vermilion advancement technique, requires real expertise and it may not be necessary in your case. Get more opinions.

I don't have your frontal picture but I would not do a lip lift.  The muscle release can be done without an issue.

In our practice, we do not recommend a lip lift procedure due to the poor scarring we have seen from that operation in other offices.  The photographs demonstrate a hanging columella which can be reduced with a columella-plasty. Releasing of the depressor septi ligament prevents the tip from drooping when smiling. For more information and many examples, please see the link and the video below