Preparing for Direct Lip Lift (photo)

I see no reason why you could not have a bullhorn lip lift. You may want to add volume to your lips afterward. The scar from a direct excision would be acceptable but it is not as commonly done.

Hello, hope you are well. Based on your photos, I think you would be much better off with a conventional subnasal "bullhorn" lip lift rather than a direct lip lift. The scarring will be substantially less visible. You also have atrophic lips and would benefit from augmentation.

Best,
Dr. Tower

You can have a subnasal lip lift as long as you’re aware of the potential visibility of the scar. Your case is complicated for several reasons, one being the difficulty in hiding the scar. But you’re right in saying that lip fillers didn’t look good. They won’t look good. And not sure if there’s a better option here. Direct lip lifts at the vermillion border have their own issues. So, I have managed this type of lip lift with multiple stages, scar injections, and CO2 laser thereafter, to great satisfaction. Nevertheless, I don’t take everyone for this type of case.

Consult an expert for an evaluation. Let me know if you want more details. Hope this helps!