Can a lip lift pull on the nose columella?

Question

I have had 4 previous rhinoplasty that gave me to have a hanging columella and a lot of space between lip and nose. Sooo I’m considering a lip lift. However I need to know if the lip lift will pull on the columella causing it to look worse?

Gary Linkov, MD · Answer

A lip lift should not pull on the columella if designed properly. You have a flat slope to your philtrum and would likely benefit from a conservative upper lip lift to restore a more concave slope to your upper lip. This should balance out your face nicely and be presentable from a frontal and profile view. Best of luck.
Gary Linkov, MD Manhattan

Farhad Rafizadeh, MD · Answer

Your hanging columella can be corrected at the same time as the lip lift. I do a procedure where I suspend the lip inside the nostrils so that there is no pull on the columella and this is the other advantage of my technique. There are case where it is advantageous that the alar bases and columellar base be pulled down in order to make a droopy nose look more upturned. This all can be done by proper planning of the procedure. We have had many patients traveling from California  to see us in Morristown N.J. to take advantage of these refinement of the lip lift procedure.

Steve Laverson, MD, FACS · Answer

Both your vertically long upper lip and your nostril show in profile view can likely be improved under local anesthesia in an office procedure.  Lip lift will not "pull" on columella if designed not to do so.

Jeffrey Jumaily, MD · Answer

The short answer is it should not. I recommend you consult with a lip lift specialist for a full assessment and to go over the various options in details.

Johnson C. Lee, MD · Answer

A properly designed lip lift should not pull on the columella which is supported by muscle as well as cartilage. Hope this helps!

Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Sarah Saxon, MD · Answer

As long as you go to someone who uses proper technique and does a lot of lip lifts it shouldn't affect the shape of your nose or pull it down. I have seen some surgeons use a technique that incorporates the muscle around the lip which can pull down on the nose a little if there is not enough support to the tip. Be sure to look at before and after photos from the surgeon you go to in order to be sure they can produce the result you are looking for. 
I'd have to see more photos or do a video consult to see if you are indeed a candidate for a lip lift since I can't tell a lot from your photos. 
Best of luck to you,
Sarah Saxon, MD

Mats Hagstrom, MD (license on probation) · Answer

The lip lift should not pull on the columella. The nicest lip lift I've ever seen or done by Issa Eshima, MD it's San Francisco. I've also seen the call you Mela raised beautifully by Dr. Mark Kobayashi in orange county.  There's no shortage of talented plastic surgeons in New York so you shouldn't need to travel but these are two names that are perhaps in the group of top 10 plastic surgeons in the world.  Best, Mats Hagstrom MD

Can a lip lift pull on the nose columella?

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