Bull's Horn Lip Lift Revision?

Does the Bull's Horn Lip Lift eventually fall or need to be redone? Also, I am having a difficult time finding a board certified surgeon who performs this procedure in my state (VA), why would this be the case?

Doctor Answers 4

Avoid lip lifts, there are other answers!!!

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I would be very careful before moving forward with a lip lift!  When a patient feels that their lip is too long it is usually a result of a skeletal imbalance.  the answer to improved aesthetics is frequently changing a related feature such as the nose or chin.  A lip can appear shorter when the thirds of the face and the base of the nose is volumetrically enhanced.  All of these interventions leave no distorting scar.  Craniofacial surgeons try to avoid this scar even in reconstructive cases because it is always noticable and affects lip dynamics.  I am of craniofacial background and feel that this approach is rarely if ever indicated in aesthetic interventions.


All the best,


Rian A. Maercks M.D.

Risks of a Bullhorn lip lift.

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Generally, this is performed once and rarely repeated.

Most plastic surgeons prefer to place scars in hidden or concealed locations.

This scar is literally right under your nose.

In the vast majority of cases, it will heal with a minimal scar. However, if you should have a wound healing problem, it could be quite visible. This leads some plastic surgeons to approach this operation with trepidation and limit its use to more advanced or severe cases which merit the potential risk.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Bull's Horn Lip Lift Revision?

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Thank you for your question. The Lip Lift procedure is performed to accentuate the size and/or shape of the upper lip by removing skin from the region underneath the nose. As the distance is decreased between the nose and the lip, the red lip is 'lifted'. In appropriate individuals, shortening this distance may impart or restore a more favorable balance to lips and face. The Lip Lift itself does not generally 'fall' but the appearance of lip elongation does continue after a lip lift due to soft tissue and skeletal changes associated with normal facial aging. For this reason, a revision procedure may be considered by some people.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 137 reviews

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Does Bull Horn incision lip lift eventually fall?

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Most people have trouble finding surgeons who perform this procedure. I work in Baltimore and we do quite a number of patients.

I agree with Dr. Placik that when correctly done, the procedure is rarely repeated. The key is to excise the right amount, and make sure the tension on the wound is distributed away from the skin incision. Check out the link below for a few examples, and look at the video for educating yourself on some of the issues regarding choice of procedure.

Ricardo L. Rodriguez, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 97 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.