Too much skin between nose and mouth, is there a solution? (photo)

Question

I just had my second (and hopefully successful) rhinoplasty and I am so in love with my nose. It is so much smaller and straighter, but the issue is now my mouth looks so different. I am already planning on getting a chin implant or sliding genioplasty when I can afford it, but is there anything I can do about how small my actual mouth is? Or the amount of skin between my nose to upper lip? Lip injections seem like an expensive thing to maintain. Thanks! :)

Justin C. Cohen, MD, FACS · Answer

You are a perfect candidate for an upper lip lift which is designed to decrease the amount of skin between the nose and mouth, in addition to providing enhancement and slight protrusion to the lip itself. See an expert who does these regularly as complications or poor scarring can be difficult to fix. Good luck!

John Zannis, MD · Answer

There are a couple of ways to reduce the length of the upper lip, either with an incision at the base of the nose or at the upper lip vermillion border.  See a board-certified plastic surgeon in your area for options.

Gaby D. Doumit, MD · Answer

Thank you for sharing your concerns with us

The lip length should be between 18 and 20 mm for female.

If it is significantly longer, then a lip lift is recommended.

Good luck

Sarah Saxon, MD · Answer

Your lips actually look quite full, so I don't think that getting a filler is the best option for you. I usually evaluate the upper lip with the mouth slightly open, but in the photo you posted it appears that a lip lift would look very nice. I use an incision in the crease under your nose. It looks like you had an alar base reduction during your rhinoplasty, so you can see where the incision will be since it is in the same exact location. Make sure that you go to a surgeon experienced in the lip lift procedure. Designing the skin incision is a bit on an art, so it takes time to get good at it.

Best,

Sarah Saxon, MD

Best,

Sarah Saxon, MD

Too much skin between nose and mouth, is there a solution? (photo)

Answers (4)

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