The shape of the lip can be changed with surgery and with fillers. An upper lip shortening will make a nice change- as long as the lip and your teeth (upper dental arch ) are in a good relative position- this is hard to determine from your photo. if the lip is sitting below your teeth when your mouth is partially open, shotening the upper lip will improve the proportions.
The shaping of the outer portion of your lip can be enhanced with fillers.
These procedures may not make your lip perfect and the scar from the lip lifting surgery is a trade off- in many cases it heals very well.
This can be done under a local and the sutures would be removed at day 4.
With Warm Regards,
Trevor M Born MD
Lip Lift and/or Reduction Candidate
It sounds like you are in fact an excellent candidate for an upper lip lift, with a possible upper lip reduction. These are challenging procedures so you need to make sure it is performed by a surgeon experienced.
Bullhorn lift for the upper lip
Unfortunately doing an agressive bullhorn style lift will only elevate the central 2/3 of your upper lip and leave the outer portions downturned.
You will have to consider the possible use of an outer lip lift (corner lift) on either a combined or staged basis as a potential option.
You might be a perfect candidate
Lip lift is usually a very rewarding and satisfying procedure in a right patient. It provides not only a lasting result but also more "pout" effect and lip shortening that is impossible to achieve with fillers only
Who is a candidate for a bullhorn lift.
You might find the video link below helpful, as well as a link to another blogpost.
If your upper lip from the columella (little column of tissue between the nostrils) to the red border of the lip is more than 1.5 centimeters in length, you will benefit from a lip lift.
As for the shape of the upper lip, that is controlled by how much lateral versus medial tissue you take off. This is not a cookie cutter procedure, and I like doing it under local so the patient can look and we can tweak some of the vectors before final closure.
Good luck on your search!
Good Candidate for Bullhorn Lip Lift?
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
Whether or not one may be a good candidate depends on more
than a photo. One's overall health, potential satisfaction with the appearance
of a shortened upper lip distance, and willingness to accept the associated
scar should be considered.