Lips look different after rhinoplasty. Am I a good candidate for a lip lift? (Photos)

Question

I’ve had a rhinoplasty and since my nose no longer hangs down, I’ve noticed a difference in the way my lip area looks overall. My concern is that because my lips are downturned, it might not look great. Any advice/suggestions appreciated.

Anna Chacon, MD, FAAD · Answer

Hello, and thank you for sharing your photos and concern.

Following rhinoplasty, especially when tip projection or rotation changes, it's common to notice a shift in overall facial proportions, including the upper lip. With your current anatomy, it does appear that you may be a good candidate for a subnasal lip lift, particularly if your philtrum (the space between the base of the nose and the upper lip) has become more prominent or elongated post-surgery.

A lip lift can improve lip eversion (turning outward of the pink lip), reduce the appearance of a long upper lip, and soften any downward turn at the corners, enhancing youthful balance. However, the final decision should consider:

The current distance from nose to lip

Your dental show at rest (how much of your teeth are visible)

Lip symmetry and volume

Your aesthetic goals

It’s important that the procedure is done conservatively to ensure natural results, especially post-rhinoplasty where nose-lip harmony is key.

Gary M. Horndeski, MD · Answer

You would benefit from an eccentric lip lift. This will do 4 things: shorten the distance between the nose and upper lip, increase the mucosa of the upper lip, increase the incisor show and pull up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000. I do not recommend a bullhorn lip lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jeffrey H. Spiegel, MD · Answer

You're likely a good candidate for a combined lip and corner lip lift. This will balance the face without creating an unnatural angry look.

Nelson Lee Novick, MD · Answer

Before jumping into more surgery, you may wish to consider a nonsurgical HA filler/Botox lip lift for the upper lip. This would consist of the use of a low viscosity, cohesive, malleable HA filler to to be injected along the vermilion border of the upper lip to better define it and provide the lift, and, if necessary, the addition of a couple of microdroplets of Botox placed on each side of the vermilion. The whole treatment in experienced hands should take no more than about ten minutes. The filler effect is typically seen immediately and the effect of the Botox usually seen in one to seven days following the treatment. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Lips look different after rhinoplasty. Am I a good candidate for a lip lift? (Photos)

Answers (4)

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