Lopsided flat smile due to fat loss. Am I a lip lift candidate? (photo)

Thank you for the photos. I would consider peri-oral fat transfer with a lip lift. Fat added to the pre jowl sulcus, folds, and labiomental crease would soften the mouth.

Determining whether a lip lift is the right procedure for addressing a lopsided or flat smile due to fat loss involves considering several factors. Here are some points to guide your decision:

Consultation with a Specialist: The first step is to have a consultation with a board-certified plastic surgeon or a dermatologist who has experience with facial cosmetic procedures. They can evaluate your facial structure, the degree of asymmetry, and the specific concerns you have about your smile.

Assessment of Fat Loss: Understanding the extent and location of fat loss is crucial. If the primary issue is volume loss in the lips or surrounding areas, procedures like dermal fillers or fat grafting might be more appropriate to restore volume and symmetry.

Lip Lift Suitability: A lip lift can be beneficial if the distance between the upper lip and the base of the nose is long, or if you desire more visible upper teeth when smiling. However, it may not directly address asymmetry caused by fat loss unless combined with other procedures.

Alternative Treatments: Depending on the evaluation, other treatments might be recommended, such as:

Dermal Fillers: Can add volume and improve symmetry.
Fat Grafting: Uses your own fat to enhance lip volume and correct asymmetry.
Botox: Can sometimes help balance muscle activity if asymmetry is due to muscular issues.
Setting Expectations: It's important to discuss the expected outcomes and any potential risks with your surgeon. They will help you understand what improvements can be realistically achieved with each type of procedure.

Ultimately, the best approach will depend on your specific anatomy and aesthetic goals, and a personalized assessment by a qualified professional will provide the most accurate guidance.

A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.