Can you tell me why a surgeon said a lip lift is not recommended for people with an upturned nose? What are my options? (photos)

Thank you for your pictures!  To be honest, your surgeon was probably concerned about the scar.  Truth be told, as long as you have a good history of healing, with meticulous work you shouldn't have any issues.  I certainly wouldn't consider your nose upturned by any means to the point of concern when it comes to a lip lift - you may want to discuss this with your surgeon as well.  Also ensure that they understand your goals true to make sure their particular technique will suit your desired result.  best of luck! 

A lip lift can be done for people with an upturned nose.  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.  If your distance is 18 mm I would not recommend removing 8 mm.  That may leave too short of an upper lip and may result in a bunny deformity.  I would recommend a more conservative resection as well as larger resection laterally to pull up the corners.Best Wishes,Gary Horndeski, M.D.

Based on your photos and the distance of 20 mm, you are a good candidate for the lift lip surgery. In addition, 7-8 mm sounds about right in terms of reduction. I inform patients that the incision generally heals well but can also be lasered if cosmetically noticeable in the future.