This type of deformity may be hard to correct but is is possible. In person consultation with a board certified plastic surgeon with experince in lip lifts and nose surgery, is recommended. Good luck.
Providing that patient is from the area and can come for 10-12 day follow up, we use non-resorbable, naylon sutures for skin closure. Different, resorbable sutures are used for closure of deep layers of tissue. Hope this helps.
Stitches come out in 5 days and with applying Lash (laser assisting skin healing) the incisions heal to near invisibility 30% to 40% quicker than without it.