Are there lip lifts that don't touch/have contact with the nostrils?

Thank you for your question. While I personally think the gullwing works and best, the downside is that the scar may be more visible than desired. There's a technique called V-Y advancement using incisions on the inside of the lip that may be a reasonable alternative for you. Using this approach, tissue is moved forward to give the lip a fuller look; however, it does not reduce the length of the lip. I hope this helps, and all the best.

Most incisions are placed just beneath the nostrils to hide their appearance. The base of the nose is made of cartilage so any incision below will not change their appearance or shape. The incision can also be resurfaced with a CO2 laser to further hid it.

There are different kinds of lip lifts and their respective incisions are located at different sites on the lip.

Incision sites include the skin just below the nostrils, within the mucosa of the lip, at the outer corners of the lip, or right above the vermillion border of the lip.

Incisions should not have contact with the nostrils and the nasal sill.

I have numerous videos on lips and I've attached one of them.

Lip lift incisions are made at the junction of the nose and lip. The scars will be hidden in the normal crease. There is no technique that does not use that. Also, the closure can be done with a running suture which will not widen the nostrils.

Best Wishes,

Gary Horndeski, M.D.