Would a lip lift, rhinoplasty and buccal fat removal help me achieve my desired results? (photos)

Question

The picture on the right is edited to show how I would like my lower face to look. Would a lip lift, rhino and buccal fat removal be able to achieve something like that?

Jeffrey H. Spiegel, MD · Answer

I think you've done a pretty nice job of simulating what is possible and determining how to get there.  Buccal fat removal should slenderize the cheeks, rhinoplasty will contour and slim the nose, and the lip lift (an operation I reintroduced to the plastic surgery community over a decade ago) should indeed make the upper lip more attractive, youthful, and feminine.
We've shown that these procedures can be safely done together, and the whole thing should take under 2 hours.
Watch our various videos to learn more.

Randal Haworth, MD, FACS · Answer

It looks like you would be a great candidate for those procedures. One has to be careful when it comes to buccal fat removal to not remove too much fat, in which case it would make you look gaunt.

A 3D lip lift is an ameliorated version of the OOS lip lift I invented. It results in less scaring and better results.

A rhinoplasty, in good hands, could also make your nose thinner and harmonize your face.

It is best to consult with a skilled board certified facial plastic surgeon for the best outcome.

I hope this helps,
Best of luck !

Timothy Osborn, MD · Answer

Buccal fat and jawline lipo could be an option. However in the second photo, your chin is lowered, in which case you would benefit from a genioplasty. This would add length to the chin (and projection if you need it) as well as elongating and tightening your jawline. You can have a genioplasty and buccal fat removal done at the same time.  The entire procedure is done through your mouth so there are no external incisions (no outside scarring). A rhinoplasty could get you the refined tip you are looking for, but I typically do not recommend having a rhino done at the same time as a lip lift. In many cases, the rhinoplasty can change the appearance of the columella and upper lip. Especially if the main focus of the rhino is the tip, we don't want the lip lift adding pressure or pulling down the skin at the base of the nose. Lip lift results are very subtle, and depending on the rhinoplasty, you may not get the lift you are looking for. My advice would be to consider a genioplasty with buccal fat removal and a rhinoplasty. Start with those and see how you feel. You may be perfectly satisfied with just those results. Things to consider after may be jawline lipo. Our office provides simulated morph photos of expected outcomes and we are happy to schedule a virtual or in-person consult to

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided a lateral view to assess your nose more. However, it appears you would benefit from a rhinoplasty to make the tip more refined as shown. Also, a lip lift will do 4 things: shorten the distance between your nose and upper lip, increase the mucosa of the upper lip, increase the incisor show and pull up the corners. Buccal fat removal may or may not be indicated.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Darryl J. Blinski, MD · Answer

Nice posted photo. I agre but I would offer 2 separate surgeries. First full rhinoplasty. Than after 4-6 months buccal fat removal with lip lift. Total fees $20,000. Best to virtual consult with....

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