Will filler in the pyriform aperture be excised if I have a lip lift?

No, the lip lift is done superficially and the pyriform aperture is not approached.

Best Wishes,

Gary Horndeski, M.D.

Hi, thank you for your thoughtful question.

When performing a lip lift, the surgical focus is typically on the skin and tissue above the upper lip, rather than deep anatomical structures like the pyriform aperture or fossa. If your Voluma was placed deeply on the bone—as your injector indicated—it is unlikely to be affected or excised during the lip lift. Deep periosteal filler injections are generally not disturbed unless the surgical field extends much deeper than usual, which is uncommon in a standard lip lift procedure.

However, it’s important to discuss your filler placement with your surgeon ahead of time. Providing them with exact details of the product used, amount, and placement will help ensure they can plan accordingly and avoid disruption of the filler area. If you’re considering adding more filler before the procedure, you may want to wait until after the lip lift for optimal aesthetic harmony.