Am I a good candidate for a lip lift and can this be combined with a rhinoplasty? (photos)

Question

My upper lip has always been very thin and it has bothered me a lot. I decided to get lip fillers, and now I'm done with 4 sessions (1 ml was injected each time) and I still don't see much difference. I think my body dissolves it very quickly. Half of my upper teeth is not visible when I smile. I measured my philtrum and it's 1,5 cm. Would I be a good candidate for a lip lift? I also want to have a rhinoplasty as I have a hanging columella. Can they be combined?

Randal Haworth, MD, FACS · Answer

Hello

Based on your pictures, it looks like you’re a good candidate for an upper lip lift. I would recommend an OOS lip lift, which is an ameliorated version of the traditional lip lift I invented, with better results and no visible scar.

3 goals can be achieved with upper lip lifts :

-They shorten the distance between the nose and upper lip

-They allow more upper tooth exposure

-The red portion of the upper lip will be more visible, therefore enhanced.

In general, it can be combined with a rhinoplasty…who won have to be careful of the location of the incisions. That is because you have to respect the blood supply of the columella (if the patient has a previous trans columella scar, you have to do the open rhinoplasty through the same scar and not through the planned upper lip lift scar. If there are no trans columella scars present, it is safe to utilize the same incision for both the upper lip and open rhinoplasty procedures).

It it best to consult with a board certified surgeon expert in lip reshaping.

I hope this helps,
Best of luck !

Randal Haworth

Jacob Tower, MD · Answer

Hello, hope you are well. Based on the pictures and information you provided, you would be a candidate for a conservative upper lip lift. A consultation in person with a surgeon who performs lip lifts routinely is always best, but generally speaking, 1.5-cm is sufficient length to design an operation that would enhance your upper lip and overall aesthetic. I agree with your analysis of the columella, and yes, rhinoplasty can be safely performed simultaneously with a lip lift. If you are considering these options, I would suggest stopping lip fillers immediately so that your lip's natural shape and size can be assessed on surgical consultation; sometimes a simultaneous lip augmentation is recommended as well. I hope this helps, and good luck!
Cheers,Dr. Tower

Osman Halit Cam, MD · Answer

Hi there,
Although we havent seen a smling photo of you, based on the two photos and the infornmations you supplied, looks like you are a good candiate for rhinoplasty combined with lip lift. Your filler need will reduce accordingly with lip lift surgery. I hope these will help you decide.

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.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case regarding the information you provided and your photos.As far as I can see from your photos, you are a good candidate for rhinoplasty and lip lifting surgery. In fact rhinoplasty is a very good combination with lip lifting surgery since the scar is on the same place. It is harder to perform lip lifting after a rhinoplasty, because then we need to open the same scar and it may be risky for the scarring. If you are thinking to get both procedures, I recommend you to do both during the same surgery.

Gary M. Horndeski, MD · Answer

Yes, the lip lift can be combined with rhinoplasty. 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Am I a good candidate for a lip lift and can this be combined with a rhinoplasty? (photos)

Answers (6)

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