Should I get a lip lift to add more balance to my lifted face? (Photos)

Question

I had a deep plane facelift almost two years ago and at the time a lip lift wasn’t on my radar. In addition to the lift, I also had a lower bleph (and had an upper bleph a few years before that). Since my facelift, I have noticed my temples are very hollow so I am going back for a fat transfer but I am also considering a lip lift (to add more balance to my face as I think my philtrum is too long compared to the rest of my lifted face. I would appreciate other opinions on this. Thank you

Michael P. Morrissette, DDS, FACS · Answer

You would benefit from an upper lip lift to raise the central portion of your lip to decrease the distance between your nose and upper lip vermilion and expose more of your front teeth. The temporal hollowing is best treated with the one-time placement of silicon temporal implants placed through a hairline incision. Fat grafting is not as effective here, nor is the placement of fillers. Both procedures can be performed at the same time in the office with sedation anesthesia.

Anna Chacon, MD, FAAD · Answer

It’s completely understandable to notice subtle imbalances after a facelift, especially as you continue healing and adjusting to your new contours. From your photos, it seems you’ve achieved a nice lift overall, though your concern about the philtrum length in relation to the rest of your face is valid — a longer upper lip can sometimes appear more pronounced after the lower face is rejuvenated.

A lip lift can indeed help restore balance by shortening the philtrum and adding a youthful, lifted appearance to the mouth area. It can enhance harmony between your mid and lower face, particularly if volume or proportion was lost with time or prior surgery. However, since you are also planning a fat transfer, that may already provide subtle improvement to perioral volume and contour — so it’s worth seeing how that heals first before deciding on another procedure.

In summary, a lip lift can be a beautiful finishing touch when performed conservatively, especially in experienced hands, but timing and tissue healing should guide the decision. Your awareness of proportion and facial balance is excellent — that’s exactly the right mindset before proceeding.

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