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How can I flatten my philtrum after direct lip lift surgery? (Photo)

chi345678Mar 12, 2024
Hello Doctors! About 8 months ago I got direct lip lift surgery, the incision of the lift was directly on my lip. After I did this procedure to reduce my philtrum it caused my philtrum to protrude a lot and caused my mouth to look like a gorilla when I smile. How can I fix this problem? I do not like my smile anymore and would like to flatten my philtrum.

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From board-certified doctors and trusted medical professionals
Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 382 Reviews
Answered on Mar 13, 2024
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Ritu Chopra, MD

A small corner lip lift would help elevate the corners of the mouth. There is a incision right at the Vermilion border so sometimes it can be seen. A small amount of your own fat to the corners would also enhance the upward tilt of your corner of your smile.

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Tim Neavin, MD

It would be unusual to have tissue so damaged from a rhinoplasty that a lip lift would not heal. Photos would be helpful. Going to hyperbarics for 3-5 days after should certainly help with healing.

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Ritu Chopra, MD

Yes, you can still get a very conservative lip lift approximately 4 mm. With 4 mm of excision there will be no elevation of your incisive show. I would also recommend tiny bit of fat grafting as well laterally and medially to give you a little more fuller lip without causing any more incisive show.

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