Recommendations for Correcting Long Upper Lip?

Any suggestions? I do not like the symmetry of my face

Doctor Answers 8


Thank you for your question. Based from your photo you appear to be a good candidate for a lip lift procedure. This will help decrease the length of your upper lip and give it a more “roll” to the red portion which will allow the lip to appear fuller. I recommend having a consultation with an expert plastic surgeon to discuss your concerns and to determine the best treatment plan for you. Best of Luck!

Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

You can do surgery for the upper lip and you can also do BOTOX injections

You can do surgery for the upper lip and you can also do BOTOX injections. Sometimes you can make the lip look more symmetrical with very small amounts of BOTOX. But, it really depends on how the patient looks and the skill of the injector.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Lip Lift Surgery for a Long Upper Lip

The only procedure to reduce the length of the upper lip is a lip lift.  Be sure to be evaluated by a surgeon who has experience with this procedure as results can vary, as can scarring. Below is a link with photos of lip augmentation and lip lift surgery.

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

The "LipLift" Procedure

After reviewing your photos, I feel you are a very good candidate for a lip lift procedure. The lip lift will address two concerns from your picture. One, it will decrease the length of your upper lip, something you inquired about. Secondly, your upper lip appears to be small. A lip lift will provide for more "roll" to the red portion of the upper lip which would allow the lip to appear fuller. The subnasal incision is an option where the incision is placed in the crease just below the nostrils, along the lower border of the nose.  When placed in the proper anatomic creases, this incision can heal very nicely. Also, an incision can be made at the red/white border of the lip where the "red" portion of the lip meets the "white" skin of the upper lip.  An added benefit to this incision is that it also provides for better "roll" to the red upper lip, allowing the lip to appear fuller, while providing a better target for cosmetics. This incision also heals quite nicely when placed exactly at the red/white junction, although the incision can be camouflaged with lipstick during the healing process. Good Luck, Dr. Corrado

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
4.9 out of 5 stars 34 reviews

Subnasal lip lift

The subnasal lip lift is the best way to shorten the distance from the bottom of the nose and the red border of the upper lip. I have rarely seen an unsatisfactory scar from this operation.

You state that you do not like your facial symmetry . I presume you mean you would like it to be perfectly symmetrical.  Attempts to achieve perfect facial symmetry are often unsuccessful . However, if the asymmetry is due to one particular area, improvement can often be achieved. .

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Correcting the long upper lip,

Skin removal is the only way to do this. Either a scar under the nostrils or along the lip line--both leave a scar, so be careful before doing this.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Shortening The Long Upper Lip Can Be Done Two Different Ways

Correction of a long upper lip requires skin removal. Whether it is done at the base of the nose (subnasal lip lift) or just above the cupid's bow (vermilion advancement) is a matter of scar location and preference and how thin the lip is from  side to side. A subnasal lip lift shortens the upper lip, creates more of a central pout but does not improve the thickness of the sides of the lip and tucks the scar into the crease between the nose and the lip. A vermilion advancement shortens the upper lip, changes the thickness of the vermilion from one corner to the other but has a more 'visible' scar line at the junction of the pink part of the upper lip and the skin. Both types of lip lifts can be very effective and one has to weigh their advantages and disadvantages when choosing between the two options. Usually it comes down to scar location as the deciding factor. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

How to treat long upper lip, thin lip using Lip Augmentation

From your photo, your upper lip is very thin which makes the distance between the upper lip and nose appear overly long.  IMHO, your upper lip should be raised but rather your upper lip should be filled increasing the volume significantly.  You might consider an Alloderm or silastic lip implant.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.