Possible to Decrease Amount of Fat in Lips?

I am insecure about my lips, i am African-American and my upper lips have a lot of fat which in turn make it look like my upper lip is protruding i was considering jaw surgery but the problem is not really my jaw. So; i was wondering if there is a way to remove fat from the philtrum area, not decrease the size of the lip itself but just the amount of fat in the philtrum area? I really want to fix my mouth.

Doctor Answers 4

Reducing the philtrum

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In general, there is very little fat in this area. It tends to consist of skin and muscle. Removing muscle can result in movement irregularities. Removing the lining of hte lip may decrease the protrusion than the entire lip but would be difficult to do selectively.

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews


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i would love to see photographs of the problem. please seek help and evaluation by a board certified plastic surgeon

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

Thinning the large lip.

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 Yes, this can be done by removing a piece on the lip on the inside. This will make the lip smaller and leave the scar on the inside.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

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Lip Reduction surgery

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Without front and side photographs of your lip it is impossible to give your specific suggestions on your condition so the discussion can only be in generalities.

A protruding lip where the wet lining (mucosa) constantly dries can be reduced by taking a horizontal/transverse wedge of the lip leaving a scar on the inside of the lip.

However,there is NO operation I would care to do on the philtrum in anyone with an intact lip (IE NOT a revision of scar patient or a cleft lip patient). Scars placed in this location are visible from across the room and doing them in an African-American greatly risks a highly visible scar which would trade one potential deformity for a much worse one.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.