Lip lift and nose job. Which one should be done first? (Photo)

Question

I want to get a lip lift . But I also want a nose job . Which one should be done first ? Does it matter ?& is a lip flip better option than lip lift ?

Gary Linkov, MD · Answer

There are surgical and non-surgical approaches to lip augmentation. Non-surgical approaches include botox (slight lift, reducing gum show) and filler (volume restoration). Surgically, you can have two separate incisions under the nose (italian), one incision under the nose (bull horn), one incision at the red/white upper lip junction (gull wing) or two separate incision at the corners, or a combination, depending on your desired look and anatomy. 
From the single photo it is difficult to throughly advise you. If you primarily want the lips more defined, I would focus on that first. You can also have them done at the same time, that is always an option, and safe in most hands. 
Consult with an experienced lip surgeon for a complete range of options that are appropriate for your situation.

Greg Bran, MD, PhD · Answer

Hi there and thank you for your question. There are only few occasions when combining a rhinoplasty with a lip lift during the same operation is not advisable. The first is the patient. If you are concerned that too many changes at the same time will stress you out too much, you should definitely take it step by step. That having said, the nose has a greater impact on our face / how we see ourselves. It really depends on you if you want to take it easy first organe the nose operated first, being such a commonly performed procedure. 
If you are having filler in your lips you most likely like more volume in your lips. Patients with bigger lips can get a cuter look when reduction of the size of their nose is a goal they are aiming for. Big lips and  a small tip can enhance the overall beauty of the face. In such a case performing the lip surgery first might be advisable. However, this is of personal preference and should be discussed with an experienced rhinoplasty surgeon in an in-person consultation. Ideally you should see various results being simulated into your photographs.
The only medical reason, when lip lift surgery and rhinoplasty should never be performed during one surgery is when you are seeking to narrow the base of your nose. This requires resection of pieces of skin at the base of your nostrils. These incisions would interfere with a sub nasal (bull-horn) incision for a lip lift.
Best of luck!
GB

Piotr Osuch, MD · Answer

hi there,
I usually recommend rhinoplasty first; lip lift - 6 months post-op. Please note that lip lift affects your nose & vice versa. 
When considering LL - it's key to know what's the lenght of your philtrum. On the picture you attached it's not quite evident.. If it's around 18-20mm you may be a good candidate for this surgery. 
best regards, 
Piotr Osuch, MD, PhD

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