Looking for a bullhorn lip lift to achieve 1cm philtrum, can mole be cut off during procedure as well? (Photo)

If the distance between the base of your nose and upper lip vermilion is greater than 15 mm you may be a candidate for an upper lip lift. The procedure will provide more tooth show in repose. The mole would be removed at the same time.

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. My preferred surgical technique is called the Elelyft, which is a version of the bullhorn approach. The ideal candidate for the Elelyft, or upper lip lift, is someone with a philtral length of 13mm or longer, no upper dental show, and/or a thin upper lip. The nasal base to mouth width ratio needs to be taken into consideration to avoid leaving the lip corners down.

In your situation, you appear to be a great candidate for a lip lift. The mole can be incorporated into the lip lift excision.

Consult with an experienced lip surgeon for a complete range of options that are appropriate for your situation.

Gary Linkov, MD
Lip Specialist / RealSelf Lip Lift Medical Reviewer
Manhattan

A lip lift can elevate your upper lip, give you more upper tooth show at rest, give the appearance of more upper lip volume, and improve the upper lip's proportion in relation to the lower lip.
I make the incision just beneath the nose so the scar is barely visible. The procedures takes less than an hour, is done awake with local anesthesia, and stitches are removed after about 1 week.
A mole requires in-person examination to evaluate for anything concerning or its potential to turn into anything concerning in the future. I've removed them before at the time of surgery, and I always send them as a biopsy to pathology for evaluation.

Your mole can be removed at the time of lip lift. The technique I use is an extended bullhorn, which will shorten the distance between your nose and upper lip, increase the mucosa of the upper lip, increase the incisor show and pull up the corners. This is done under local anesthesia, takes less than 1 hour to perform and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Your mole is fortunately located exactly where it would be removed with the pattern for the upper lip lift skin removal. While it will create some increase in tooth show that should not be interpreted as considerable.