Hello, I am getting a rhinoplasty and having my columella shortened. I am worried this will make my upper lip even longer. My philtrum is currently around 14mm. My surgeon says my thin skin will not heal well from lip lift scar. Should I pursue the lip lift elsewhere ? Is my philtrum out of balance ?
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May 21, 2020
Answer: Hmm. I'm not seeing something that you're seeing!! More ...
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...
There are 4 pairs of muscles that influence how you smile, look at a Youtube video titled "Muscles of Facial Expressions (Origin, Insertion and Function) - Anatomy" starting at about 8:18 describes them.
When you smile you are pulling mostly with the risorius and the Zygomaticus major. To show m...
Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer