Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Lip Lift Reviews

Lip Lift with Dr. Spiegel

UPDATED FROM Lizzie1973
17 days post

I may have found the holy grail for scar cover?

WORTH IT
My normal, beloved concealer (Mister Light by Givenchy) wasn't cutting it so I set off to Sephora determined to find a better solution. After looking at all options, I settled on Cicapair, by Dr. Jart, because it's designed to cover redness. It also contains sunscreen and healing ingredients. I was not about to start painting my scar in the store, with the sample that had been touched by an unknown number of fingers, so I just tested on a red mark on my arm. Two hours later and it still looks lovely! It's not caking or sinking into the pores at all, feels totally smooth and the redness is gone. I can't wait to try my new magic green cream on the scar tomorrow! I will report back.

Lizzie1973's provider

Jeffrey H. Spiegel, MD

Jeffrey H. Spiegel, MD

Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery

4.8 | 391 Reviews
PROFILE
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Replies (5)

Great news....I'm dying to hear updates! Thank goodness for Sephora having the holy grail. Pictures, now!!! Xoxo
omg I need to get this!
How's the lip healing up? I hope all is healing well. xx
Update us pleaseeee!!!!
Hoping you are happier with your results ,, I am making a BEE line to Sephora to get that cream when I get home
UPDATED FROM Lizzie1973
17 days post

Wine and whine

These two seem to go together. My last update was written late on a Friday night when I was feeling a bit down because I was missing a fun party I wanted to attend-I still didn't feel I looked normal enough to go out and socialize. So, I treated myself to a couple glasses of good wine, took selfies and lamented my lack of tooth show. I was going to take down my rant about millimeters but decided to leave it to show that varying emotions are part of the process. At least for me. Do I wish it was a bit shorter and that I had tooth show? Yes. Do I think it's an improvement? Yes. Do I regret doing it? No. I know I'm still healing and this is not the final result so I'll try to be patient and positive. It is, after all, silly to get hung up on a couple millimeters.

Replies (5)

Im glad you left your "wine" post up, and I was still interested to hear dissatisfaction at this point in healing. Im still trying to figure out when I can start scheduling socially oriented events after my lift.
I think it just depends on how much you want to keep this to yourself. You'll look ok at 2 weeks but the lip still doesn't move normally when speaking. Keep in mind, I had the dermal graft which seems to be making it stiffer than others report at this stage.
huh, I tried to respond to this comment and it posted it free floating up top.
Yes my Dearest Lizzie , it's all am emotional roller coaster after most plastic surgery procedures. This too shall pass. We all have this quest for that perfect magazine look, and we become so driven and focused on it. But, you are one beautiful lady, and fortunate enough to have this surgery, and get those coveted lips, that most women want. You are strikingly sexy, now put that wine glass down, and show them what you've got.
Thanks, Randi. It's so nice to have support from amazing women on this site who have been through this and understand.
Yesss! The perfect magazine look...so elusive and we get caught up in perfection. I know I do. You both look amazing, and even if any of us were to second guess a mm or 2, no one is going to look at any of us post LL and say we have a long upper lip anymore.
That is so true!! Or will they look at us and think that we have a long philtrum. We are all beautiful in our own ways, and should be proud of who we are. And I feel fortunate that I found you ladies on this platform of information!!!!! Xoxo.
But I really, really l, really wanted that Victoria's Secret model look! Whiiiiiinnnnneeeee. lol. That's why I chose Dr. S! And suddenly he turned conservative!? My sister in-law, who is very observant and knew about surgery, says she can't really tell a difference. My mother didn't notice, just said "you look good, your new haircut suits you." I did get 4 inches chopped and a few highlights to distract from the LL.
Yes, Randi. So true. Beauty is truly more about the inner sparkle than the length of the philtrum. That being said, a shorter philtrum does make a surprising difference. I keep noticing when I see beautiful women they all have short philtrums. I predict this procedure blows up when people start learning more about it. I may even be tempted to get a few more mm next year depending on how this heals-can't believe I just said that.
I knowwww! I totally hear ya....even though you wanted it shorter are you feeling like it's an improvement from before? I do think it looks significantly shorter, just my 2 cents
And yes, I have been noticing the same thing. In fact, before I went and did this my husband said I was craaaaaazy! Well, guess what? He's been observing just like I have and he has finally conceded that shorter philtrums are much more attractive. I'm very happy with my results but will I consider getting a couple more mm off at some point? maybe!
Yes, thanks for reminding me-it IS an improvement, I definitely acknowledge that. I did Invisalign a couple years ago, just to correct 1 slightly crooked tooth, and I swear it made my top lip drop 5mm from pushing my teeth back. I am fairly happy with the LL but it's Just very, very subtle. I'd take the scar for fabulous but not sure for subtle? I'm slightly ashamed to admit that I've comforted myself by telling myself I can a few more mm removed next year. Argh. Have you seen the girl Waffle's review with a Dr. Mascaro in FL for $1800? And his meticulous measurement technique? I would consider him if I do it again...A big maybe, though. :)
Yes, I saw the girl who went to Dr. Mascaro and it's beautiful. And $1800! As unappealing as it is to have to go back and get more taken, imagine if too much was taken like a couple of reviews I've seen here...yikes! At least if you do a second round you know you can be really aggressive, push the envelope and get exactly what you want. Good luck and please keep us posted!
Awww I know what you mean. Even though a LL seems like a simple (relatively speaking) procedure, there are a lot of individual anatomic variations that affect the end result. And, in my own experience, a lot of changes from day to day as healing progresses. One day I'm thinking it's perfection and then the very next day I'm like WTH? :>D
I like your lift Chickadee! How are things settling though, mostly in the 'win' category?
Thanks Metalux! Definitely in the win category. Having the LL was the best decision I've made in a long time. In the early stages of healing, there was swelling in the a.m., which didn't bother me at all. Now it seems to have settled, but I'm thinking it may be a bit longer until the final result is seen.
Thanks, Chickadee. You're so right-it seems to change from day to day. Do you feel like yours looks a lot different now than it did at 5 weeks (your last pic)? And are you happy with the appearance of the scar? I think you had a lot more skin taken than I did, based on your pic of the drawing, and that's why I think your result looks sooo dramatic and amazing!
The only difference lately is that the swelling at the base of my nose and between my nose and upper lip has disappeared. I'm still at the original post-surgery length (11 mm). Even though the juvaderm filler is starting to fade a bit, my upper lip still has a nice rolled/lifted look. I'll probably get more filler later, but I'm curious to see how it looks in its natural state.
Oh, and the scar is fading really nicely. I did have fractional laser treatment, but I had been having that done prior to surgery.
It's very funny what you said about your hubby nothing longer lips and philtrums. My husband thought I was crazy when I mentioned surgery for my philtrum. Then all of a sudden he is pointing them out on tv. I understand what you mean about the VS models having the coveted lips and mouth. But who knows.....maybe they had the same surgery and feel the same ...... maybe I'll get a couple more mms next time??!! It's gotta be a distorted view on beauty that we ladies have. Omg.
Too funny, Randi! It's my husband pointing them out on tv too. We gotta teach em something ya know, hahaha ;) it's a crazy thing about this (and probably other procedures) I am so thrilled to have this length philtrum now, compared to what it was. But now that I have this I wonder, could it be even shorter?? Always pushing the envelope...
My dearest, it's very true. I look in my fave mirror, which is my rear view mirror in my car, and of course, in the extreme sunlight. And I ask myself..... how'd it look a tinyyyyyy bit shorter???? And my inner self says to be thankful for what I've done and STOP staring at it!!!!! Ha ha
Oh how I love you for your healthy perspective on this matter! :) Xoxo
Curious to know if you've noticed any pull to your nose after this lift?? Is it the same as before ?
My nostrils were assymetrical before the surgery and they are the same after. I don't notice any pull to my nose now. Do you?
My nose definitely feels pulled and nostrils look flared-it's different than before but I do think it's mostly swelling along the sides and the internal sutures. Hopefully it goes back to normal when the sutures dissolve. It does look a little better than it did just a week ago so we'll see.
You are so wise, Randi. And yes, we may have a distorted view but I think it's a biological trait--women just want to look good! I'm trying to accept the result, even though it's not exactly what I wanted, and see how I feel in a year. Like Bostongirl said, it's better to end up too long than too short.
I'm kinda thinking that this too shall pass and I'll accept my pulled nostril. It's a no win situation.
I think the nostril will settle. Do you feel fluid/swelling in the cheek area that's right next to nose? I've seen pics of crazy flared nostrils that looked normal 3 months later so I wouldn't worry. You look fabulous!
So funny! My husband (who didn't want me to have the LL) is now an 'expert' and has several times pointed out as faces pop up on TV, "They could use a lip lift." Cracks me up!
Yep, men say one thing, but really talk out of both sides of their mouth. Ha ha. My hubby had no idea what a Lip Lift was. Funny how we quickly educate them on the latest plastic surgeries. He keeps telling me NO MORE!! Oh well.............:-). :-). :-)
yeah, I'm getting the dermal graft too. How is that working out for you as far as volume? Becoming Stronger mentioned that it didn't seem to plump her up much at all.
I had a rhino last year and after my lip lift I've noticed a slight pull of my nose. My ps said to give it time and she'll evaluate it in a couple of months. Whatever. You fix one problem and create another. It's a never ending battle.
I think the dermal graft added a little volume but it's still swollen so hard to say for sure at this point. I'm not sorry I did it because I needed volume.
UPDATED FROM Lizzie1973
14 days post

2 weeks and not sure how I feel?

Sorry I haven't taken time to update or respond to many emails. I've been quite busy with work (still hiding out in my home office) and life the past week. After I finally arrived home, I started to question my results and wonder if it was too subtle? As the swelling subsided, I found I had almost no tooth show! No more than before, anyway. This was disappointing because that's what I really wanted out of this surgery. I had told Dr. Spiegel I liked the results of his more dramatic philtrum reductions and thought that 11mm was perfect for my face. Prior to the surgery, I had spent time practicing what the lip lift would look like by drawing in lip liner 7-8mm above my actual lip to get a feel for the look. After I got my stitches out, the lip seemed to drop quite a bit over the next 24 hours. So I measured it...Maybe that was a big mistake? I was annoyed to find a measurement of almost 13mm. One of the primary reasons I chose Dr. Spiegel was because he seemed open to removing more than the typical 4-5mm that a lot of doctors do. I could tell from his drawing, compared to others I had seen, that it was a small amount of skin but just let it go thinking it would be fine. When I questioned it, he did briefly measure the amount of lip that would be left and said it was about the 11mm I wanted. It seems he only removed 4-5mm because I measure about 17.5-18mm with the same ruler. Maybe I'm being too picky and getting hung up on a few mm? I mean, we are talking millimeters?! I do think it would look much better a couple mm shorter but it is what it is and I won't be doing this again anytime soon-that I can tell you. I just really didn't want to take 2 weeks out of my life, have a visible scar under my nose and spend 8k (including travel) for a result that's barely noticeable and lip that's still too long. So, I've tried to keep busy and simply ignore it for a while and realize I'm still healing. Maybe as all swelling subsides the lip will somehow magically lift back up and I'll have a little more tooth show? I'm concerned about it dropping more as it heals based on other reviews I've read. I don't think I'll be happy if it drops to 14-15mm in a year. And hopefully the scar will disappear--it's still very red and noticeable. It's quite bumpy and impossible to cover with makeup and look normal. I have a laser appointment with my dermatologist on Monday to try and address the redness-hopefully it helps. My nose is also a bit distorted and I'm not liking how it looks at all. My nostrils seem somewhat flared and the overall nose feels pulled down towards my lip. One side of the columella and philtrum feels more swollen so the lip appears a bit crooked. I've also had a lot of swelling along the sides of my nose (probably what's causing the distortion) and a huge amount along my lower cheeks/jaw. I wasn't expecting this swelling but it seems to be diminishing in the jaw just as of yesterday. Presumably many of these issues will go away as I heal. It's only been 2 weeks so I'm really trying to be patient but I also think the varying emotions may just be a natural part of the healing process with surgery that alters the face. Plus, I have to travel and be in public a lot next week with people I work with and I'm not where I thought I would be--so I'm a little freaked out. The procedure itself was so simple but for me the healing process has honestly been worse than I expected. The real test will be when I have to appear, and speak at length, in several important meetings next week. Right now, I just look very weird when I talk and it's still very difficult to smile; however, I do still have some hope that I'll like it in the end. Right now? I'm obviously undecided if it was worth it. I still think Dr. Spiegel is great-I just wish I had been more assertive about what I wanted but, as they say, hindsight is 20/20. Until the next (hopefully happier and toothier) update...

Replies (5)

hi there, I think it looks great, but I know what you mean. We always doubt what if we took more, or less etc etc. But, as they say, you can always take out more skin but its harder to put it back if he cut too much out. Hang in there till it heals, you still look beautiful, and if you still don't like it...hey, its only skin right, you can do this again!!! ha ha
Thanks, but I really don't want to do this again.
Check out this old Q&A. Hopefully it makes you feel better. https://www.realself.com/question/after-lip-liftwill-upper-lip-still-continue-rise-day-11
Thanks, Shelly. Hopefully it does rise a bit after swelling resolves. I just don't think he took enough off.
We all have different perspectives, and I happen to love your result. You got what I would like to achieve. Your lips look totally natural, and the shape and fullness are very nice. The 13mm distance is perfect. I live in Florida but am seriously considering traveling to have this procedure done by Dr. Spiegel since his technique appears to be reliable and precise. I don't mean to be unsympathetic to your concern; when the healing is complete and you look at more of your before and after photos side-by-side, I hope you feel it is a beautiful change.
Thanks. It's just difficult right now because I don't look normal in person. The iPhone photos aren't that good. I do think my philtrum would look better shorter but am trying to keep an open mind until I'm finished healing. My concern is that it will drop more as it heals as several of his patients have reported. Also, I can tell the lips are still swollen and won't end up with as much volume as I would like. I don't think the dermal graft added much. I do like Dr. Spiegel, though.
I'm prejudice and think you look amazingly beautiful. Hugs!!!
You're such a doll, Randi. Appreciate your kind words.
Do a revision if you think you need one. This process is personal and you know what you want.
If it makes you feel better, two weeks after the surgery I was at 12 mm and I'm still 12 mm four months later. I think you look great. Trust that the doctor knows what he's doing. I'm glad my doctor was conservative with my LL.
Thanks, Ali. Yes, it does make me feel better that yours hasn't gotten any longer so hopefully mine stays as it is now.
Hi Lizzie1973,

It looks like you and I are on a very similar timeline- I had my lip lift on 4/18/18 here in Los Angeles. I think your results look lovely! This is my first time on the patient side of the “knife”. I worked in plastic surgery for almost five years and I’m trying to remind myself that it really takes a solid six weeks to know what the real results are. Even the most subtle swelling can distort measurements. It is possible that you will get more tooth show if you still have swelling beneath your nose right now. As it subsides, it will allow the upper lip to turn slightly upward shortening the distance and allowing a little more tooth show, even if it’s only 1 mm. Regardless, just looking at your before photo and your most recent, the new distance dramatically changes the overall look of the lower half of your face. Hang in there. I wish I could wrap my face for six weeks and not allow myself to see it until then, but alas I don’t have the luxury of hiding away for that long, so I just try to look as little as possible and let nature do it’s thing :)