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POSTED UNDER Lip Lift Reviews

Lip Lift with Dermal Fat Graft to upper lip

UPDATED FROM shelly8
4 years post

HIs "fix" didn't work and he cut it too short

S
shelly8
WORTH IT$5,500
I specifically asked Dr. Spiegel prior to the lip lift if it could cause chin strain. He said no. Yet, I now have both chin strain and a gummy smilie.
When I went back to him he insulted me by saying prior to his work my upper lip was so long it was flapping all around. He gave me botox and said it would resolve the issue permanently. Well, it did not.
I've since gone to another doctor who said he cut it too short and other than coming back for botox every 3 months, there's nothing that can be done. He told me he's seen other Spiegel patients who also had too much taken off.

shelly8'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 | 388 Reviews
PROFILE

shelly8 rating for Dr. Spiegel:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
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Replies (5)

E
December 13, 2020
Hi hun, I don’t think it looks like he cut off too much. I think it looks good... But I’m really sorry that this has caused mechanical issue. I know some people’s anatomy makes them poor patients for a lip lift. I wonder if you were not a good candidate for this procedure. It could do with your jaw structure. I’ve heard dr. Mascaro talk about this before. Some of his patients have to get work done to their jaws before doing a lip lift... maybe you should try to get his opinion?? I’m sorry :( Thank you for the honest review. Doing Botox for the rest of your life is such a waste of money... I’d be pissed..
E
December 13, 2020
What other doctor did you go to? I’m just curious.
E
December 13, 2020
Also, how much skin did he remove? My surgeon removed way too much skin too. So frustrating. You can always take more off but you can’t add skin back.
S
February 27, 2021
Well, Hun, if my anatomy made me a poor candidate for a lip lift, you'd think a doctor specializing in facial surgeries should have told me that.
S
February 27, 2021
Well, Hun, if my anatomy made me a poor candidate for a lip lift, you'd think a doctor specializing in facial surgeries should have told me that.
E
February 27, 2021
I didn’t mean to offend you at all in case my comment was taken that way. I really hope things improve.
S
March 1, 2021
Thank you, your response read as very condescending.
E
March 1, 2021
I’m so sorry. I didn’t mean to talk down to you in any way. I actually feel for your situation, which is why I apologized several times for what has been done. I personally had an overdone lip lift so I understand the distress that comes along it and wouldn’t wish it upon my worst enemy. Truly. I would never talk down to anybody that is going through something like that. I wanted to assure you that it doesn’t visually look overdone. I truly think it looks good. You mentioned that you have chin strain, which is why I brought up jaw anatomy as I’ve heard surgeons talk about this. I only wanted to spread some of the education I’ve heard based on chin strain. I could be totally wrong. Anyways, sending love and positivity your way.
B
May 5, 2021
I didn't get a tone from your response at all. It seemed very kind. I don't get it?
HT
September 16, 2021
Enthusiastic 788246, I thought your tone was very empathetic & you provided valuable information.
Z
November 8, 2021
Agree. It's hard to figure how we come across in writing sometimes. Things for sure get misunderstood.
B
February 8, 2021
Hi all. This is one of the most useful lip lift reviews I have read. If a doctor has repeated rhe same error then that is worrying. And for a surgeon to need to read a negative review before responding is exactly what you don't want in a doctor. Doctors have so much power in these situations and this makes us timid to question those work. I hope that time improves your functionality. I've had fat grafts in a boob to fill a hole from a lumpectomy. That didn't work either - just left me with a dimpled thigh that now looks like cellulose. (I only have it on one side and never had a problem prior to the op). Your appearance is improved for sure. But given your pre op queries it's very annoying that you need up with this problem
S
February 27, 2021
Thank you for your understanding.
T
May 3, 2021
Sorry for your outcome but can you explain chin strain? What are the symptoms? Thanks
V
May 5, 2021
Thank you for sharing your story. I hope that you will be able to find a satisfying solution. BLESSING
B
May 5, 2021
I think it looks really good.
UPDATED FROM shelly8
7 months post

RECEIVED RESPONSE FROM DR. SPIEGEL'S OFFICE

S
shelly8
I wanted to provide an update as to the responsiveness of Dr. Spiegel's office. On June 15th I heard from Dr. Spiegel's office stating they had seen my review on realself and apologized for not getting back to me. They had Dr. Spiegel reach out to me, but we didn't connect (my fault, not his) due to medical appointments my husband had. I changed my overall rating back up more as a result of them getting back with me. I've scheduled an appointment with Dr. Spiegel in a few weeks, but right now the botox is still pretty fresh in my chin, so I may need to reschedule since there isn't much to see right now.

Replies (4)

BS
June 26, 2017
Too bad it had to take a real self review to get them to respond. Hopefully your situation will get resolved.
T
July 12, 2017
You may also benefit from microcurrent , especially around the jaw area ( it's the way all the face muscles are connected and it might take the strain off the chin area) orelspalsy / TMF exercise. Ask your doctor if they think it e
F
January 7, 2018
Hi, can you tell me how did the dr. remedy or did not resolve your chin strain? I am thinking about having a lip lift with dr. Rafizadeh in NJ and I have 23 mm distance like you did, so I am curious if the problem you had was resolved. Thank you for your help your posts have been very informative and helpful. You can also email me privately if you want.
M
February 7, 2021
You asked about chin strain before your surgery. Was it because you already suffered from this? I have have 2 lip lifts, due to the skin stretching back and the upper lip looking long again. Whenever I see someone with a lip lift freaking put about too much being removed, I always say to myself, they are freaking out for nothing. Their lip lift will fall some, some a lot, and they will wish that had gone shorter. I have never heard anything about chin strain due to having a lip lift. You had a fear it would happen to you. Did it happen to someone you know that had one? I also don't think your smile is gummy at all. The scar gel you are using is excellent by the way. At least it was for me.
UPDATED FROM shelly8
7 months post

6 months - Final update - NO RESPONSE TO CONCERNS EXPRESSED TO DR. SPIEGEL'S OFFICE

S
shelly8
Hi everyone, this will be my final update.
I don't really notice any changes since my 3 month review. Everything is pretty much identical.
Still having the chin strain. I had a bit of botox put in and it helped a bit, but it still feels very uncomfortable to close my mouth. Plus, now I have to pay for Botox for the rest of my life?

On May 19th, I emailed Carol at his office. I wrote:
Hi Carole,
I decided to be patient and give my lip lift a total of 6 months to heal, but I’m still having chin strain. I’m very patient, and if Dr. Spiegel thinks it can take up to a year to heal, I can wait. Can you check with him and ask if it’s normal to still be experiencing it at 6 months?

Here's the response I received, also on May 19th:
Hi Michelle,
He will be in this afternoon and I will certainly ask him and then get back to you.
Carole

Well, today is June 2nd and I haven't heard a peep. Very disappointing. I've changed my overall score on Dr. S because of his lack of response. Clearly, I'll never receive a response, because even though I was assured multiple times by him I would not have chin strain, I do, and what can he say? I messed up? No, so I'll just be ignored.

My overall thoughts...Visually, my mouth is improved from where it was, but it's very uncomfortable to close my lips.
Would I do it again? If Dr. S had told me I could get chin strain, I would have made sure he was much more conservative in the length he took. I realize he gave me the 'optimal' length, but obviously it's not the optimal length for me.

For all those ladies who question if the doctor took off enough, trust me, it's enough. When it's too short, good luck closing your lips. You know how when you put on lipstick you rub your lips together to smear it? Well, you all know it, I used to know it, but I can no longer do it.

Replies (5)

BS
June 3, 2017
I am sorry to hear you had the same lack of response I did to a concern I expressed. This appears to be a pattern. What a drag about the chin. If it's any consolation, people around you aren't seeing it, but I know we are our own worst critics.
BS
June 3, 2017
I forgot to ask, did you feel the tissue transfer to your upper lip still had an impact? I was left with no difference in my bottom lip.
M
June 3, 2017
No, I don't think the tissue transfer made an impact, except to my wallet!
A
June 3, 2017
Did he recommend any facial exercises? I wonder if they would help your situation. A few my surgeon recommends is to place a pencil horizontal above the lip and curl your lip upward for a minute at a time. Another one is to do exaggerated oooh and eee movements with mouth exaggerated wide. I do not know if this will help your situation. I also wonder if a doctor injected cortisone into scar tissue if it would loosen it up. I honestly have no idea. I think it may be worth it to get another opinion on how to get your chin strain resolved. There is a section to ask doctors questions on this site. I can still rub my lips with lipstick but it feels/moves a little different doing this than before, because my lip is shorter. I have discussed this with others on this site and they have similar. It does not bother me, it sounds like your situation is different. I do think you are still healing and hopefully things will relax more by 12 months post op. It sucks your doctors office is not responding.
S
June 3, 2017
Thanks, I just posted the question.
A
June 3, 2017
Thanks for describing your experience - it's so helpful for people to know about this if they are considering a lip lift - like me. I can't see the strain in photos - but I take your word for that and other changes you describe. It looks youthful to show top teeth, and I think you look good. I guess the question is whether you would prefer to be in your pre-lift state, or where you are now? Only you can answer. I think you look much better now. But as you point out, looks isn't the only consideration. You lost some functionality. Does your mouth stay open when you eat? Open mouth when eating might deter me from a lip lift. Hopefully your concerns eased as you age and continue natural lip drop. I'm guessing there's nothing that can be done to mitigate or reverse you back.
M
June 3, 2017
Your lips look great. Sorry you are uncomfortable with the chin strain. The lip lift does improve your features significantly. And the scar will be invisible in a few months....