POSTED UNDER Lip Lift REVIEWS
Lift Lift After A Lot of Research. Henderson, NV
ORIGINAL POST
I've booked my lip lift for December 12th. I have...
ssashhNovember 28, 2016
WORTH IT$2,000
I've booked my lip lift for December 12th. I have 20mm and I'm hoping to be able to reduce it to by 8-9mm to 1.1-1.2. I can see from other's experience that there is a few mm stretching to be expected. And I'm hoping, even with this, I will get a good result.
I have spent alot of time researching this procedure and analyzing pictures and I can summarize for Realself what I've found.
Hoping to avoid a stretched out scar, I am very interested in how the inner stitches are secured to avoid tension on the scar. The most interesting information I got from Dr. Hilinski's website were he describes how he attaches the inner sutures from the underside of the lip skin to the membrane of the nasal structure by spreading to tunnel past the muscle fiber to the septum, corresponding i (above the philtrum column) and the outer nostril. I've included a picture of this information. Also, by analyzing lip lift pictures and my own face, I've noticed that the philtrum columns slope gently toward each other. I've noticed at least one doctor, in preoperative markings, mark how the philtrum column slopes and where they meet the nose. I believe, if the surgeon does not account for this slope and merely pulls the skin up, the philtrum columns are a little wide at the top and may appear as a slightly unnatural look. I measured mine, the width of my philtrum columns are 15mm wide at the top of my lip and 12mm at the base of my nose. So 3mm total = 1.5mm less from the center. This is a very slight amount but I think this is where the attention to detail (of how natural philtrums are) shows through. So this is me working though my nervous energy through research. Thank you to everyone who posted on their Lip lift journey.
I have spent alot of time researching this procedure and analyzing pictures and I can summarize for Realself what I've found.
Hoping to avoid a stretched out scar, I am very interested in how the inner stitches are secured to avoid tension on the scar. The most interesting information I got from Dr. Hilinski's website were he describes how he attaches the inner sutures from the underside of the lip skin to the membrane of the nasal structure by spreading to tunnel past the muscle fiber to the septum, corresponding i (above the philtrum column) and the outer nostril. I've included a picture of this information. Also, by analyzing lip lift pictures and my own face, I've noticed that the philtrum columns slope gently toward each other. I've noticed at least one doctor, in preoperative markings, mark how the philtrum column slopes and where they meet the nose. I believe, if the surgeon does not account for this slope and merely pulls the skin up, the philtrum columns are a little wide at the top and may appear as a slightly unnatural look. I measured mine, the width of my philtrum columns are 15mm wide at the top of my lip and 12mm at the base of my nose. So 3mm total = 1.5mm less from the center. This is a very slight amount but I think this is where the attention to detail (of how natural philtrums are) shows through. So this is me working though my nervous energy through research. Thank you to everyone who posted on their Lip lift journey.
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Replies (25)
November 29, 2016
You clearly do your homework! I hadn't thought about the top/bottom width of the philtrum and how that would affect the result. I'm noticing you have above the lip fullness (for lack of a better term) that is similar to mine, though your cupid's bow is more defined. It's a balancing act to get enough removed to warrant the procedure but not so much that it looks unnatural! I'm at 19mm and my lip lift is scheduled for January. How much time are you taking off work? Thanks for posting, I'll be following your updates.
November 30, 2016
Thanks for following me on my lip lift experience. I'm taking two weeks off but now adays many are proud of their ability to get plastic surgery and don't need to hide long. I'm noticing many real self experiences unhappy after the lip lift settles from taking too little. It's scary but "fortune favors the brave." Here's to hoping.
November 30, 2016
Thanks for the information. Have you looked for the term "Endonasal lip lift: Personal Technique?"
I have tried to find out the name of the person who did the surgery in the video. The long skin pieces are pulled into the nose, and no, not on the floor of the nose where it would pull down the causing more inner nasal show, but the tension is place to the center on the nose, on the sides of the septum, high enough so you don't look like a cat when it's done. Make sure you hydrate - drink water starting today. No sugary drinks or juices at all except milk or calcium containing drinks. Get your sleep for the next few days too as well as after the procedure.
I have tried to find out the name of the person who did the surgery in the video. The long skin pieces are pulled into the nose, and no, not on the floor of the nose where it would pull down the causing more inner nasal show, but the tension is place to the center on the nose, on the sides of the septum, high enough so you don't look like a cat when it's done. Make sure you hydrate - drink water starting today. No sugary drinks or juices at all except milk or calcium containing drinks. Get your sleep for the next few days too as well as after the procedure.
November 30, 2016
Thank you for your advice. I saw this video but I've also seen advice from an experienced lip lift california dr. saying you should leave the scar at the natural crease where the nose meat meets the lip skin directly below the nose because if you go into the nose you change natural anatomy of that natural crease which can never be recreated. Question: When you say "the tension is place to the center on the nose, on the sides of the septum," are you speaking of the underside of the lip skin attaching to: skin of septum, or the membrane structure of the septum." Could you tell me where you saw this info because I see Dr Talei mentioning this (allowing majority of tension to be at the septum) as his"modified" lip lift but not many specifics.Thanks for your time and advice on hydration. I will be more conscious of doing that starting today. and I already started my bromalein supplements and I make and consume liposomal Vit C (recipe can be found on Youtube).
December 1, 2016
Hi, I saw it performed - if you google "endonasal lip lift" a youtube video should appear as one of the search results. My question is though, notice that everyone's septum differs in it's degree of looseness. So I wonder if for some persons, it makes sense to make the attachment that will have the most tension higher up on the more firm part of the septum? But just as importantly, is what the vascularity of such an attachment would be, can the tissue remain viable?
December 2, 2016
According to Dr Ricardo Rodriguez's video on this website https://www.realself.com/video/the-key-to-a-successful-lip-lift#.WEEOmneZPVo
he states thinking you attach skin to skin only and believe it will not stretch out is a fallacy. It has to be tied to underlying structure. From the info I gathered about this attachment, these internal stitches are dissolvable and serve to close the dead space inside; so the flesh can make strong attachments, without tension, while the scar and flesh are actively healing. I did some research on these internal stitches by googling deep sutures. http://www.dermatology.ucsf.edu gave a better understanding of how suture without damaging the tissue. Basically, the Dr. must take enough of a bite with his stitch, to not rip through the flesh.
he states thinking you attach skin to skin only and believe it will not stretch out is a fallacy. It has to be tied to underlying structure. From the info I gathered about this attachment, these internal stitches are dissolvable and serve to close the dead space inside; so the flesh can make strong attachments, without tension, while the scar and flesh are actively healing. I did some research on these internal stitches by googling deep sutures. http://www.dermatology.ucsf.edu gave a better understanding of how suture without damaging the tissue. Basically, the Dr. must take enough of a bite with his stitch, to not rip through the flesh.
December 2, 2016
Skin to skin stretching, I could see that happening however, in a untouched/unoperated lip why doesn't why doesn't it stretch? I have to wonder if a contributing factor is that another force is acting to pull down the skin and that is its attachment to the whole area between the upper lip to the nose area. So some have mentioned the idea of undermining the skin in that area to release it thereby decreasing the tension when that skin is pulled up. Some have suggested undermining skin from the incision to just 2-3mms above the upper lip white roll. You know what, pictures might help to explain this. I should spend some time drawing those up.
December 2, 2016
Too, that undermined skin would have to be re-connected to the underlying tissue, wonder if tissue glue would allow that to happen?
One more issue, about connecting the pulled up skin to the septum, I agree there has to be an attachment on a firm structure to prevent downward pulling to prevent stretching of the scar, pulling down of the sills, or columella; any of which would distort the nose resulting a negative aesthetic outcome.
One unappealing result is when tension is incorrectly placed directly under the columella resulting in a cat like appearance where the middle of the nose it pulled down and causing more frontal nasal show as well as that unattractive hanging or pulled downward columella. That postoperative result is worse than the long lip the surgery attempts to correct - may as well not have the surgery if that's the result.
One more issue, about connecting the pulled up skin to the septum, I agree there has to be an attachment on a firm structure to prevent downward pulling to prevent stretching of the scar, pulling down of the sills, or columella; any of which would distort the nose resulting a negative aesthetic outcome.
One unappealing result is when tension is incorrectly placed directly under the columella resulting in a cat like appearance where the middle of the nose it pulled down and causing more frontal nasal show as well as that unattractive hanging or pulled downward columella. That postoperative result is worse than the long lip the surgery attempts to correct - may as well not have the surgery if that's the result.
December 2, 2016
Somehow, the first part of my comment did not show up. The first sentence was that I agree with the need to attach to a firm structure and some practitioners have postulated that the normal untouched/un-operated upper lip area does not stretch and the lip lift skin may have too much tension on the scar because of it's connection to the underlying tissues in the area between the incision and the top of the upper lip. So they have suggested undermining the skin to be pulled up to just about 2-3 mms from the upper lip's white roll so it releases the downward tension. However, would tissue glue suffice and allow the reattachment to occur in that undermined area? Could vascularity be maintained with undermining? Both of these are questions that need to be answered to know if this will work.
December 2, 2016
FYI The author of "Endonasal lip lift, personal technique" is Dr Scott Harris, Tx
December 3, 2016
@Drew2 for my second lip lift all of the suturing was done internally. I feel and know this caused pulling on my entire nose. The tip is pulled down and my nostrils are pulled down and out because he went up around the nostril to lift the sides of my liP. The internal sutures don't dissolve for months if not a year. So the sutures are pulling for all of this time causing nasal distortion and thick scarring. Everyone notices my scar and 2 PS's say I need a rhino to have a old nose back. Never go to someone who uses all internal suturing.
December 5, 2016
Who is the technician/surgeon who performed the same surgery featured in the online video?
UPDATED FROM ssashh
Day of treatment
Surgery day
ssashhDecember 13, 2016
I had my surgery this morning. I took the triazolam they prescribed me at the office and 5 mg relaxed me sufficiently. Discussion and marking and injections took about 45 minutes and the surgery took about 1hour. I did use a prescribed lidocaine mixture to numb my lip for the shots and they were better than others described but felt some especially up near outer nostrils. My conviction on fixing my long philtrum helped calm my nerves. My nose did weep blood for quite a while. I took two hydrocodeine and acedominephin 750/350. The car ride home i was dizzy and tired.
Warning: I went to the bathroom as my helper picked up my child up from school and felt nauseous and next thing I knew I woke up face down on the tile floor because I passed out and threw up the few bites of soup I ate. I have had many times before pain killers before but something was too much for me. So now I have a cut and bump on my forehead. After my initial dose wore off and a two hour nap, I am not taking any more pain killers because the nausea and dizziness is worse than the pain which is not enough to even take a tylenol at this point.
I cut a extra large bandage to fit around my nose and took the adhesive part off the part which would cover my mouth so I could disguise the gore from my son. But the weeping did not stop so I dabbed it with a wet black tea bag because the tannins in the tea help the blood coagulate. Now it has stopped and I am resting without pain for the night. Other than that, I am happy with my how my procedure went and my results so far.
Warning: I went to the bathroom as my helper picked up my child up from school and felt nauseous and next thing I knew I woke up face down on the tile floor because I passed out and threw up the few bites of soup I ate. I have had many times before pain killers before but something was too much for me. So now I have a cut and bump on my forehead. After my initial dose wore off and a two hour nap, I am not taking any more pain killers because the nausea and dizziness is worse than the pain which is not enough to even take a tylenol at this point.
I cut a extra large bandage to fit around my nose and took the adhesive part off the part which would cover my mouth so I could disguise the gore from my son. But the weeping did not stop so I dabbed it with a wet black tea bag because the tannins in the tea help the blood coagulate. Now it has stopped and I am resting without pain for the night. Other than that, I am happy with my how my procedure went and my results so far.
Replies (2)
December 13, 2016
Did the doctor give you a prescription for that lidocaine mixture? And was it put on the outside or did you put it on the inside of your mouth? I remember when I got my lip lift, the doctor gave me an injection inside my mouth.
December 13, 2016
I didn't get a injection inside my mouth. The lidocaine mixture was apply outside and it was something I already had and not prescribe by this dr, but it is dispensed by prescription only. I posted a picture of the lidocaine mixture.
UPDATED FROM ssashh
Day of treatment
Preparation for surgery
ssashhDecember 13, 2016
The shower before surgery I washed my face with the antibacterial soap my friend got before her surgery from the dr. Also, I shaved all the baby hairs from my lip since I've seen other reviewers get what appear to be clogged follicles along their scar.
Welcome to the community, I'm so glad you started a review and I wish you well on the 12th.Â
I thought you'd find the following information helpful:Â 10 Things to Know Before Your Lip LiftÂ
Please keep up posted. :)Â
You're most welcome! :)