My upper lip measured about 24mm from nose to top of lips, and I wanted to remove about 12mm of skin to shorten my upper lip. In our Skype consultation Dr. Horndeski explained to me that he could only remove about 6mm at one time, so I would need this to be a 2 stage procedure (removing 5-6mm each time - with the 2 surgeries 6 months apart).
I live in Dallas and decided to drive down rather than fly into Houston because I did not want to worry about the airport hassles a day after surgery. So my husband drove us down and we stayed at one of our favorite hotels in Houston the first night after the surgery. Before the surgery, Dr. Horndeski measured my lips and marked the line where he would remove skin. Being awake during surgery was a pretty intense experience for me. I have a history of being hard to get numb, so I was nervous. But Dr. Horndeski and his assistant were sensitive to my concerns and quick to respond and relieve any avoidable discomfort. I was relieved to not have to have general anesthesia. The pain was manageable for the first couple of days with the pain medication prescribed, and after that not a problem. I took arnica (to reduce swelling) and slept sitting up for several nights. My swelling was not too bad, but the visible incision kept me hiding in my house as much as possible for the first two weeks. I was apprehensive about removing the stitch after a week myself, but with one small tug it slipped right out. Once the stitch was removed I applied scar gel on the scar several times a day for the first two months. It was amazing; I could almost see the scar become less visible on a day by day basis the first few weeks. The first six weeks after surgery I was self-conscious about the visible scar and found it difficult to hide with concealer. However, at this point it is not a problem; I rarely put concealer on it. The scar is so well hidden that you would never notice it unless you knew exactly what to look for. It is really not a concern at all at this point.
My first surgery was 3 months ago and I am still looking forward to additional lip shortening, but I am also very pleased with the first phase of improvement to my lips. The distance from my nose to the top of my lips was shortened as expected, and I have a small bit of tooth show ( about 2-3mm of the front two teeth only). Also my upper lip just took on more of an upturned youthful shape, that I am delighted with and the beginnings of lips lines that I was beginning to develop are now gone - another perk. I will be back for my second phase of my lip shortening as soon as I can; I would still like to have a shorter upper lip and more tooth show. However, I also feel my lips have already been dramatically improved and I am delighted with their new look. (I am so glad that I did not let a surgeon in the Dallas area talk me into lip implants.)