Lip Lift

Although lip augmentation or filling is quite common these days, and can lend very beautiful results, there are times when a surgical procedure such as a lip lift can be more ideal. 

As we age, the upper lip can lengthen quite significantly. This can be from collagen loss in the skin as well as loss of bony volume that provides support for the soft tissue. An often overlooked issue, lip lengthening over time can lead to a disharmonious relationship between the upper and lower lips. In many cases, inexperienced injectors can misdiagnose the problem as loss of volume in the lip and treat with fillers alone. Although this may help in the overall balance of the lower third of the face, it is unlikely to really re-establish a more balanced look.

While a surgical option may sound drastic, a well performed lip lift is quite easy to recover from and can make a significant improvement. The procedure can be done under local anesthetic alone, or with sedation to make it more comfortable, and is generally complete within an hour. A small, curved incision is made just under the nose and a portion of skin removed-the incision does not extend into the mouth, so eating and drinking after surgery is not a problem. Absorbable sutures are placed to bring the tissues together and a few sutures on or just under the skin to obtain as thin a scar as possible. After a week or so, the majority of swelling and bruising have resolved and the lip takes up a more balanced portion of the lower third of the face. 

The biggest downside to this procedure is the fact that a scar must be made, by definition, since skin is being removed. In most cases, however, the scar heals exceptionally well and is hidden nicely in the curves and shadows under the nose. If the scar is persistently red or raised, minor procedures can be done to minimize the scar even further to obtain the best possible result.

Although lip lifting is not as popular or easy as filler, in some cases the patient’s anatomy calls for this to be done to help achieve a more youthful proportion between the upper and lower lips. If the area between the bottom of your nose and the top of your lip appear to be increasing with time, this may be an option for you! As always, make sure you are consulting with a surgeon well-versed in all your available options to allow you to make as educated a decision as possible. Happy lifting!

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Anita Sethna, MD, FACS is double board certified in Head and Neck surgery and facial plastic and reconstructive surgery, with a passion for helping her patients to achieve their most confident, empowered, and youthful selves. To schedule your private consultation, please give our Atlanta office a call at 360.223.7530 or fill out our online contact form and we will get in touch with you right away.


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