Understanding the Lip Lift Procedure

August 16, 2024 - By Dr. Jules Feledy

What is a Lip Lift?

A lip lift is a surgical procedure designed to enhance the appearance of the upper lip. Unlike dermal fillers, which provide temporary volume and may lead to an unnatural look or require frequent treatments, a lip lift offers a permanent solution. The procedure shortens the distance between the base of the nose and the upper lip, creating a fuller and more natural-looking lip. It also exposes more of the red part of the lips, known as the vermilion, and enhances the definition of the Cupid’s bow. Additionally, it can improve the visibility of the upper teeth when smiling

Ideal Lip Characteristics

Youthful and attractive lips typically feature a shorter distance between the vermilion border and the base of the nose, known as the philtrum. These lips are also generally plump and slightly turned upward.

How Aging Affects the Lips

As people age, the area between the upper lip and the base of the nose lengthens, and the vermilion mucosa (the red part of the lips) thins. This can lead to a less defined and less full appearance.

Injectable Dermal Fillers vs. Lip Lift

While dermal fillers can temporarily increase lip volume, excessive use can lead to an unnatural appearance, often referred to as “duck lips,” especially if the upper lip is thin and the distance from the nose to the lip is elongated. A lip lift provides a permanent enhancement by shortening this distance and making the vermilion mucosa more visible, thereby increasing the size of the upper lip without the risks associated with fillers.

Is a Lip Lift Better Than a Filler?

Whether a lip lift or lip filler is better depends on your individual goals, anatomy, and preferences. Here’s a comparison of the two:

Lip Lift

• Procedure: A surgical procedure that shortens the distance between the nose and the upper lip, creating a fuller appearance.
• Duration: Results are typically long-lasting, often permanent.
• Recovery: Involves a longer recovery period compared to fillers, with potential swelling, bruising, and scarring.
• Results: Provides a more permanent and structural change, enhancing lip volume and shape.
• Risks: Includes surgical risks such as infection, scarring, and asymmetry.

Lip Filler

• Procedure: Involves injecting a hyaluronic acid-based or other type of filler into the lips to add volume and improve shape.
• Duration: Results are temporary, typically lasting 6 to 12 months, requiring maintenance treatments.
• Recovery: Minimal downtime, with possible swelling and bruising that usually resolve quickly.
• Results: Offers immediate and reversible results, with the ability to adjust the volume over time.
• Risks: Includes potential side effects such as bruising, swelling, or allergic reactions, though these are generally less severe than surgical risks.

Choosing Between the Two

• Longevity: If you prefer a long-term solution and are willing to undergo surgery, a lip lift might be the better option.
• Flexibility: If you want a non-surgical, adjustable approach with minimal downtime, fillers could be more suitable.
• Goals: Consider whether you want a more permanent change (lip lift) or if you prefer the option to change your look periodically (fillers).

Consulting with a qualified cosmetic surgeon or dermatologist can help you determine which option aligns best with your aesthetic goals and overall health.

Where is the Procedure Performed?

The lip lift is usually performed in an office-based setting using a local anesthetic. This approach ensures that the patient is comfortable throughout the procedure.

How Long Does the Procedure Take?

The procedure typically lasts less than an hour when performed with local anesthesia.

How is the Lip Lift Performed?

During the procedure, the excess skin between the base of the nose and the upper lip is carefully measured and marked. After administering local anesthesia, an incision is made just below the base of the nose. The incision, designed to follow the natural creases, is discreet and minimizes visible scarring. Only a small amount of skin, between 5 mm to 7 mm, is removed. Stitches are then used to close the incision and secure the tissue in place.

What to Expect After a Surgical Lip Lift

Recovery is generally swift, with sutures removed in 5-7 days and final results taking several weeks as the skin heals and inflammation subsides. Most patients experience a reduction in discomfort and swelling within three days. Ice packs and non-aspirin pain relievers like Tylenol can help manage any residual discomfort and swelling.

Can Dermal Fillers Still Be Used After a Lip Lift?

Yes, once the lip is re-balanced through the lift, additional volume can be added with dermal fillers if desired.

Who is a Good Candidate for a Lip Lift?

Ideal candidates include individuals with a thin upper lip, a long philtrum, or those looking to improve their dental show, Cupid’s bow, or overall lip balance without relying on fillers.

Who is Not a Good Candidate?

• Patients with active skin infections near the treatment area (e.g., herpes outbreak).
• Smokers or users of nicotine products who do not plan to stop for the required time before and after surgery.
• Individuals with conditions affecting blood clotting (e.g., lupus, diabetes).
• Those who wish to avoid any form of scarring, even if minimal and well-hidden.
• Individuals with a distance of less than 1.5 cm between the base of the nose and the vermilion lip border.

How Much is a Lip Lift?

The cost of a lip lift starts at $3,000, with the final price based on individual needs and specifics of the procedure.

The Importance of Choosing an Experienced Plastic Surgeon

Choosing a skilled and experienced plastic surgeon is crucial for achieving the best results with a lip lift. Small adjustments can significantly impact the outcome, so selecting a highly qualified professional increases the likelihood of a successful procedure.