Corner Lip Lift

The Aging Process
During the normal aging process, the lips change in size and shape. The red portion of the lip (vermilion) decreases in height and the skin-covered portion of the upper lip (cutaneous lip) elongates. Volume is lost from the red lip as well as from portions of the cutaneous lip responsible for lip contour including the white-red border of the lip (the "white roll") and the portion of the cutaneous lip below the nose which comprises the so-called "Cupid's bow" and adjacent "philtral columns". In addition, the lateral portion of the upper red lip may decrease in height which minimizes 'red lip show' near the lip corners. In some cases, the lateral red lip appears to 'turn in' which may contribute to the appearance of downturned corners of the mouth. The cutanaous (skin-bearing) portions of the upper and lower lips also develop vertical lines from both age-related skin changes and the repeated action of the underlying muscles over many years. Together, these changes impart a less youthful appearance to the lip and mouth.

Where is the incision site placed?

The Subnasal incision site is designed to be concealed just underneath the nose in the natural skin crease between the lower nose and the upper lip.

For a Corner Lip Lift, the incision is placed at the interface between the lateral vermilion border (that is where the 'red' lip meets the 'cutaneous' upper lip (skin).

How far towards the midline does the incision extend ?

This is a very individualized surgical decision, and varies from patient to patient. The length of the incision depends on how much of the lateral upper lift is intended to be affected by the procedure.

How much skin is removed during the lip lift?

This is a very individualized surgical decision, and varies from patient to patient. The amount of skin removed depends upon Dr. Pearson's evaluation, the patient's goals and the laxity of the skin.

Is the muscle affected during this procedure?

With Dr. Pearson's technique, the underlying lip muscle is not disturbed in most cases.

What are the potential risks of this procedure?

Potential risks are similar to any facial implant procedure and include the possibilities of infection, poor scar formation, etc. A detailed discussion about potential risks is undertaken during consultation with Dr. Pearson. Various precautions are taken to minimize risks. Most patients experience no complications.

Is the procedure permanent?

The Lip Lift does not become 'undone'. The excised lip skin does not grow back. However, with continued aging, one may expect additional and progressive upper lip elongation to develop with aging.

Can an onlooker tell that I had a Lip Lift?

Any surgical scar is not invisible. However, when carefully designed, meticulously performed and appropriately cared for, scars are typically imperceptible to onlookers and may be further disguised with makeup.

Is the procedure painful?

Patients report that they feel no pain or discomfort during the procedure. On the evening of the procedure, many patients use pain medications to control the soreness and help them to rest. Most patients discontinue use of prescription pain medications within 2-3 days.

Can I drive myself home from the procedure?

Yes. Since only local anesthesia (numbing medication) is typically used, you may resume normal activities immediately following the procedure.

Is there swelling and/or bruising following the procedure?

For most women, bruising is minimal. Swelling of the lips is expected. Lips appear most swollen on the day after the procedure. By 1 week, most (but not all) of the swelling has dissipated.

Will the Lip Lift impart the appearance of 'duck lips'?

This is a common concern. At our practice, we have not had that occur. If the correct amount of lifting is performed, the Lip Lift procedure does not impart the forward-projecting lip appearance referred to as 'duck lips.'

How do I care for my lips during the healing period?

Patients are provided with detailed instructions at the time of the procedure.

How long before I can return to work?

Most women choose to return to work by about 7-10 days, when most of the swelling has subsided.

When can I resume full activity including exercise?

In most cases, patients may resume full activity by 2-3 weeks following the procedure.

Why would anyone consider this procedure if they can achieve the results they want using injectable treatments?

Most patients who consider this procedure are not satisfied with the results achieved using fillers. Interested patients seek a more balanced lip appearance or a shortened upper lip, and not simply increased fullness of the lips.