Lip Lift

A lip lift surgery, also known as an upper lip lift, is a cosmetic procedure aimed at shortening the space between the nose and the upper lip, resulting in a more youthful and fuller appearance of the lips. A lip lift procedure can provide long term rejuvenation of the aged upper lip or improve the upper lip appearance in patients born with naturally thin lips. A lip lift creates a fuller, poutier upper lip and decreases the distance from the lip to the nose.

Unfortunately the upper lip tends to elongate with age leading to a longer “white lip” and a thinner “red lip”. In severe cases this can make the upper lip look somewhat “ape-like” or Simian. This lengthening is due to gravity and a loss of skin and muscle elasticity resisting the gravity. Genetic factors and lifelong sun exposure play a role in skin elasticity.

Lip rejuvenation and augmentation remains a very popular facial plastic surgery procedure. A survey by the American Academy of Facial and Reconstructive Surgery in 2014 found that lip augmentation was one of the most common facial plastic procedures performed.

A lip lift avoids the need for lip implants or lip filler injections. These are alternative treatments to this area.

The procedure shortens the “white lip” and enlarges the “red lip”. It can also be used to shorten a long lip which is hanging over the upper teeth and obscuring them. It is a frequent add on procedure when performing a facelift but can also be performed as an independent procedure.

A lip lift can be performed in both younger and older patients.

Risks of surgery

Cosmetic surgery is a serious decision. Information about the risks of a lip lift can be found here.

Bullhorn lip lift

The most famous and successful type of lip lift procedure is the Bullhorn lip lift. This involves placing a small incision just under the nose and removing a strip of skin in the shape of a bull horn. The skin excision can be designed to different lengths and can remove more from either side portions or central portion if needed to improve symmetry. I typically ask patients to lift the upper lip themselves to demonstrate the desired position and how much teeth show they would like.

The procedure can be done under local anaesthesia but in Australia is usually performed under general anaesthesia for the best results and for patient comfort. The surgeon needs to be obsessive about very precise markings to ensure the highest likelihood of symmetry across the lip. Two layers of stitches are used. The deeper layer of sutures dissolve. Surgery typically takes around 60 minutes. The superficial stitches are removed after 1 week. Post-operative discomfort is usually minimal.

When planning the surgery typically 4-5mm of skin is removed. This can range from 3 to 8mm. A normal vermillion to nose length is 13-14mm. In patients seeking a more stylised look, it may be set at 11-12mm. A very pouty upper lip would be achieved at 10mm.

Post-Operative Information for Lip Lift Surgery

Post-operative care is crucial to ensure proper healing and to achieve the best results. Here is detailed post-operative information you need to know:

Immediate Post-Operative Care

1. Monitoring and Initial Recovery:
   • After the surgery, you will be monitored for a short period to ensure you are recovering well from anesthesia.
   • Arrange for someone to drive you home and assist you for the first 24 hours.
2. Swelling and Bruising:
   • Swelling and bruising around the lips and nose area are normal and typically peak within the first 48-72 hours.
   • Use cold compresses or ice packs wrapped in a cloth to reduce swelling. Apply for 15-20 minutes at a time with breaks in between.
3. Pain Management:
   • Pain and discomfort are usually mild to moderate. Your surgeon will prescribe pain medications to manage any discomfort.
   • Take prescribed pain medications as directed. Over-the-counter pain relievers like acetaminophen may also be recommended.

Wound Care

1. Incision Care:
   • Keep the incision area clean and dry. Follow your surgeon’s instructions on how to clean the incision site.
   • Apply any prescribed ointments or antibiotic creams to the incision site as directed.
2. Sutures:
   • Sutures are typically removed within 5-7 days, depending on the type of sutures used and the healing process.
   • Avoid manipulating or touching the sutures unnecessarily.

Activity Restrictions

1. Physical Activity:
   • Avoid strenuous activities, heavy lifting, and bending over for at least one week to prevent increased swelling and bleeding.
   • Gentle walking is encouraged to promote circulation and reduce the risk of blood clots.
2. Facial Movements:
   • Limit excessive facial movements such as laughing, chewing, or talking for the first few days to avoid stressing the incision area.
   • Avoid opening your mouth wide and making exaggerated facial expressions.

Diet and Hydration

1. Diet:
   • Stick to a soft or liquid diet for the first few days to minimize strain on the lips and incision area.
   • Avoid hot, spicy, or acidic foods and beverages that can irritate the surgical site.
2. Hydration:
   • Stay well-hydrated by drinking plenty of water.
   • Avoid using straws as the suction can put stress on the healing incision.

Oral Hygiene

1. Mouth Care:
   • Rinse your mouth gently with a prescribed antiseptic mouthwash or a saltwater solution to keep the area clean.
   • Brush your teeth carefully to avoid irritating the incision site. Use a soft-bristled toothbrush and avoid toothpaste that may be too abrasive.

Follow-Up Appointments

1. Schedule:
   • Attend all scheduled follow-up appointments with your surgeon to monitor the healing process and address any concerns.
   • Your surgeon will check the incision site, remove sutures if necessary, and provide further instructions based on your recovery progress.

Signs of Complications

1. When to Contact Your Surgeon:
   • Contact your surgeon immediately if you experience any of the following:
     • Increased swelling or bruising beyond what is expected
     • Signs of infection (redness, warmth, or pus at the incision site)
     • Severe pain that is not relieved by prescribed medications
     • Persistent bleeding
     • Fever or chills

Long-Term Care

1. Scar Management:
   • Once the incision has healed, your surgeon may recommend scar treatments such as silicone gel sheets or topical treatments to minimize scarring.
   • Protect the incision area from direct sun exposure by using sunscreen or wearing a hat, as UV rays can darken the scar.
2. Lifestyle Adjustments:
   • Avoid smoking and limit alcohol consumption, as these can impair the healing process and affect the final results.
   • Maintain a healthy lifestyle with a balanced diet and regular exercise to support overall recovery and well-being.

Conclusion

Proper post-operative care is essential for a smooth recovery and optimal results after a lip lift surgery. By following these detailed guidelines and your surgeon’s specific instructions, you can minimise the risk of complications and achieve a successful outcome. Always communicate openly with your surgeon about any concerns or questions during your recovery period.