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SurgicalFacial structure Prescription

Lip Lift

Also known as bullhorn lip lift, subnasal lip lift

Shortens the distance between nose and lip, exposing more upper tooth. A structural fix where filler is only a workaround.

Evidence
Strong
Typical cost
$3k – $8k
Permanence
Permanent
Timeline
Scar matures over 6–12 months.

US $3,000–8,000.

How it works

A strip of skin is excised just beneath the nose and the upper lip is elevated, reducing philtral length and increasing vermilion show. Unlike filler, it does not add volume — it repositions what you already have.

How it's used

Measure your philtral length first: roughly over 15mm in women and 20mm in men suggests candidacy. The scar sits in the shadow beneath the nose and depends heavily on closure technique, so review the surgeon healed scar photographs specifically, not just the lip result.

Trade-offs

In favour

  • Permanent, unlike filler
  • Increases upper tooth show, which reads as youthful
  • Does not create the projected "duck lip" look filler can
  • Improves lip proportion structurally

Against

  • Visible scar under the nose if poorly executed
  • Not reversible
  • Over-elevation causes a permanently raised, gummy appearance
  • Not suitable for short philtrums

Risks and side effects

Read before deciding
  • Noticeable or hypertrophic scarring at the nasal base
  • Over-elevation with excessive tooth show and difficulty closing the lips
  • Distortion of the nostril base
  • Asymmetry
  • Numbness of the upper lip

Recovery

Week 1: swelling and a tight upper lip, sutures in place. Days 5–7: sutures removed. Weeks 2–6: swelling settles, scar pink. Months 3–12: scar fades and softens.

How good is the evidence?

Strong
Good trial evidence with consistent findings.

Well-documented technique with good outcomes and high satisfaction when patient selection is appropriate.

Sources

Sources point to guideline bodies and literature searches rather than single papers, so they stay accurate as the evidence moves.

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