A lip lift is a procedure that shortens the skin between the base of the nose and the upper lip. That distance, the philtral height, tends to lengthen over time, so less of the upper lip and fewer of the upper teeth show when you talk and smile. Shortening it rolls the upper lip slightly upward and outward, increasing the visible height of the pink lip, or vermilion, without adding filler or implants.
The most common technique is a subnasal lip lift, sometimes called a bullhorn lip lift, where a measured strip of skin is removed at the base of the nose. Variations include a corner lip lift, which raises the outer corners of the mouth, and a direct lip lift at the lip border. Some people are born with a long upper lip rather than developing one with age, and a lip lift addresses either situation.
A lip lift changes proportion and tooth show. It does not add volume the way dermal filler does, though the two are sometimes considered together. Dr Maryam assesses your lip and tooth show at rest and when smiling, along with nostril shape and nose to lip proportions, before recommending an approach at her Paddington rooms in Sydney.
A lip lift can often be performed on its own under local anaesthetic, or under sedation or general anaesthetic if combined with other surgery. It usually takes under an hour.
Most people return to routine activity quickly, though the lip looks unsettled at first.
Risks include a visible, thickened or asymmetrical scar at the base of the nose, asymmetry of the lip itself, over-shortening or under-shortening, widening of the nostril base, altered sensation, stiffness of the upper lip, restricted mouth movement, infection and delayed healing. Numbness and firmness are usually temporary but can persist.
The change is permanent and not easily reversed, so planning and measurement matter. The scar is placed in the shadow of the nose but always exists, and some people scar more visibly than others. A lip lift does not treat vertical lip lines, thinness caused by volume loss alone, or changes to the lower lip.
A referral from a registered medical practitioner is required before cosmetic surgery in Australia, and a referral from your GP is preferred so your medical history is reviewed. A cooling-off period of at least seven days applies between your consultation and booking surgery. Patients under 18 have a three month cooling-off period and an additional assessment requirement.
Dr Maryam Seyedabadi, MBBS FRACS, AHPRA registration MED0001341746, consults at 2c Heeley Street in Paddington and operates at sites including Sydney Day Hospital, The Skin Hospital in Darlinghurst and Double Bay Day Hospital. At your appointment she measures and photographs your lip, explains the risks and the alternatives, including dermal filler and no treatment, and answers your questions before you make a decision. Fees are quoted after consultation. Call 1300 067 668 to arrange a time.
A lip lift may suit you if the distance between your nose and upper lip has lengthened with ageing, or if you have naturally little upper lip show. It changes proportion rather than adding volume. Suitability depends on your anatomy, tooth show and what you want to change. A GP referral is required before a consultation for cosmetic surgery in Australia, and risks are discussed at that appointment.
A lip lift is usually performed under local anaesthetic, so you are awake and can go home the same day. A measured strip of skin is removed from beneath the nose, the upper lip is lifted and the wound is closed with fine sutures. The procedure commonly takes around an hour. Dr Maryam plans the measurements with you before surgery, as removing too much or too little both cause problems.
The incision sits at the base of the nose, following the creases where the nostrils meet the upper lip. Scars are permanent. How they settle varies between people, and while many soften and fade over six to twelve months, some remain visible or heal poorly. Skin type, smoking, sun exposure and wound care all influence scarring. This is one of the main trade-offs to weigh up before surgery.
Swelling and bruising around the upper lip are expected and are usually most noticeable in the first few days. Most people have sutures removed within about a week and feel comfortable in public after one to two weeks, though this varies. Tightness, numbness and an altered smile are common early on and typically settle over weeks to months. Oedema can take several months to fully resolve.