Patients today are doing a lot of research about the upper Lip lift,. One of the most frequent questions I get is if the surgery involves the muscle of the upper lip. Patients want to know if my technique involves only the skin, or if I lift the muscle in any way. My Lip lift technique involves lifting the skin only, and I do not involve the muscle. It seems one of the biggest proponents of technique incorporating the muscle is Dr. Randall Heyworth in California. In 2008, he and I met on a trip to China representing the American Society of Plastic Surgeons, and I enjoyed his company. But I have a different approach to the upper lip lift and I will explain why.