This patient is being prepped for an upper lip lift today and after completing the surgical plan markings, she graciously allowed me to take this quick video to explain the pre-op markings I make for lip lift patients.
A recent article in the Wall Street Journal highlighted a Korean Plastic Surgeon who is popularizing the so called Smile Surgery. MSN News also recently featured an article about smile surgery, called a “smile lipt,” – a combination of the words “lip” and “lift.” While this procedure may sound odd, there are definitely some patients who are good candidates for this procedure. I have performed it in my practice in Baltimore. Some people have a distinct permanent frown type expression and Smile Surgery can help them because it lifts the corners of the mouth. It helps change the permanent sad or angry look to a more pleasant expression. This technique is different than a traditional lip lift procedure, as that technique focuses solely on the long space between the upper lip and the base of your nose.
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.
We so often see photographs of celebrities that have duck lips. If you don’t know what I am referring to, please tune into the Real Housewives of Beverly Hills and take a look at most of the women. You know the story–the lips protrude out like duck bills because too much filler is put into the lips. While Taylor wins the prize, Kyle is catching up to her. It does look terrible. So, how can YOU have fuller lips without getting duck lips?
Lately, my patients have been quite educated about the various techniques that surgeons use for the Lip Lift procedure. Recently a patient asked me if my technique would cut muscle or nerves. This is a good question and I would like readers to know that my technique does NOT cut muscle or nerves! In summary, this is a description of the Lip lift technique that I have been using for many years:
- An incision is made at the base of the nose in the natural ridge between lip skin and nasal skin.
- Skin is elevated only to the level where preoperative markings were made, leaving the muscle intact.
- We spread muscle fibers at 5 points to reach the membrane covering the septum and nasal bones. Three tunnels are made centrally: one through the septum and the other two on either side of i, corresponding to the middle and ridges of the philrum in the upper lip. One tunnel at the outer border of the nostrils.
- The sutures are tied to the underside of the lip skin. The sutures do not tie muscle, and do not tie nerves. There is no cutting of any structure once we cut skin.
Dr. Rodriguez explains why some people need a Lip Lift instead of a Lip augmentation. Beautiful lips are identified by a nice cupid’s bow and having the perfect amount of space between your upper lip and your nose. Find out whether you need a lip augmentation or a lip lift with Dr. Ricardo Rodriguez on his Cosmeticsurg blog.
Some of you may have read my posts on why I like to do Breast augmentation under IV sedation. I also do IV sedation for all major and combined procedures. Naturally, some patients are anxious because they don’t want to feel anything, but they are attracted to the idea of not undergoing general anesthesia. There is also some confusion as to what exactly is IV sedation. This is understandable because there are many levels of sedation. I will explain the different levels so you can make a more informed decision when discussing this with your surgeon or anesthesiologist. In cosmetic surgery, we often refer to the three distinct choices: local, IV or General anesthesia.
“DAO” (Depressor anguli oris) release to lift the corner of the mouth. I have always been a fan of the lip lift procedure. There are many reasons why it’s preferable to fillers, but the most important one is that it looks so good and natural. The effect is best in the central part of the…
I went to see Dr. Rodriguez on Sept 25th for Lip Advanta Implants and Sculptra. I was greeted by the nicest staff and made to feel very comfortable. I was more than briefed on every option that I asked about to ensure a confident choice in procedure. After my procedure, I was a bit terrified by the immediate effects of surgery (swelling), but the entire staff assured me that the swelling was completely normal.
Yesterday I did a Lip lift. My patient was a young woman, which is unusual for this procedure. Most women that need a Lip lift are older, and they have noticed the upper lip getting “thinner” as they age. Since the “red” part of the lip is getting thinner, they assume this is the part that needs to be augmented. So when a woman comes to me for lip enhancement, most of the time she is thinking…